...
【24h】

Grief among family members of nursing home residents with advanced dementia.

机译:患有老年痴呆症的疗养院居民家庭成员之间的悲痛。

获取原文
获取原文并翻译 | 示例
           

摘要

OBJECTIVES: To describe preloss and postloss grief symptoms among family members of nursing home (NH) residents with advanced dementia, and to identify predictors of greater postloss grief symptoms. DESIGN: Prospective cohort study. SETTING: 22 NHs in the greater Boston area. PARTICIPANTS: 123 family members of NH residents who died with advanced dementia. MEASUREMENTS: Preloss grief was measured at baseline, and postloss grief was measured 2 and 7 months postloss using the Prolonged Grief Disorder Scale. Independent variables included resident and family member sociodemographic characteristics, resident comfort, acute illness, acute care prior to death, family member depression, and family member understanding of dementia and of resident's prognosis. RESULTS: Levels of preloss and postloss grief were relatively stable from baseline to 7 months postloss. Feelings of separation and yearning were the most prominent grief symptoms. After multivariable adjustment, greater preloss grief and the family member having lived with the resident prior to NH admission were the only factors independently associated with greater postloss grief 7 months after resident death. CONCLUSIONS: The pattern of grieving for some family members of NH residents with advanced dementia is prolonged and begins before resident death. Identification of family members at risk for postloss grief during the preloss period may help guide interventions aimed at lessening postloss grief.
机译:目的:描述患有晚期痴呆的疗养院(NH)居民家庭成员的遗前和遗后悲伤症状,并确定遗体后悲伤症状更大的预测因素。设计:前瞻性队列研究。地点:大波士顿地区有22个NH。参与者:NH居民中有123人死于晚期痴呆。测量:在基线时测量出遗前悲伤,并使用延长悲伤障碍量表测量出遗后2和7个月的遗后悲伤。自变量包括居民和家庭成员的社会人口统计学特征,居民的舒适度,急性疾病,死亡前的急性护理,家庭成员的抑郁以及家庭成员对痴呆症和居民预后的了解。结果:从基线到丧失后7个月,遗前和遗后悲伤的水平相对稳定。分离和向往的感觉是最突出的悲伤症状。经过多变量调整后,住院前死亡后7个月,更大的遗前悲痛和家庭成员在新罕布什尔州入院之前与该居民住在一起是唯一与更大的遗体后悲痛相关的因素。结论:对于患有晚期痴呆的新罕布什尔州居民的某些家庭成员来说,这种悲伤的方式得以延长,并在居民死亡之前开始。在遗失前期识别有遗失后痛苦风险的家庭成员可能有助于指导旨在减少遗失后痛苦的干预措施。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱:kefu@zhangqiaokeyan.com

京公网安备:11010802029741号 ICP备案号:京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有
  • 客服微信

  • 服务号