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终末期(关怀)的观点和期望的精神分裂症患者。

End-of-life (care) perspectives and expectations of patients with schizophrenia.

机构信息

University Psychiatric Centre campus Kortenberg KU Leuven, Kortenberg, Belgium.

出版信息

Arch Psychiatr Nurs. 2013 Oct;27(5):246-52. doi: 10.1016/j.apnu.2013.05.003. Epub 2013 Jun 10.

Abstract

BACKGROUND

Schizophrenia is a disabling and life-shortening psychiatric disorder due to disease, medication, and lifestyle-related factors. It is therefore not unreasonable to assume that existential themes are important for these patients.

METHODS

Transcripts of 20 patients were coded and analyzed thematically, using a modified grounded theory approach in the exploration of perspectives and expectations of end-of-life (care).

RESULTS

No fear of death, skilled companionship and preserving quality of life were major themes in the interviews.

CONCLUSION

This study showed that patients, despite emotional flattening and cognitive deficits, find the possibility to discuss end-of-life topics reassuring and some even therapeutic.

摘要

背景

精神分裂症是一种因疾病、药物和生活方式等因素导致致残和缩短寿命的精神障碍。因此,可以合理地假设存在主义主题对这些患者很重要。

方法

使用改良的扎根理论方法,对 20 名患者的转录本进行编码和主题分析,以探讨临终关怀的观点和期望。

结果

在访谈中,没有对死亡的恐惧、熟练的陪伴和保持生活质量是主要主题。

结论

这项研究表明,尽管患者存在情绪平淡和认知缺陷,但他们发现讨论临终话题是一种安慰,甚至有些是治疗性的。

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