Tan Seng Beng, Loh Ee Chin, Lam Chee Loong, Ng Chong Guan, Lim Ee Jane, Boey Christopher Chiong Meng
Unit of Palliative Medicine, Faculty of Medicine, Department of Medicine, University of Malaya Medical Centre, Kuala Lumpur, Malaysia.
Department of Medicine, University of Malaya Medical Centre, Kuala Lumpur, Malaysia.
BMJ Support Palliat Care. 2019 Mar;9(1):e19. doi: 10.1136/bmjspcare-2015-001064. Epub 2016 Apr 20.
Although suffering in palliative care has received increasing attention over the past decade, the psychological processes that underpin suffering remain relatively unexplored.
To understand the psychological processes involved in the experiencing of suffering at the end phase of life.
Semistructured interviews were conducted with 20 palliative care inpatients from an academic medical centre in Kuala Lumpur, Malaysia. The transcripts were thematically analysed with NVIVO9.
5 themes of psychological processes of suffering were generated: (1) perceptions, (2) cognitive appraisals, (3) hope and the struggles with acceptance, (4) emotions and (5) clinging. A model of suffering formation was constructed.
The findings may inform the development of mechanism-based interventions in the palliation of suffering.
尽管在过去十年中，姑息治疗中的痛苦已受到越来越多的关注，但构成痛苦的心理过程仍相对未被探索。
了解生命末期痛苦体验所涉及的心理过程。
对来自马来西亚吉隆坡一家学术医疗中心的20名姑息治疗住院患者进行了半结构式访谈。使用NVIVO9对访谈记录进行了主题分析。
产生了痛苦心理过程的5个主题：（1）认知，（2）认知评估，（3）希望与接受的挣扎，（4）情绪，以及（5）执着。构建了一个痛苦形成模型。
这些发现可能为基于机制的痛苦缓解干预措施的开发提供信息。
