Geriatrics Department, Palliative Unit, Gothenburg University, Gothenburg, Sweden.
J Palliat Med. 2010 Sep;13(9):1119-23. doi: 10.1089/jpm.2010.0087.
When a patient receives the diagnosis of an incurable cancer, their loved ones have to face the fact that life will change. Realizing that the time together is with someone who is going to die, loved ones have to cope with the situation.
The objective of this study was to increase the knowledge concerning what forms of coping strategies loved ones apply when a family member is faced with an incurable cancer.
The study had a qualitative approach using in-depth interviews as data from a sample of consecutive loved ones. The interviews were audiotaped, transcribed verbatim, and analyzed using a manifest content analysis.
The main findings showed that the strategies used by loved ones could be categorized into four different areas: thinking that the death is far off in the future; hoping for an improvement; living in the present; and utilizing the family and personal network. The loved ones used these strategies in order to learn to live with the fact that their spouse had been diagnosed with an incurable illness.
The study shows that the manner in which the coping strategies are used is individual and also depends on how loved ones can cope with the concept of a dying person with whom they are very close. When loved ones have a need for support outside their personal network, it is important to understand that this need is directly related to coping strategies and that it is not a result of denial.
当患者被诊断出患有无法治愈的癌症时，他们的亲人不得不面对生活将发生改变的现实。意识到与即将离世的人在一起的时间有限，亲人必须应对这种情况。
本研究旨在增加对亲人在面对绝症时所采用的应对策略形式的了解。
本研究采用定性方法，对连续的一组亲人进行深入访谈，获取数据。访谈进行录音，逐字转录，并使用明显内容分析进行分析。
主要发现表明，亲人采用的策略可以分为四个不同领域：认为死亡还很遥远；希望病情好转；活在当下；利用家庭和个人网络。亲人使用这些策略是为了学会接受配偶被诊断出患有不治之症的事实。
研究表明，应对策略的使用方式因人而异，还取决于亲人如何应对与自己关系密切的临终者的概念。当亲人在个人网络之外需要支持时，重要的是要理解这种需求与应对策略直接相关，而不是否认的结果。
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