丧亲风险筛查：通往肿瘤心理社会照护的途径。
Bereavement risk screening: A pathway to psychosocial oncology care.
机构信息
Ferkauf Graduate School of Psychology, Yeshiva University, Bronx, New York, USA.
Department of Psychology, University of Maryland, College Park, Maryland, USA.
出版信息
Psychooncology. 2020 Dec;29(12):2041-2047. doi: 10.1002/pon.5526. Epub 2020 Oct 3.
OBJECTIVE
This qualitative study sought to obtain feedback from stakeholder cancer caregivers and bereaved family members on the implementation of bereavement risk screening in oncology.
METHODS
Semi-structured interviews were conducted with 38 family members of patients with advanced cancer (n = 12) and bereaved family members (n = 26) on when and how to effectively implement bereavement risk screening. Data were analyzed using thematic analysis.
RESULTS
Many participants indicated that they would be open to completing a self-report screening measure before and after the patient's death. Several suggested screening at multiple timepoints and the importance of follow-up. Participants viewed screening as an opportunity to connect to psychosocial support.
CONCLUSIONS
The findings suggest that family members appear supportive of sensitively approached bereavement risk screening before and after a patient's death as an important component of quality psychosocial care. To optimize implementation, bereavement risk screening would involve screening at multiple timepoints and include follow-up. Findings suggest standardized risk screening using a brief, validated self-report tool would be a pragmatic approach to increasing access to bereavement care.
目的
本定性研究旨在从癌症患者的利益相关者护理人员和丧亲家庭成员处获取关于在肿瘤学中实施丧亲风险筛查的反馈。
方法
对 38 名晚期癌症患者（12 名）的家属和丧亲家庭成员（26 名）进行了半结构化访谈，了解何时以及如何有效地实施丧亲风险筛查。使用主题分析对数据进行了分析。
结果
许多参与者表示，他们愿意在患者死亡前后完成自我报告筛查量表。一些人建议在多个时间点进行筛查，并强调了随访的重要性。参与者认为筛查是与心理社会支持联系的机会。
结论
研究结果表明，丧亲家庭成员似乎支持在患者死亡前后进行敏感的丧亲风险筛查，这是高质量心理社会护理的重要组成部分。为了优化实施，丧亲风险筛查将包括在多个时间点进行筛查并包括随访。研究结果表明，使用简短、经过验证的自我报告工具进行标准化风险筛查是增加获得丧亲关怀的一种切实可行的方法。
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