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家庭照顾者对家中提供的专业化临终关怀的满意度:冰岛语版《临终治疗家庭评估问卷》心理测量学特征评估

Family Caregivers' Satisfaction With Specialized End-of-Life Care Provided at Home: Assessment of the Psychometric Characteristics of the Icelandic Version of the Family Assessment of Treatment at the End of Life Questionnaire.

作者信息

Hjörleifsdóttir Elísabet, Einarsdóttir Audur, Óskarsson Gudmundur Kristján, Frímannsson Gudmundur Heidar

机构信息

Elísabet Hjörleifsdóttir, PhD, is clinical nurse specialist in cancer and palliative nursing and associate professor, Department of Health Sciences, University of Akureyri, Iceland. Audur Einarsdóttir, MSc, RN, is palliative nurse, Hvammstangi Community Hospital, Iceland Gudmundur Kristján Óskarsson, Cand. Scient. Oecon, is associate professor, Faculty of Business Administration, University of Akureyri, Iceland. Gudmundur Heidar Frímannsson, PhD, is professor, Department of Education, University of Akureyri, Iceland.

出版信息

J Hosp Palliat Nurs. 2019 Oct;21(5):412-421. doi: 10.1097/NJH.0000000000000583.

Abstract

Several studies have highlighted the significant role of families in end-of-life care. Carers' well-being may depend on how they experience the care and support provided to their loved ones. This study was conducted to investigate family caregivers' assessment of specialized end-of-life care in a sample of 119 close family members in Iceland. The response rate was 58.8% (n = 70). Furthermore, the aim was to assess the psychometric characteristics of the Icelandic version of Family Assessment of Treatment at the End of Life (FATE). Descriptive statistics were used to describe the characteristics of the data. Results indicate that good communication and understanding of all parties concerned are the foundation for family caregivers' satisfaction with end-of-life care. Participants were generally satisfied with the care provided, whereas some important aspects of care were rated as excellent. Evaluation of management of symptoms reported in this study should be given specific attention in future studies considering its unsatisfactory outcomes. Nurses need to be aware of the impact that physical suffering of the patient might have on the family caregivers. The Icelandic version of the Family Assessment of Treatment at the End of Life instrument is a psychometrically sound instrument useful for measuring caregivers' satisfaction with service provided at the end of life, although modifications would improve the instrument for use on this population.

摘要

多项研究强调了家庭在临终关怀中的重要作用。照顾者的幸福感可能取决于他们对为亲人提供的护理和支持的体验方式。本研究旨在调查冰岛119名近亲家庭成员样本中家庭照顾者对专业临终关怀的评估。回复率为58.8%(n = 70)。此外,目的是评估冰岛版《临终治疗家庭评估》(FATE)的心理测量特征。使用描述性统计来描述数据特征。结果表明,所有相关方之间良好的沟通和理解是家庭照顾者对临终关怀满意度的基础。参与者总体上对所提供的护理感到满意,而护理的一些重要方面被评为优秀。鉴于本研究中报告的症状管理评估结果不尽人意,在未来研究中应给予特别关注。护士需要意识到患者的身体痛苦可能对家庭照顾者产生的影响。冰岛版《临终治疗家庭评估》工具在心理测量方面是一种可靠的工具,可用于衡量照顾者对临终服务的满意度,不过进行修改将改进该工具在这一人群中的使用。

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