Family Management After the Sudden Death of a Family Member

Family Management After the Sudden Death of a Family Member
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家庭成员猝死后的家庭管理

DOI:
10.1177/1074840711428451
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发表时间:
2012
影响因子:
3.1
通讯作者:
D. Wiegand
D. Wiegand
中科院分区:
医学3区
文献类型:
--
作者:
D. Wiegand

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虽然人们对家庭成员死亡时家庭成员如何做出决定和处理更离散的问题了解得更多,但对家庭作为一个整体如何在家庭成员突然死亡后进行管理却知之甚少。这篇文章讨论了一项调查,该调查是为了更好地了解家庭如何应对危及生命的疾病或伤害以及家庭成员的最终死亡。该研究的目的是定义家庭管理风格(FMS),并确定在家庭成员因意外的、危及生命的疾病或伤害而停止维持生命的治疗后,家庭使用的每种FMS的独特特征。在家庭成员去世后1至2年,对8个家庭(22名家庭成员)进行了访谈。基于直接分析的FMSs的改进类型,然后归纳修改包括:进展,适应,维持,挣扎和挣扎。了解家庭生活质量指标以及家庭生活质量指标如何随着时间的推移而变化,反映出家庭工作重心的变化,将进一步有助于制定以家庭为重点的干预措施,并在生命终结的背景下制定家庭生活质量指标。
Although more is known about how individuals within families make decisions and manage more discrete issues when a family member is dying, less is known about how families as a unit manage after the sudden death of a family member. The article discusses an investigation that was conducted to better understand how families respond to the life-threatening illness or injury and eventual death of a family member. The purpose of the study was to define Family Management Styles (FMSs) and determine distinctive characteristics of each FMS used by families after the death of a family member who had life-sustaining therapy withdrawn as a result of an unexpected, life-threatening illness or injury. Interviews are conducted with 8 families (22 family members) 1 to 2 years after the death of their family members. A modified typology of FMSs based on a directed analysis that was then inductively modified includes: progressing, accommodating, maintaining, struggling, and floundering. Understanding FMSs and how FMSs may change over time, reflecting the changing focus of family work, will further aid in the development of family-focused interventions as well as develop FMSs within the context of end of life.
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