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首页> 外文期刊>The American journal of hospice & palliative medicine >Definition of a Good Death, Attitudes Toward Death, and Feelings of Interconnectedness Among People Taking Care of Terminally ill Patients With Cancer: An Exploratory Study
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Definition of a Good Death, Attitudes Toward Death, and Feelings of Interconnectedness Among People Taking Care of Terminally ill Patients With Cancer: An Exploratory Study

机译:良好死亡的定义,死亡的态度,以及照顾患有患有癌症患者的人们的互联的感觉:探索性研究

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摘要

The concept of a good death is crucial in palliative care, but its relationship with attitudes toward death and feelings of interconnectedness needs to be further deepened. The first aim of this study was to explore the concept of good death, attitudes toward death, and feelings of interconnectedness among family caregivers (FCs) and health-care providers (HCPs) of terminally ill patients with cancer. The second aim was to analyze associations of good death concept with attitudes toward death and feelings of interconnectedness. Participants were asked to assess the importance of features that characterize a good death. To explore each person's attitude toward death and feelings of interconnectedness, 3 open questions were used. The sample consisted of 49 participants: 24 (48.98%) FCs and 25 (51.02%) HCPs. Nine good death features were considered essential by more than 70% of participants. These referred to the physical (eg, symptoms control), social (eg, loved ones' presence), emotional (eg, sharing emotions), and spiritual (eg, inner peace) dimensions. Importance attributed to components of a good death such as patient's awareness and acceptance of death, meaning, respect for the patient's wishes, and inner peace were found to be associated with lack of avoidance and acceptance toward death and feelings of interconnectedness. Given the importance of FCs and HCPs in providing care and their impact on the patients' dying process, it is necessary to reflect upon how their personal attitudes and previous experiences influence the care of dying patients.
机译:良好死亡的概念在姑息治疗中至关重要,但它需要进一步加深与死亡的态度和相互联系的感受的关系。本研究的首次目的是探讨良好的死亡概念,对死亡的态度以及家庭护理人员(FCS)和核心治疗提供者(HCP)患有癌症患者的互联的感觉。第二个目的是分析良好的死亡概念的关联与对死亡和相互联系的感受的态度。被要求参与者评估特征是良好死亡的特征的重要性。探讨每个人对互联的态度和相互关联的感觉,3个打开的问题被使用。该样本由49名参与者组成:24例(48.98%)FCS和25(51.02%)HCP。九个良好的死亡特征被认为是超过70%的参与者必不可少的。这些提到了物理(例如,症状控制),社会(例如,亲人的存在),情绪(例如,共享情绪)和精神(例如,内在的和平)尺寸。归因于良好死亡的组成部分,例如患者的意识和接受死亡,意义,尊重患者的愿望,并且内在的和平被认为与缺乏避免和接受死亡和相互联系的感受相关。鉴于FCS和HCP在提供护理及其对患者垂死过程的影响方面的重要性,有必要反思他们的个人态度和以前的经验如何影响死亡患者的护理。

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