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Circumstances and consequences of care: a prospective study in palliative care

机译：护理的情况和后果：姑息治疗的前瞻性研究

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The sundry circumstances that affect end-of-life care can have a determining role in the result of this experience, particularly in psychological morbidity levels before and after bereavement. The aim of this study is to describe the prevalence of psychopathological symptoms and overburden among family caregivers in palliative care and to identify the circumstances associated with care provision. An attempt was made to evaluate the progress of psychopathological symptoms, identifying circumstantial factors that can interfere in acute grief. The sample consisted of 75 Portuguese caregivers, mostly women and patients’ daughters. The results show that caregivers more involved with patient care bear a greater burden and are more likely to manifest psychopathological symptoms, which persist in acute grief. Moreover, the existence of peritraumatic symptoms seem to contribute significantly to the overall state of distress in acute grief. Social support has a protective effect in the different symptomatologic situations and are closely related to family dynamics. These results suggest the possibility of early identification of the most vulnerable caregivers and the adverse circumstances that affect them.
机译：影响生活结束护理的阳光情况可以在这种经验结果中具有决定性的作用，特别是在丧亲之前和之后的心理发病率。本研究的目的是描述姑息治疗中的家庭照顾者心理病理学症状和覆盖的患病率，并确定与护理有关的情况。试图评估精神病理学症状的进展，确定可能干扰急性悲伤的间接因素。该样本由75名葡萄牙护理人员组成，主要是女性和患者的女儿。结果表明，护理人员更涉及患者护理患者更大的负担，更有可能表现出急性悲伤持续存在的精神病理学症状。此外，赤塑症状的存在似乎对急性悲伤的整体痛苦状态显着贡献。社会支持在不同的症状情况下具有保护作用，与家庭动态密切相关。这些结果表明，早期确定最脆弱的护理人员和影响它们的不利情况。

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