Positive emotion communication: Fostering well-being at end of life.
Positive emotion communication: Fostering well-being at end of life.
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DOI：
10.1016/j.pec.2017.11.018
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发表时间：
2018-04
影响因子：
3.5
通讯作者：
Clayton MF
中科院分区：
文献类型：
--
作者：
Terrill AL;Ellington L;John KK;Latimer S;Xu J;Reblin M;Clayton MF
关于临终关怀中的积极情绪沟通（PEC）知之甚少。本研究的目的是确定类型和模式的临终关怀护士，照顾者和病人之间的PEC。积极心理学理论的基础上的编码系统作为二次分析的录音临终关怀护士家访与癌症患者和家庭照顾者，收集作为前瞻性纵向研究的一部分。80个录音（来自20个三合会的4次访问）被编码为幽默，连接，赞美，积极的焦点，感激，享受/品味，和敷衍的陈述。描述性统计显示，护士的PEC的比例最大。幽默在所有演讲者中使用最频繁。聚类分析揭示了四种PEC访问类型：品味/享受快乐;幽默;敷衍;和专注于积极情绪的表达。线性混合效应回归被用来估计PEC随时间的轨迹，但没有显着的变化被发现。我们发现，积极的情绪是常见的护士，照顾者和病人的沟通在生命的尽头，并没有下降接近死亡。这项研究是第一个探索PEC在生命结束时，并提供了一种方法，使基于优势的方法到生命结束的沟通研究。
Little is known about positive emotion communication (PEC) in end-of-life care. This study aims to identify types and patterns of PEC among hospice nurses, caregivers, and patients. A coding system based on positive psychology theory was applied as a secondary analysis to audio recordings of hospice nurse home visits with cancer patients and family caregivers, collected as part of a prospective longitudinal study. Eighty recordings (4 visits from 20 triads) were coded for humor, connection, praise, positive focus, gratitude, taking joy/savoring, and perfunctory statements. Descriptive statistics revealed the greatest proportion of PEC was made by nurses. Humor was most frequently used across all speakers. Cluster analysis revealed four PEC visit types: Savor/Take Joy; Humor; Perfunctory; and Other-focused Expressions of Positive Emotions. Linear mixed effect regression was used to estimate the trajectory of PEC over time, but no significant change was found. We found that positive emotions are common in nurse, caregiver and patient communication at end-of-life and do not decline closer to death. This study is among the first to explore PEC at end-of-life, and offers a way to bring strengths-based approaches into end of life communication research.
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作者：
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通讯作者：
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