The sound of death rattle I: are relatives distressed by hearing this sound?
The sound of death rattle I: are relatives distressed by hearing this sound?
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临终时的嘎嘎声一：亲人听到这个声音是否心疼？
DOI：
10.1191/0269216306pm1137oa
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发表时间：
2006
影响因子：
4.4
通讯作者：
S. Holgate
中科院分区：
文献类型：
--
作者：
B. Wee;PG Coleman;R. Hillier;S. Holgate
背景：死亡嘎嘎声是许多垂死患者出现的嘈杂、嘎嘎的呼吸声。卫生专业人员进行干预，因为据说这种声音会使在场的亲属感到痛苦。我们没有发现任何正式的研究来证实或反驳亲属的痛苦，所以我们决定询问亲属。方法：面对面的半结构化访谈27个失去亲人的亲属，调查他们的经验，终端护理和他们的反应是死亡的声音，如果这种情况发生。访谈记录经过主题内容分析。结果如下：我们发现，在12名听到过死亡嘎嘎声的亲属中，几乎有一半人对此感到痛苦，其他人要么对这种声音持中立态度，要么认为这是一个有用的死亡信号。结论：我们证实，一些亲属确实觉得听到死亡的声音很痛苦。然而，我们认为亲戚们普遍受到这种声音的干扰是没有根据的。没有理由在临终时采取“一刀切”的治疗干预方法。需要更好地了解亲属如何理解死亡的声音。
Background: Death rattle is the noisy, rattling breathing that occurs in many dying patients. Health professionals intervene because the sound is said to distress attendant relatives. We found no formal study to confirm or refute relatives’ distress, so we decided to ask the relatives. Method: Face-to-face semi-structured interviews with 27 bereaved relatives to investigate their experience of terminal care and what their response had been to the sound of death rattle if this had occurred. Interview transcripts were subjected to thematic content analysis. Results: We found that almost half of the 12 relatives who had heard the sound of death rattle had been distressed by it. The others were either neutral about the sound or found it a helpful signal of impending death. Conclusion: We confirmed that some relatives do find it distressing to hear the sound of death rattle. However, our expectation that relatives are universally disturbed by this sound was unfounded. There is no justification for a ‘blanket’ approach to therapeutic intervention when death rattle occurs. A better understanding is required of how relatives make sense of the sound of death rattle.