Ghesquiere Angela, Thomas Julie, Bruce Martha L
Brookdale Center for Healthy Aging, Hunter College of the City University of New York, New York, NY, USA
TRU Community Care Hospice, Lafayette, CO, USA.
Am J Hosp Palliat Care. 2016 Mar;33(2):124-9. doi: 10.1177/1049909114555155. Epub 2014 Oct 16.
Approximately 10% of the bereaved are at risk of bereavement-related mental health disorders. Hospices' bereavement services could potentially address needs of many at risk, but little is known about their service use. We analyzed data from 6160 bereaved family members of hospice patients. Risk of mental health problems was identified by hospice providers postloss. Of those characterized as "at-risk," 52% used services compared to 18% of the "low risk." Factors associated with service use among at-risk were female gender and younger age of death. Those who lost a child used services less than other bereaved. Although hospices appear to be skilled at identifying and providing bereavement services to the at-risk, services do not reach almost half. Results suggest the need to improve care access, especially among men and those losing a child.
约10%的 bereaved 有患丧亲相关心理健康障碍的风险。临终关怀机构的丧亲服务有可能满足许多有风险者的需求，但对这些服务的使用情况知之甚少。我们分析了6160名临终关怀患者的丧亲家庭成员的数据。临终关怀提供者在丧亲后确定了心理健康问题的风险。在被归类为“有风险”的人群中，52%使用了服务，而“低风险”人群中这一比例为18%。有风险人群中与服务使用相关的因素包括女性性别和较年轻的死亡年龄。失去孩子的人使用服务的比例低于其他丧亲者。尽管临终关怀机构似乎善于识别有风险者并为其提供丧亲服务，但仍有近一半的人无法获得服务。结果表明有必要改善服务的可及性，尤其是在男性和失去孩子的人群中。
