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晚期癌症患者丧亲三个月后,其家庭照顾者的抑郁症状、悲伤及复杂性悲伤情况。

Depressive symptoms, grief, and complicated grief among family caregivers of patients with advanced cancer three months into bereavement.

作者信息

Holtslander Lorraine F, McMillan Susan C

机构信息

College of Nursing, University of Saskatchewan in Saskatoon, Canada.

出版信息

Oncol Nurs Forum. 2011 Jan;38(1):60-5. doi: 10.1188/11.ONF.60-65.

DOI:10.1188/11.ONF.60-65
PMID:21186161
Abstract

PURPOSE/OBJECTIVES: to describe depressive symptoms, grief, and complicated grief for bereaved family caregivers of patients who died from cancer-related causes and to explore relationships among these variables.

DESIGN

a nonexperimental, secondary analysis of cross-sectional descriptive data from a longitudinal intervention study evaluating the effect of providing feedback from standardized assessment tools.

SETTING

two large, private, not-for-profit hospices in Florida.

SAMPLE

convenience sample of 280 family caregivers, bereaved three months.

METHODS

secondary analysis of self-report, survey data three months following death.

MAIN RESEARCH VARIABLES

depressive symptoms, grief, and complicated grief.

FINDINGS

Three months after the loss of a loved one, 34% of the caregivers had clinically meaningful scores for depressive symptoms. A significant number of bereaved caregivers were experiencing grief and depression.

CONCLUSIONS

bereaved caregivers were experiencing significant levels of depressive symptoms and complicated grief. Caregivers with higher levels of grief had more depressive symptoms.

IMPLICATIONS FOR NURSING

tools are available to identify bereaved caregivers most in need of intervention.

摘要

目的/目标:描述因癌症相关原因去世患者的丧亲家庭照顾者的抑郁症状、悲伤和复杂性悲伤,并探讨这些变量之间的关系。

设计

对一项纵向干预研究的横断面描述性数据进行非实验性二次分析,该研究评估了提供标准化评估工具反馈的效果。

地点

佛罗里达州的两家大型私立非营利性临终关怀机构。

样本

280名丧亲三个月的家庭照顾者的便利样本。

方法

对死亡三个月后的自我报告调查数据进行二次分析。

主要研究变量

抑郁症状、悲伤和复杂性悲伤。

结果

在失去亲人三个月后,34%的照顾者有具有临床意义的抑郁症状评分。大量丧亲照顾者正在经历悲伤和抑郁。

结论

丧亲照顾者正经历着显著程度的抑郁症状和复杂性悲伤。悲伤程度较高的照顾者有更多的抑郁症状。

对护理的启示

有工具可用于识别最需要干预的丧亲照顾者。

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