Posttraumatic growth in bereaved family members of patients with cancer: a qualitative analysis

Posttraumatic growth in bereaved family members of patients with cancer: a qualitative analysis
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癌症患者家属的创伤后成长:定性分析

DOI:
10.1007/s00520-018-4440-6
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发表时间:
2018
影响因子:
3.1
通讯作者:
Ogawa Asao
Ogawa Asao
中科院分区:
医学2区
文献类型:
--
作者:
Hirooka Kayo;Fukahori Hiroki;Taku Kanako;Izawa Sakiko;Ogawa Asao

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亲人的死亡对家庭成员的影响很大,即使死亡是意料之中的。在报告负面变化的同时,一些人也报告了个人成长,即创伤后成长(PTG)。许多关于创伤后应激反应的研究采用定量方法,并表明创伤后应激反应可能因创伤事件和文化背景而异。目的:本研究旨在探讨日本癌症患者的家属在患者去世后如何表达他们的PTG体验,通过分析横断面调查提供的开放式答案。方法采用问卷调查法收集定性资料,采用专题分析法对资料进行分析。目前的研究是一项针对癌症患者家属的大型横断面调查的一部分。本次研究分析的数据来自162名癌症患者的家属。结果我们在PTG的5个预定义的主要领域中确定了18个子主题。此外,我们还确定了两个额外的主题:改变的生死观和健康管理意识。结论丧亲家属的ptsd经历差异较大。未来对不同文化背景的群体进行PTG体验的研究将有助于理解PTG的概念及其临床意义。
BackgroundThe death of a loved one has great impact on family members even when the death was expected. While negative changes are reported, some individuals also report personal growth, known as posttraumatic growth (PTG). Many studies on PTG have been performed using quantitative methods and suggest that PTG may differ according to the traumatic event and cultural background.PurposeThis study aimed to explore how Japanese bereaved family members of patients with cancer express their experience of PTG after the patient’s death by analyzing open-ended answers provided in a cross-sectional survey.MethodsQualitative data were collected through a survey, and thematic analysis was used to analyze the data. The present study was part of a larger cross-sectional survey of bereaved families of patients with cancer. Data analyzed in the current study were obtained from 162 bereaved family members of patients with cancer.ResultsWe identified 18 sub-themes within five predefined major domains of PTG. Moreover, we also identified two additional themes:changed view of life and death, andawareness of health management.ConclusionsThe experience of PTG of bereaved family members varied considerably. Future research on PTG experiences among groups from diverse cultural backgrounds would be beneficial for understanding the concept and its clinical implications.
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