Granek Leeat, Ben-David Merav, Shapira Shahar, Bar-Sela Gil, Ariad Samuel
Department of Public Health, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel.
Radiation Oncology Department, Sheba Medical Center, Ramat-Gan, Israel.
Psychooncology. 2017 Jul;26(7):960-966. doi: 10.1002/pon.4118. Epub 2016 Mar 14.
The study aimed to explore oncologist's grief symptoms over patient death and to identify why and which losses are particularly challenging when patients die.
The grounded theory method was used to collect and analyze the data. Twenty-two oncologists were interviewed between March 2013 and June 2014 from three adult oncology centers in the north, center, and south of Israel. Oncologists were at different stages of their careers and varied in their sub-specialties, gender, and personal and professional backgrounds.
Grief begun when the patient died, in anticipation of the patient's death, many days after the death, or when the patient received a poor prognosis. The phenomenological experience of grief for oncologists included behavioral, cognitive, physical, and emotional symptoms in response to patient death. Behavioral symptoms included crying and difficulties sleeping. Cognitive symptoms included self-doubt and rumination about the patient and the care the patient had received before death. Physical symptoms included chest pain, fatigue, and general physical discomfort. Emotional symptoms included sadness, anxiety, helplessness, guilt, relief, irritability, and loss. Difficult patient loss was caused by patient-related factors, family-related factors, and disease-related factors.
Patient deaths result in behavioral, cognitive, physical, and emotional symptoms of grief in oncologists. These symptoms become particularly intense in the context of patient, family, and disease-related factors. Educational and supportive interventions for managing grief related to patient death are needed in order to support oncologists in their emotionally and mentally taxing work. Copyright © 2016 John Wiley & Sons, Ltd.
本研究旨在探讨肿瘤学家对患者死亡的悲伤症状，并确定患者死亡时，哪些损失尤其具有挑战性以及原因。
采用扎根理论方法收集和分析数据。2013年3月至2014年6月期间，对以色列北部、中部和南部三个成人肿瘤中心的22名肿瘤学家进行了访谈。肿瘤学家处于职业生涯的不同阶段，在亚专业、性别、个人和专业背景方面各不相同。
悲伤始于患者死亡之时、预期患者死亡时、死亡多日后或患者预后不良时。肿瘤学家悲伤的现象学体验包括因患者死亡而产生的行为、认知、身体和情绪症状。行为症状包括哭泣和睡眠困难。认知症状包括自我怀疑以及对患者及其死亡前接受的治疗的反复思考。身体症状包括胸痛、疲劳和全身身体不适。情绪症状包括悲伤、焦虑、无助、内疚、解脱、易怒和失落。患者相关因素、家庭相关因素和疾病相关因素导致了难以承受的患者损失。
患者死亡会导致肿瘤学家出现悲伤的行为、认知、身体和情绪症状。在患者、家庭和疾病相关因素的背景下，这些症状会变得尤为强烈。需要开展教育和支持性干预措施来管理与患者死亡相关的悲伤，以帮助肿瘤学家应对其情感和心理上重负的工作。版权所有© 2016约翰·威利父子有限公司。
