Meeting existential needs in palliative care -: Who, when, and why?

Meeting existential needs in palliative care -: Who, when, and why?
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DOI:
10.1177/082585970201800307
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发表时间:
2002-09-01
影响因子:
1.7
通讯作者:
Ingvar, C
Ingvar, C
中科院分区:
医学4区
文献类型:
--
作者:
Bolmsjö, I;Hermerén, G;Ingvar, C

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对于那些身患绝症的人来说,生存问题是非常重要的。然而,在对病人的护理中,这些问题很少得到重视。一个关键的问题是:谁应该照顾病人的生存需求?本研究的重点是处理这些问题的可能替代办法,包括工作人员或其他重要人员。成立了一个焦点小组,收集和审查对这个问题有第一手经验的人的意见。本研究的结果表明,关于存在需求,没有一般的解决方案。另一方面,在特定条件下,有几种解是令人满意的。提出了处理这个问题的可能方法。此外,工作人员应注意在护理环境中操作的限制,例如连续性和时间,主管组织和个人先决条件。
Existential concerns are of great importance to those who are terminally ill. However, these matters are seldom brought into focus in the care of the patients. One crucial question is: who should take care of the patient's existential needs? The present study focuses on possible alternatives for dealing with such concerns, including the staff or significant others. A focus group was set up to gather and examine reflections from people having first-hand experience with this problem. The results of this study indicate that, with regard to existential needs, there are no general solutions. On the other hand, under specific conditions, several solutions can be satisfactory. Possible ways of handling the problem are suggested. Moreover, staff should pay attention to constraints operating in care settings, such as continuity and time, competent organization, and personal prerequisites.