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创伤后成长在丧亲结局中的作用:对临终关怀中家庭照护者的探究。

Role of Post-Traumatic Growth in Bereavement Outcomes: An Inquiry of Family Caregivers in Hospice.

机构信息

Phronesis Consulting LLC, Clarence, New York, USA.

Research Department, Hospice and Palliative Care Buffalo, Cheektowaga, New York, USA.

出版信息

J Palliat Med. 2024 Feb;27(2):168-175. doi: 10.1089/jpm.2023.0121. Epub 2023 Sep 7.

Abstract

Family caregivers (FCGs) encounter several physical, psychosocial, and financial struggles while caring for a dying loved one. After their loved one has passed, FCGs face new difficulties as they transition out of the caregiving role and into bereavement. Recent research has focused on the positive adaptive outcomes of bereavement. This study examined the relationship between core bereavement experiences and post-traumatic growth (PTG) for bereaved hospice FCGs. This is a quantitative cross-sectional mail-in survey. A total of 395 bereaved FCGs of patients who died while under the care of a comprehensive hospice program were surveyed. Demographics were collected. Bereavement experiences were assessed using the core bereavement items, and PTG was assessed using the Posttraumatic Growth Inventory (PTGI). Both surveys are validated measures. Two-tailed bivariate correlations were used to analyze the relationships between bereavement experiences and PTG. Significant positive relationships were found between all bereavement experiences and PTG variables ( = <0.01-0.011,  = 0.134-0.290), except for one variable pairing (grief × new possibilities). Participants who reported more intense bereavement experiences also reported greater PTG, especially in the areas relating to others and appreciation of life. FCGs who undergo more intense bereavement experiences tend to experience greater PTG. This information can be used in the future to develop a more comprehensive understanding of the multifaceted nature of grief and loss.

摘要

家庭照顾者(FCG)在照顾临终亲人时会遇到身体、心理社会和经济方面的困难。在亲人去世后,他们在从照顾角色过渡到丧亲期时会面临新的困难。最近的研究集中在丧亲的积极适应结果上。本研究探讨了核心丧亲经历与丧亲临终关怀 FCG 创伤后成长(PTG)之间的关系。这是一项定量的横断面邮寄调查。共调查了 395 名接受过综合临终关怀项目护理的临终患者的丧亲 FCG。收集了人口统计学数据。使用核心丧亲项目评估丧亲经历,使用创伤后成长量表(PTGI)评估创伤后成长。这两个调查都是经过验证的衡量标准。使用双尾二元相关分析来分析丧亲经历和 PTG 之间的关系。在所有丧亲经历和 PTG 变量之间发现了显著的正相关关系( = <0.01-0.011,  = 0.134-0.290),除了一对变量(悲伤 × 新的可能性)。报告丧亲经历越强烈的参与者也报告了更大的创伤后成长,特别是在与他人和对生活的欣赏方面。经历更强烈丧亲经历的 FCG 往往会经历更大的创伤后成长。这些信息可以用于未来更全面地了解悲伤和失落的多方面性质。

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