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悲伤带来的压力:临终关怀家庭护理人员面临的最具压力的症状。

The Stress of Sadness: The Most Stressful Symptoms for Hospice Family Caregivers.

作者信息

Ratkowski Kristy L, Washington Karla T, Craig Kevin W, Albright David L

机构信息

School of Medicine, University of Missouri, Columbia, MO, USA.

School of Medicine, University of Missouri, Columbia, MO, USA

出版信息

Am J Hosp Palliat Care. 2015 Nov;32(7):745-9. doi: 10.1177/1049909114540034. Epub 2014 Jun 30.

Abstract

A family member or friend is often a hospice patient's primary caregiver and, as such, may face a significant number of stressors, including challenges related to managing patient symptoms. This study investigated the most stressful patient symptoms as reported by 111 hospice family caregivers of cancer (n=66) and cardiopulmonary (n=45) patients. Researchers calculated the mean level of stress caregivers attributed to 32 different patient symptoms commonly encountered at end of life. They found the symptoms perceived as most stressful for caregivers were psychological in nature. Study findings suggest that members of the hospice interdisciplinary team should connect patients and their caregivers to various types of support to address psychological symptoms, benefitting patients and caregivers alike.

摘要

家庭成员或朋友通常是临终关怀患者的主要照顾者,因此可能面临大量压力源,包括与管理患者症状相关的挑战。本研究调查了111名癌症患者(n=66)和心肺疾病患者(n=45)的临终关怀家庭照顾者报告的最具压力的患者症状。研究人员计算了照顾者归因于临终时常见的32种不同患者症状的平均压力水平。他们发现,照顾者认为最具压力的症状本质上是心理方面的。研究结果表明,临终关怀跨学科团队的成员应将患者及其照顾者与各种类型的支持联系起来,以解决心理症状,使患者和照顾者都受益。

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