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化解临终前的预期性悲伤并提升尊严:姑息治疗干预措施的系统评价

Resolving anticipatory grief and enhancing dignity at the end-of life: A systematic review of palliative interventions.

作者信息

Patinadan Paul Victor, Tan-Ho Geraldine, Choo Ping Ying, Ho Andy Hau Yan

机构信息

Psychology Programme, Nanyang Technological University, Singapore, Singapore.

Centre for Population Health Sciences (CePHaS), Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.

出版信息

Death Stud. 2022;46(2):337-350. doi: 10.1080/07481187.2020.1728426. Epub 2020 Feb 21.

DOI:10.1080/07481187.2020.1728426
PMID:32079501
Abstract

Anticipatory grief is the experience of grief symptomatology prior to loss. This study is a systematic review of empirical interventions or interventional components that were observed to lessen or adaptively direct the experience of anticipatory grief for patients at the end of life and their family members. A search of 5 major databases found 13,718 articles, of which 10 high-quality randomized controlled trials were included for final review. Lebow's "adaptational tasks of anticipatory mourning" was employed as a working model on the efficacy of the interventions. The interventions exhibited some positive outcomes but none addressed anticipatory grief directly. Recommendations for future research are discussed.

摘要

预期性悲伤是指在丧失发生之前出现的悲伤症状体验。本研究是对实证干预措施或干预组成部分的系统综述,这些措施被观察到可减轻或适应性地引导临终患者及其家属的预期性悲伤体验。对5个主要数据库进行检索后找到13718篇文章,其中10项高质量随机对照试验被纳入最终综述。Lebow的“预期哀悼的适应性任务”被用作干预措施疗效的工作模型。这些干预措施显示出一些积极结果,但没有一项直接针对预期性悲伤。文中还讨论了对未来研究的建议。

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