Wilson Donna M, Bykowski Kathleen A, Banamwana Gilbert, Bryenton Farrell M, Dou Qinqin, Errasti-Ibarrondo Begoña
Faculty of Nursing, University of Alberta, Edmonton, AL, CA.
Faculty of Nursing, University of Navarra and IdiSNA, Navarra Institute for Health Research, Pamplona, Spain.
Omega (Westport). 2025 May;91(1):197-211. doi: 10.1177/00302228221133504. Epub 2022 Oct 10.
With few investigations of intra-family end-of-life conflict, this study sought to identify its incidence, cause, and impacts. A questionnaire was completed by 102 hospice/palliative nurses, physicians, and other care providers in Alberta, a Canadian province. Participants reported on how often they had observed intra-family conflict when someone in the family was dying, and the impacts of that conflict. 12 survey participants were then interviewed about the intra-family conflict that they had encountered, with interviews focused on why conflict occurred and what the impacts (if any) were. Nearly 80% of families were thought to experience end-of-life conflict, periodically or continuously, among various family members. The interviews confirmed three reasons for intra-family end-of-life conflict and three conflict outcomes that were revealed in a recent literature review. The findings indicate routine assessments for intra-family end-of-life conflict are advisable. Attention should be paid to preventing or mitigating this conflict for the good of all.
由于对家庭内部临终冲突的调查较少，本研究旨在确定其发生率、原因和影响。加拿大艾伯塔省的102名临终关怀/姑息治疗护士、医生和其他护理人员完成了一份调查问卷。参与者报告了他们观察到家庭成员临终时家庭内部冲突的频率以及该冲突的影响。随后，对12名参与调查的人员进行了访谈，询问他们所遇到的家庭内部冲突，访谈重点在于冲突发生的原因以及产生的影响（如有）。近80%的家庭被认为在不同家庭成员之间定期或持续经历临终冲突。访谈证实了家庭内部临终冲突的三个原因以及最近一篇文献综述中揭示的三种冲突结果。研究结果表明，对家庭内部临终冲突进行常规评估是可取的。为了所有人的利益，应注意预防或缓解这种冲突。
