Department of Anesthesia and Reanimation, Sultan 2. Abdulhamid Han Training and Research Hospital, University of Health Sciences Turkey, P.O. Box: 34668, Üsküdar, Istanbul, Turkey.
Department of Psychiatry, Sultan 2. Abdulhamid Han Training and Research Hospital, University of Health Sciences Turkey, P.O. Box: 34668, Üsküdar, Istanbul, Turkey.
BMC Psychol. 2022 Mar 8;10(1):58. doi: 10.1186/s40359-022-00763-2.
Reporting the death of relatives to a family member is a very stressful task for physicians. Grief reactions differ from person to person.
Demographic data of 100 patients who died after staying in ICU for more than three days were recorded. For each patient, one of the family members filled a form which contained their own age, gender, education level, marital status, number of children, degree of relationship, psychiatric treatment status, living in the same house as the patient, and whether they had ever visited the ICU before. Grief reactions were evaluated in five different categories: normal grief response, initial shock reaction, denial, feeling guilty and anger.
When the death was reported, 55.0% of the relatives accepted this situation as normal, 19.0% felt guilty and 14.0% showed an initial shock reaction. The results showed that for a one-unit increase in the patient's age, the probability of the denial reaction among relatives was reduced by 746 times and the probability of feeling guilty was reduced by 698 times.
The rate of denial and guilt in the grief reactions among patient relatives when given news of death in the intensive care unit increases with the decrease in patient age.
向家庭成员报告亲属的死亡是医生非常有压力的任务。悲伤反应因人而异。
记录了在 ICU 停留超过三天后死亡的 100 名患者的人口统计学数据。对于每位患者，其一位家属填写了一份表格，其中包含他们自己的年龄、性别、教育水平、婚姻状况、子女数量、关系程度、精神科治疗状况、是否与患者同住以及是否曾前往 ICU。悲伤反应分为五个不同类别进行评估：正常悲伤反应、初始休克反应、否认、内疚和愤怒。
当报告死亡时，55.0%的亲属认为这种情况是正常的，19.0%感到内疚，14.0%表现出初始休克反应。结果表明，患者年龄每增加一个单位，亲属否认反应的概率降低 746 倍，内疚的概率降低 698 倍。
在 ICU 中接到死亡通知时，患者亲属的悲伤反应中否认和内疚的比例随着患者年龄的降低而增加。
