Assessing Preparatory Grief in Advanced Cancer Patients as an Independent Predictor of Distress in an American Population.
Assessing Preparatory Grief in Advanced Cancer Patients as an Independent Predictor of Distress in an American Population.
复制标题
评估晚期癌症患者的预备性悲伤作为美国人群痛苦的独立预测因子。
DOI：
10.1089/jpm.2016.0136
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发表时间：
2017
影响因子：
2.8
通讯作者：
Salsman,JohnM
中科院分区：
文献类型：
--
作者：
Vergo,MaxwellT;Whyman,Jeremy;Li,Zhigang;Kestel,Jeanne;James,SpencerL;Rector,Christopher;Salsman,JohnM
背景：对于患有绝症的病人来说，悲伤是一种普遍的经历，但它并不是常规的测量。晚期癌症预备悲伤（PGAC）仪器已在希腊使用，但这是首次在美国晚期癌症患者中使用。目的：我们的目的是在美国晚期癌症患者人群中使用PGAC仪器来探索可能预测更高预备悲伤的人口统计学、临床和心理因素。设计：受试者完成单一横断面时间点评估。环境/对象：来自伊利诺伊州芝加哥市的53例患有无法治愈的实体恶性肿瘤的成年门诊和住院患者。测量方法：人口统计学和临床信息、PGAC仪器、医院焦虑和抑郁量表（HADS）、痛苦温度计（DT）、埃德蒙顿症状评估量表（ESAS）和生活质量（QOL） 2题量表。结果：PGAC评分平均值为26.9（范围0-70），多变量分析中仅与DT相关。结论：预备悲伤是一种常见的经历，四分之一的样本参与者有显著的悲伤。痛苦是唯一的独立因素（包括心理、生理、临床或人口因素）与较高的预备悲伤得分相关。
Background:Grief is a universal experience for patients living with a terminal illness, but it is not routinely measured. The Preparatory Grief in Advanced Cancer (PGAC) instrument has been used in Greece, but this is its first use in an American population with advanced cancer.Objective:Our aim was to use the PGAC instrument in an American population of advanced cancer patients to explore demographic, clinical, and psychological factors that may predict higher preparatory grief.Design:Subjects completed a single cross-sectional time point evaluation.Setting/Subjects:Fifty-three adult outpatients and inpatients with incurable solid malignancies from Chicago, IL.Measurements:Demographic and clinical information, the PGAC instrument, the Hospital Anxiety and Depression Scale (HADS), the distress thermometer (DT), the Edmonton Symptom Assessment Scale (ESAS), and a quality-of-life (QOL) 2-question scale.Results:The mean PGAC score was 26.9 (range 0–70) and was only correlated with DT in multivariate analysis.Conclusions:Preparatory grief was a common experience, and one-fourth of our sample participants had significant grief. Distress was the only independent factor (including psychological, physical, clinical, or demographic factors) correlated with higher preparatory grief scores.