What is the Personal Immune Price for Hospice Caregivers? A Case-Control Study.

A. Ladha, W. Nevala, Sarah Lee, R. Vierkant, J. Kaur
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Abstract

In 2016, more than 1.43 million patients received hospice care in the United States and nearly half of the hospice days of care were provided at private residences [1]. Home-based hospice care increases the likelihood of death at home by 7 to 8 fold [2]. Although spousal caregivers experiencing strain were shown to be 63% more likely to die within 4 years than non-caregivers, these findings were not replicated in population based studies involving different caregivers [3-6]. Caregivers of terminal cancer and hospice patients often face increased psychosocial stressors and a perception of crisis specially when a loved one’s symptoms continue to intensify near the end of life [7]. In a study involving caregivers of Alzheimer and other dementia patients, 72% acknowledged they felt a sense of relief after the patient’s death [8].
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安宁疗护人员的个人免疫价格是多少?病例对照研究。
2016年,美国有超过143万名患者接受了临终关怀,其中近一半的临终关怀天数是在私人住宅提供的[1]。以家庭为基础的临终关怀使在家死亡的可能性增加了7至8倍[2]。尽管经历压力的配偶照顾者在4年内死亡的可能性比非照顾者高63%,但这些发现并未在涉及不同照顾者的基于人群的研究中得到重复[3-6]。晚期癌症患者和临终关怀患者的照护者经常面临增加的社会心理压力源和危机感,特别是当亲人的症状在生命末期继续加剧时[7]。在一项涉及阿尔茨海默病和其他痴呆症患者的护理人员的研究中,72%的人承认他们在患者死后感到解脱[8]。
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