Feldstein M A, Gemma P B
Columbia University, School of Nursing, New York, New York 10032, USA.
Cancer Nurs. 1995 Jun;18(3):228-36.
Oncology nurses have repeated confrontations with death. To suggest that oncology nurses have emotional needs in response to the demands of caring for cancer patients has not been popular even among the nurses themselves. Indeed, there is little written in the professional literature describing the grief experiences of nurses caring for dying patients. To study the grief of oncology nurses, the Grief Experience Inventory (GEI), a multi-dimensional measure of grief that is sensitive to the longitudinal evolution of the process of bereavement, was selected. In addition, a demographic questionnaire to identify professional, personal, and supportive influences that might affect nurses' grief experiences was developed. Data were collected from June 1991 through May 1992, from a total of 50 professional nurses (termed Stayers and Leavers) on adult oncology units in a comprehensive cancer center and in an urban medical center. The findings indicated that both Stayers and Leavers are above the norms in despair, social isolation, and somatization. Implications for education and practice as well as suggestions for education and practice as well as suggestions for further research are discussed.
肿瘤护理人员经常直面死亡。认为肿瘤护理人员因护理癌症患者的需求而有情感需求，这种观点即便在护士自身当中也并不普遍。实际上，专业文献中几乎没有关于护理濒死患者的护士悲伤经历的描述。为了研究肿瘤护理人员的悲伤情绪，选用了悲伤体验量表（GEI），这是一种对丧亲过程的纵向演变敏感的多维悲伤测量工具。此外，还编制了一份人口统计学问卷，以确定可能影响护士悲伤经历的职业、个人和支持性因素。1991年6月至1992年5月期间，从一家综合癌症中心和一家城市医疗中心的成人肿瘤科室的50名专业护士（分为留任者和离职者）那里收集了数据。研究结果表明，留任者和离职者在绝望、社交孤立和躯体化方面均高于正常水平。文中讨论了对教育和实践的启示以及对进一步研究的建议。
