...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Supportive care in cancer: official journal of the Multinational Association of Supportive Care in Cancer >From will to live to will to die: oncologists, nurses, and social workers identification of suicidality in cancer patients
【24h】

From will to live to will to die: oncologists, nurses, and social workers identification of suicidality in cancer patients

机译：从将要生存的意志死亡：肿瘤学家，护士和社会工作者鉴定癌症患者的自由性

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Abstract Purpose The purpose of this research was to examine how oncologists, nurses, and social workers identify suicidality in cancer patients. Methods Sixty-one healthcare professionals (23 oncologists, 18 social workers, and 20 nurses) at two academic cancer centers were interviewed using an in-depth interview guide. This was a qualitative study based on grounded theory methodology. Analysis involved line-by-line coding, with categories and themes emerging from participants’ narratives. Results Suicidality in cancer patients exists on a wide spectrum that ranges from an active will to live to an active will to die. Four phases were identified that included: (A) a strong will to live expressed in themes of active treatments, seeking second opinions, overtreatment, and alternative treatments; (B) a decreasing will to live indicated in themes of mental health distress and physical pain and suffering; (C) a readiness to die expressed in themes of mental health distress, previous mental health diagnoses, physical pain, avoiding more suffering, preserving quality of life in old age, nearing end of life, lack of social support, and maintaining a sense of control; and (D) a will to die indicated in themes of euthanasia and active suicidality. Conclusions Suicidality in cancer patients exists on a continuum. Cancer patients fluctuate on this spectrum depending on circumstances such as degree of suffering, their personalities and life circumstances, and whether they are nearing the end of life. Results of the study emphasize the need to collect more context specific data on suicidality among cancer patients and the importance of early integration of psychosocial and palliative care in the cancer treatment trajectory.
机译：摘要目的本研究的目的是审查肿瘤科学家，护士和社会工作者如何确定癌症患者的自由性。方法采访了两个学术癌症中心的六十一位医疗保健专业人士（23位肿瘤学家，18名社会工作者和20名护士）。这是基于基于接地理论方法的定性研究。分析涉及逐行编码，具有来自参与者叙述的类别和主题。结果癌症患者的自由性存在于广泛的范围内，这些范围从活跃的意志居住在一个活跃的意志中。确定了四个阶段，其中包括：（a）强有力的将以积极治疗的主题表达，寻求第二种意见，过度处理和替代治疗; （b）减少将以精神健康遇险和身体疼痛和痛苦的主题表明; （c）愿意死于心理健康窘迫的主题，以前的心理健康诊断，身体疼痛，避免更痛苦，保持老年人的生活质量，接近生命结束，缺乏社会支持，维护着一种感觉控制; （d）将死于安乐死和主动性自杀的主题。结论癌症患者的自由性存在于连续体上。癌症患者根据痛苦程度，性别和生活的程度，以及它们是否接近生命结束的情况而波动。研究结果强调需要收集癌症患者的自由性的更多上下文特定数据以及早期整合心理社会和姑息治疗在癌症治疗轨迹中的重要性。

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