A "good death" for whom? Quality of spouse's death and psychological distress among older widowed persons
A "good death" for whom? Quality of spouse's death and psychological distress among older widowed persons
复制标题
DOI：
10.2307/1519809
复制
发表时间：
2003-06-01
影响因子：
5
通讯作者：
Carr, D
中科院分区：
文献类型：
--
作者：
Carr, D
伦理学家、政策制定者和护理提供者越来越关心帮助垂死的老年人体验“好的死亡”。一个“好的死亡”的特点是身体舒适，社会支持，接受和适当的医疗照顾，它应该尽量减少临终者及其家属的心理痛苦。我确定了死亡质量的预测因素，并评估了老年人死亡的质量如何影响幸存配偶的心理调整六个月后的损失。分析使用老年夫妇改变生活（CLOC）数据，这是一项对65岁及以上已婚人士的前瞻性研究。在最后的日子里，积极的配偶关系增加了幸存者的渴望，但减少了他们的愤怒。对医生疏忽的看法与愤怒的升高有关。这些发现表明，改善临终关怀和疼痛管理将使临终者和他们失去亲人的配偶受益。
Ethicists, policy makers, and care providers are increasingly concerned with helping the dying elderly to experience a "good death." A "good death" is characterized by physical comfort, social support, acceptance, and appropriate medical care, and it should minimize psychological distress for the dying and their families. I identify the predictors of death quality and evaluate how the quality of an older adult death affects the surviving spouse psychological adjustment six months after the loss. Analyses use Changing Lives of Older Couples (CLOC) data, a prospective study of married persons ages 65 and older Positive spousal relationships during the final days increase survivors' yearning yet reduce their anger Having a spouse die a painful death is associated with elevated anxiety, yearning, and intrusive thoughts. The perception of physician negligence is associated with elevated anger These findings suggest that improved end-of-life care and pain management will benefit both the dying and their bereaved spouses.