Journal of hospice and palliative care最新文献

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The Effects of Counseling about Death and Dying on Perceptions, Preparedness, and Anxiety Regarding Death among Family Caregivers Caring for Hospice Patients: A Pilot Study. 关于死亡和临终的咨询对照顾安宁疗护病人的家庭照护者对死亡的认知、准备和焦虑的影响:一项初步研究。

Journal of hospice and palliative care

Pub Date : 2021-03-01 DOI: 10.14475/jhpc.2021.24.1.46

Yeojung Jung, Hyun-E Yeom, Na-Ri Lee

Purpose: This pilot study aimed to examine the influence of death counseling on perceptions, preparedness, and anxiety regarding death and dying among family caregivers of hospice patients.

Methods: Death counseling developed based on the SPIKES model was provided to 37 family caregivers in a hospice and palliative care unit. Perceptions, preparedness, and anxiety regarding death were assessed with a self-administered structured questionnaire, and participants' scores before and after counseling were compared using the paired t-test.

Results: Significant changes were found in perceptions, preparedness, and anxiety regarding death after counseling. Compared to before counseling, the scores for perceptions of death (t=-4.90, P<0.001) and preparedness for death and dying (t=-16.23, P<0.001) improved, while anxiety (t=3.72, P=0.001) decreased after counseling. Some changes were also found in the types of support that family caregivers needed to prepare for the death of their family members in the hospice care unit.

Conclusion: The findings demonstrate that death counseling could help family caregivers prepare for the death of their loved ones. Hospice and palliative care providers should play a key role in supporting family caregivers of hospice patients by developing strategies for counseling.

目的:本初步研究旨在探讨死亡辅导对安宁疗护病人家属对死亡和临终的认知、准备和焦虑的影响。方法:基于SPIKES模型开发的死亡咨询提供给临终关怀和姑息治疗病房的37名家庭照顾者。通过自我管理的结构化问卷评估对死亡的感知、准备和焦虑，并使用配对t检验比较咨询前后参与者的得分。结果:在咨询后，对死亡的感知、准备和焦虑发生了显著变化。与咨询前相比，死亡感知得分(t=-4.90, p)。结论:研究结果表明，死亡咨询可以帮助家庭照顾者为亲人的死亡做好准备。安宁疗护及缓和疗护提供者应透过制定谘询策略，在支持安宁疗护病人家属照护者方面扮演关键角色。

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引用次数: 2

Effects of Awareness of Good Death and End-of-Life Care Attitudes on End-of-Life Care Performance in Long-Term Care Hospital Nurses. 善死意识和临终关怀态度对长期护理医院护士临终关怀绩效的影响

Journal of hospice and palliative care

Pub Date : 2021-03-01 DOI: 10.14475/jhpc.2021.24.1.26

Sun-Hee Kim, Eun-Young Kim

Purpose: The purpose of this study was to determine the effects of awareness of good death and end-of-life care attitudes on end-of-life care performance in long-term care hospital nurses.

Methods: This study used a cross-sectional study design. The participants were 147 nurses working at six long-term care hospitals with more than 200 beds in B city, South Korea. Data were collected using self-reported questionnaires, and analyzed with descriptive statistics, the t-test, analysis of variance, Pearson correlation coefficients, and multiple stepwise regression analysis using IBM/SPSS 26.0 for Windows.

Results: The participants' awareness of good death, end-of-life care attitudes, and end-of-life care performance were positively correlated. The factors affecting end-of-life care performance were age, education level, awareness of good death, and end-of-life care attitudes; these variables explained 19.0% of end-of-life care performance.

Conclusion: In order to improve long term care hospital nurses' end-of-life care performance, continuing education and training should be provided regarding awareness of good death and end-of-life care attitudes.

目的:本研究的目的是确定善死意识和临终关怀态度对长期护理医院护士临终关怀绩效的影响。方法:本研究采用横断面研究设计。调查对象是韩国B市6家拥有200多个床位的长期护理医院的147名护士。采用自填问卷收集资料，采用IBM/SPSS 26.0 for Windows软件进行描述性统计、t检验、方差分析、Pearson相关系数和多元逐步回归分析。结果:被试的善死意识、临终关怀态度与临终关怀表现呈显著正相关。影响临终关怀表现的因素有年龄、文化程度、善死意识和临终关怀态度;这些变量解释了19.0%的临终关怀表现。结论:为提高长期护理医院护士的临终关怀绩效，应加强对护士善死意识和临终关怀态度的继续教育和培训。

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引用次数: 5

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