Preparing Caregivers for the death of a loved one: A theoretical framework and suggestions for future research

Preparing Caregivers for the death of a loved one: A theoretical framework and suggestions for future research
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DOI:
10.1089/jpm.2006.9.1164
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发表时间:
2006-10-01
影响因子:
2.8
通讯作者:
Arnold, Robert M.
Arnold, Robert M.
中科院分区:
医学3区
文献类型:
--
作者:
Hebert, Randy S.;Prigerson, Holly G.;Arnold, Robert M.

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照顾身患绝症的亲人以及该人的去世是人类最有压力的两种经历。最近的研究表明,大量护理人员对死亡没有做好准备,这些护理人员可能面临更大的心理困扰风险。然而,有关准备和心理健康的文献还处于起步阶段。因此,本文的目的是总结文献,以激发有关准备工作的讨论和研究。我们认为,为亲人的死亡做好准备是护理人员福祉和丧亲结果的重要因素,需要在这一领域开展更多工作,以改善向重症或绝症患者的护理人员提供的护理。我们简要回顾了有关准备的文献,提出了一个理论模型,描述了准备、护理人员与医疗保健提供者之间的沟通以及护理人员的福祉之间的关系,并为未来的研究提供了建议。
Caring for a terminally ill loved one and the death of that person are two of the most stressful human experiences. Recent research suggests that a substantial number of caregivers are unprepared for the death and that these caregivers may be at greater risk of psychological distress. The literature on preparedness and mental health, however, is in its infancy. The purpose of this paper, therefore, is to summarize the literature in order to stimulate discussion and research on preparedness. It is our view that preparedness for the death of a loved one is an important contributor to caregiver well-being and bereavement outcomes and that more work in this area is needed in order to improve the care provided to caregivers of seriously or terminally ill patients. We briefly review the literature on preparedness, present a theoretical model delineating the relationships between preparedness, caregiver-health care provider communication, and caregiver well-being, and provide suggestions for future research.