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医院中的死亡:癌症患者的临终见证

Death in the Hospital: The Witnessing of the Patient with Cancer.

作者信息

Sartor Silvia Francine, das Mercês Nen Nalú Alves, Torrealba Mercedes Nohely Rodríguez

机构信息

Department of Nursing, Graduate Program, Federal University of Paraná, Curitiba, Paraná, Brazil.

出版信息

Indian J Palliat Care. 2021 Oct-Dec;27(4):538-543. doi: 10.25259/IJPC_119_21. Epub 2021 Oct 28.

DOI:10.25259/IJPC_119_21
PMID:34898949
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8655633/
Abstract

OBJECTIVES

The aim of the study was to know the witnessing of death from the perspective of the cancer patient in the hospital environment.

MATERIALS AND METHODS

This is a qualitative and descriptive study, which was carried out in a cancer hospital in southern Brazil, with 27 cancer patients, through semi-structured interview, after the institutional research ethics committee approval. For categorisation and data analysis, Iramuteq software and Creswell content analysis were used.

RESULTS

Six classes emerged from the Iramuteq software and four categories were formed: (1) The reflection of the other itself; (2) feelings and emotions aroused; (3) the witnessing of a peaceful death and (4) death as a habitual event.

CONCLUSION

Patients felt sad and distressed, and some perceived death as something natural, often necessary for the relief of suffering. They put themselves in the place of the dying patient and their family members, imagining their loved ones and the suffering they would experience. Participants considered peaceful deaths to be good, unlike those in which patients had some kind of discomfort, described as horrible, distressing, sad and bad.

摘要

目的

本研究旨在从癌症患者的角度了解医院环境中死亡的见证情况。

材料与方法

这是一项定性描述性研究,在巴西南部的一家癌症医院对27名癌症患者进行,经机构研究伦理委员会批准后,通过半结构化访谈进行。使用Iramuteq软件和克雷斯韦尔内容分析法进行分类和数据分析。

结果

Iramuteq软件得出六个类别,并形成了四个范畴:(1)他人自身的反思;(2)引发的感受和情绪;(3)平静死亡的见证;(4)死亡是一种常见事件。

结论

患者感到悲伤和痛苦,一些人将死亡视为自然之事,往往是缓解痛苦所必需的。他们设身处地为濒死患者及其家人着想,想象自己所爱的人以及他们将经历的痛苦。参与者认为平静的死亡是好的,而那些患者有某种不适的死亡则被描述为可怕、痛苦、悲伤和糟糕。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ef8/8655633/8d814fc4fdf8/IJPC-27-538-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ef8/8655633/818cdf4c6cf7/IJPC-27-538-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ef8/8655633/8d814fc4fdf8/IJPC-27-538-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ef8/8655633/818cdf4c6cf7/IJPC-27-538-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ef8/8655633/8d814fc4fdf8/IJPC-27-538-g002.jpg

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Psychooncology. 2021 Apr;30(4):511-519. doi: 10.1002/pon.5596. Epub 2020 Dec 4.
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The relationship between the predicted risk of death and psychosocial functioning among women with early-stage breast cancer.
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Breast Cancer Res Treat. 2021 Feb;186(1):177-189. doi: 10.1007/s10549-020-05992-w. Epub 2020 Nov 10.
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J Nurs Scholarsh. 2020 May;52(3):301-310. doi: 10.1111/jnu.12550. Epub 2020 Mar 19.
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Desensitizing Effect of Frequently Witnessing Death in an Occupation: A Study With Turkish Health-Care Professionals.职业中频繁目睹死亡的脱敏效应:一项针对土耳其医疗保健专业人员的研究。
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