Hull M M
Oncol Nurs Forum. 1989 Nov-Dec;16(6):787-92.
The limited nursing research on families during the terminal phase of a relative's cancer has focused on family needs and supportiveness of nursing behaviors. In both hospital and homecare settings, families regarded information about their relatives' conditions and interventions directed at their relatives' comfort as most supportive. Regarded as least supportive were interventions that encouraged families to ventilate their own emotions. Being physically near their dying relatives was very important to families whose relatives were hospitalized. Strengths of this research are the consistency in findings and the rich descriptive data. Limitations include lack of control for several important variables and lack of sufficient attention to theory development. Theoretical ideas from the literature on attachment, loss, stress, and coping are suggested as tentative explanations for the pattern of descriptive findings. Future research should address family-generated examples of emotional support and nurses' teaching roles.
关于亲属癌症终末期家庭的护理研究有限,主要集中在家庭需求以及护理行为的支持性方面。在医院和家庭护理环境中,家庭都认为有关亲属病情的信息以及针对亲属舒适度的干预措施最具支持性。而鼓励家庭宣泄自身情绪的干预措施被认为支持性最小。对于亲属住院的家庭来说,能够在身体上靠近临终的亲属非常重要。这项研究的优点是研究结果具有一致性且描述性数据丰富。局限性包括未对几个重要变量进行控制,以及对理论发展缺乏足够关注。建议借鉴依恋、丧失、压力和应对等文献中的理论观点,作为对描述性研究结果模式的初步解释。未来的研究应关注家庭提供的情感支持实例以及护士的教学角色。