A profile of bereaved caregivers following provision of terminal care
A profile of bereaved caregivers following provision of terminal care
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DOI：
10.1177/082585979901500103
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发表时间：
1999-03-01
影响因子：
1.7
通讯作者：
Given, BA
中科院分区：
文献类型：
--
作者：
Wyatt, GK;Friedman, L;Given, BA
护理人员常常因临终护理的压力而不知所措。我们希望更好地了解临终护理人员的需求，并为在护理和早期丧亲期间为他们量身定制干预措施提供基础。本报告提供了患者死亡后三个月内采访的 124 名失去亲人的护理人员的概况。四分之三是女性并与患者结婚。评估的四个主要领域：心理精神、个人社会、健康状况和财务状况。护理人员报告的抑郁症状高于平均水平（平均 CES-D = 17.6），积极态度中等，对护理的负面反应较低，灵性水平相对较高。护理人员高度参与患者的日常生活活动，平均每天提供 10.8 小时的直接护理和 8.9 小时的陪伴。护理人员报告卫生服务利用率较低，个人健康状况相对较高。 45% 的样本报告自患者去世后收入减少，44% 的受访者报告保险不承保的自付费用。讨论了针对情感、身体和财务问题的干预措施建议。
Caregivers are often overwhelmed by the strain of terminal caregiving. We wished to better understand the needs of terminal caregivers and to supply a basis for tailoring interventions to them during caregiving and early bereavement. This report provides a profile of 124 bereaved caregivers interviewed within three months of their patient's death. Three quarters were female and married to the patient. Four major areas were assessed: psyche-spiritual, personal-social, health status, and financial status. Caregivers reported higher than average depressive symptomatology (mean CES-D = 17.6), moderate levels of positive outlook, low negative reactions to caring, and relatively high levels of spirituality. Caregivers were highly involved in their patient's activities of daily living, providing an average of 10.8 hours/day of direct care and 8.9 hours/day of companionship. Caregivers reported low utilization of health services and relatively high personal health status. 45% of the sample reported lower income since the patient's death and 44% reported out-of-pocket expenses not covered by insurance. Suggestions for interventions that target emotional, physical, and financial concerns are discussed.