癌症护理中的职业性悲伤——一项范围综述
Professional Grief in Cancer Care-A Scoping Review.
作者信息
Wandke Svenja, Führes Hannah, Rutenkröger Mareike, Lang Klaus, Härter Martin, Oechsle Karin, Scholl Isabelle
机构信息
Department of Medical Psychology, Center for Psychosocial Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
II. Department of Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
出版信息
Psychooncology. 2025 May;34(5):e70156. doi: 10.1002/pon.70156.
OBJECTIVE
Healthcare professionals (HCPs) in cancer care often face patient deaths, yet there is a notable absence of comprehensive evidence regarding their grief. This scoping review seeks to identify key aspects of professional grief in cancer care and give an overview pertaining its' conceptualization and frequency and intensity.
METHODS
The primary search covered three databases (MEDLINE, PSYNDEX, and PsycINFO). Two independent reviewers assessed 2248 records, selecting 34 eligible articles.
RESULTS
Most studies originated from North America and Israel, with limited evidence from the global south, East Asia and Europe, as well as few quantitative studies. HCPs exhibit classic grief symptoms (such as sadness) and distinct features (e.g., feelings of guilt) in response to patient deaths, though a clear definition and measures of professional grief are lacking. Grief frequency varies highly (from 23% to 100%).
CONCLUSIONS
Future research should refine definitions and measures to better support HCPs in effectively managing professional grief in cancer care.
目的
癌症护理领域的医护人员常常面临患者死亡的情况，然而，关于他们的悲痛，却明显缺乏全面的证据。本综述旨在确定癌症护理中职业悲痛的关键方面，并概述其概念化、频率和强度。
方法
主要检索了三个数据库（MEDLINE、PSYNDEX和PsycINFO）。两名独立评审员评估了2248条记录，筛选出34篇符合条件的文章。
结果
大多数研究来自北美和以色列，来自全球南方、东亚和欧洲的证据有限，定量研究也很少。医护人员在面对患者死亡时表现出典型的悲痛症状（如悲伤）和独特特征（如内疚感），不过目前缺乏职业悲痛的明确界定和衡量标准。悲痛发生频率差异很大（从23%到100%）。
结论
未来的研究应完善定义和衡量标准，以更好地支持医护人员有效应对癌症护理中的职业悲痛。
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