癌症患者在家庭临终关怀中离世后，其家属的死亡质量、反刍思维和创伤后成长。
Quality of death, rumination, and posttraumatic growth among bereaved family members of cancer patients in home palliative care.
机构信息
Department of System Management in Nursing, Graduate School of Health Care Sciences, Tokyo Medical and Dental University, Tokyo, Japan.
Department of Psychology, Oakland University, Rochester, MI, USA.
出版信息
Psychooncology. 2017 Dec;26(12):2168-2174. doi: 10.1002/pon.4446. Epub 2017 May 30.
OBJECTIVE
The current study was designed to test the hypothesis that quality of death (QOD) and intrusive and deliberate rumination are associated with posttraumatic growth (PTG) among bereaved family members of cancer patients in home palliative care.
METHODS
Data were collected from 805 bereaved family members of cancer patients who died at home in Japan. We used a cross-sectional design and participants completed Good Death Inventory, Event-Related Rumination Inventory, and PTG Inventory. Structural equation modeling was used to test the hypothesized relationships.
RESULTS
A direct pathway from QOD to PTG was significant. We also found significant indirect pathways between QOD and PTG via deliberate rumination soon after the death and recent deliberate rumination.
CONCLUSIONS
Clinicians should provide high-quality end-of-life care with the goals of achieving a good death for terminally ill cancer patients and supporting the experience of PTG in bereaved family members after their loss.
目的
本研究旨在检验以下假设，即临终关怀阶段在家中去世的癌症患者的丧亲家庭成员的死亡质量（QOD）、侵入性反刍和故意反刍与创伤后成长（PTG）相关。
方法
数据来自日本 805 名在家中去世的癌症患者的丧亲家庭成员。我们采用横断面设计，参与者完成了《善终量表》《事件相关反刍量表》和《PTG 量表》。结构方程模型用于检验假设的关系。
结果
死亡质量与 PTG 之间存在直接关联。我们还发现，在死亡后不久和最近的故意反刍时，死亡质量与 PTG 之间存在显著的间接关联。
结论
临床医生应为终末期癌症患者提供高质量的临终关怀，以实现其善终，并在丧亲后支持他们的创伤后成长体验。
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