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临终关怀:对丧亲前后给予家属关怀的效果评估。

Terminal care: evaluation of effects on surviving family of care before and after bereavement.

作者信息

Cameron J, Parkes C M

出版信息

Postgrad Med J. 1983 Feb;59(688):73-8. doi: 10.1136/pgmj.59.688.73.

DOI:10.1136/pgmj.59.688.73
PMID:6844191
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2417390/
Abstract

To evaluate the effects on the family of a comprehensive programme of terminal cancer care, 20 close relatives of patients who had died in a Palliative Care Unit (PCU) were compared with a matched group of 20 relatives of patients who had died of cancer in other wards of the same teaching hospital. Interviewed by telephone 1 year and 2 weeks after bereavement, relatives of PCU patients report significantly fewer psychological symptoms and less lasting grief and anger than relatives of patients who had died elsewhere. Factors thought to have contributed to good outcomes were successful relief of pain, awareness by relatives of the coming death of the patient and support given to relatives after bereavement. Two case examples illustrate these findings.

摘要

为评估晚期癌症综合护理方案对患者家庭的影响,将在姑息治疗病房(PCU)死亡患者的20名近亲与同一教学医院其他病房癌症死亡患者的20名匹配亲属进行了比较。在丧亲后1年零2周通过电话进行访谈,PCU患者的亲属报告的心理症状明显少于在其他地方死亡患者的亲属,悲伤和愤怒持续的时间也更短。被认为促成良好结果的因素包括成功缓解疼痛、亲属对患者即将死亡的认知以及丧亲后给予亲属的支持。两个案例说明了这些发现。

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本文引用的文献

1
EFFECTS OF BEREAVEMENT ON PHYSICAL AND MENTAL HEALTH--A STUDY OF THE MEDICAL RECORDS OF WIDOWS.丧亲之痛对身心健康的影响——一项关于寡妇病历的研究
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2
Terminal care: evaluation of an advisory domiciliary service at St Christopher's Hospice.临终关怀:圣克里斯托弗临终关怀院居家咨询服务评估
Postgrad Med J. 1980 Oct;56(660):685-9. doi: 10.1136/pgmj.56.660.685.
3
The first year of bereavement. A longitudinal study of the reaction of London widows to the death of their husbands.居丧的第一年。一项关于伦敦寡妇对丈夫死亡反应的纵向研究。
Psychiatry. 1970 Nov;33(4):444-67. doi: 10.1080/00332747.1970.11023644.
4
Preventive intervention with the recently bereaved.对新近丧亲者的预防性干预。
Arch Gen Psychiatry. 1977 Dec;34(12):1450-4. doi: 10.1001/archpsyc.1977.01770240076006.
5
Terminal care: evaluation of in-patient service at St Christopher's Hospice. Part I. Views of surviving spouse on effects of the service on the patient.临终关怀:圣克里斯托弗临终关怀院住院服务评估。第一部分。幸存配偶对该服务对患者影响的看法。
Postgrad Med J. 1979 Sep;55(646):517-22. doi: 10.1136/pgmj.55.646.517.
6
Comparison of places and policies for terminal care.临终关怀场所与政策的比较
Lancet. 1979 Jan 6;1(8106):29-32. doi: 10.1016/s0140-6736(79)90467-7.