Granek Leeat, Ariad Samuel, Nakash Ora, Cohen Michal, Bar-Sela Gil, Ben-David Merav
Ben-Gurion University of the Negev, Beer Sheva; Baruch Ivcher School of Psychology, Interdisciplinary Center, Herzliya; Rambam Health Care Campus; Technion-Israel Institute of Technology, Haifa; Sheba Medical Center; and Tel-Aviv University, Tel-Aviv, Israel.
J Oncol Pract. 2017 Jan;13(1):e1-e10. doi: 10.1200/JOP.2016.014746. Epub 2016 Oct 31.
Although some research has found that health care professionals experience grief when their patients die, within the oncology context, few studies have examined the impact of this loss on oncology personnel. Given the paucity of empirical studies on this topic, this research explored the impact of patient death on oncologists. Methods and Materials This study used a mixed-methods design. The qualitative component used the grounded theory method of data collection and analysis. Twenty-two oncologists were recruited from three adult oncology centers. Purposive sampling was used to gain maximum variation in the sample. The quantitative component involved a convenience sample of 79 oncologists recruited through oncologist collaborators.
The qualitative study indicated that frequent patient death has both personal and professional impacts on oncologists. Personal impacts included changes to their personality, gaining of perspective on their lives, and a strain to their social relationships. Professional impacts included exhaustion and burnout, learning from each patient death, and decision making. The frequency analysis indicated that oncologists experienced both positive and negative impacts of patient death. A majority reported that exposure to patient death gave them a better perspective on life (78.5%) and motivated them to improve patient care (66.7%). Negative consequences included exhaustion (62%) and burnout (75.9%) as well as compartmentalization of feelings at work and at home (69.6%).
Frequent patient death has an impact on oncologists' lives, some of which negatively affect the quality of life for oncologists, their families, and their patients.
尽管一些研究发现医护人员在患者死亡时会经历悲痛，但在肿瘤学背景下，很少有研究探讨这种损失对肿瘤学相关人员的影响。鉴于关于这一主题的实证研究匮乏，本研究探讨了患者死亡对肿瘤学家的影响。方法与材料 本研究采用混合方法设计。定性部分采用扎根理论的数据收集和分析方法。从三个成人肿瘤中心招募了22名肿瘤学家。采用目的抽样以在样本中获得最大程度的差异。定量部分涉及通过肿瘤学家合作者招募的79名肿瘤学家的便利样本。
定性研究表明，频繁的患者死亡对肿瘤学家有个人和职业两方面的影响。个人影响包括性格改变、对生活有了新认识以及社会关系紧张。职业影响包括疲惫和倦怠、从每位患者死亡中吸取教训以及决策。频率分析表明，肿瘤学家经历了患者死亡带来的积极和消极影响。大多数人报告说，接触患者死亡让他们对生活有了更好的认识（78.5%），并促使他们改善患者护理（66.7%）。负面后果包括疲惫（62%）、倦怠（75.9%）以及工作和家庭中情感的分隔（69.6%）。
频繁的患者死亡会对肿瘤学家的生活产生影响，其中一些会对肿瘤学家及其家人和患者的生活质量产生负面影响。
