Primary Care for the Elderly Bereaved: Recommendations for Medical Education
Primary Care for the Elderly Bereaved: Recommendations for Medical Education
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DOI：
10.1007/s10880-018-9556-9
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发表时间：
2018-12-01
影响因子：
2.2
通讯作者：
Rosowsky, Erlene
中科院分区：
文献类型：
--
作者：
Morris, Sue;Schaefer, Kristen;Rosowsky, Erlene
摘要本研究旨在探讨基层医师为老年病患提供丧亲照护的现况，以及对医学教育的启示。共有63名pcp回答了一项简短的在线调查，内容涉及他们的典型做法、障碍、对丧亲之痛的适应程度，以及对他们诊断长期悲伤障碍（PGD）能力的信心。他们是通过在线时事通讯和其中一位作者的联系方式招募的。结果发现，三分之二的pcp没有定期筛查他们的老年患者最近的损失，也没有在确定损失时向心理健康临床医生求助。障碍包括不了解患者生命中的死亡情况，以及在诊所就诊时缺乏时间。那些经历过痛苦的pcp在与患者谈论最近的痛苦时明显更自在，并且对自己诊断PGD的能力更有信心。我们建议从一开始就将丧亲教育纳入医学院的课程，利用与丧亲个体分级接触的心理学原则。
The aim of this study was to explore the current practices of primary care physicians (PCPs) in providing bereavement care to elderly patients, with implications for medical education. A total of 63 PCPs answered a brief online survey about their typical practices, barriers, comfort level with bereavement, and confidence in their ability to diagnose prolonged grief disorder (PGD). They were recruited through an online newsletter and contacts of one of the authors. The results found that two-thirds of the PCPs do not routinely screen their elderly patients for recent losses, nor do they refer to mental health clinicians when loss is identified. Barriers included not learning of the deaths in patients' lives and lack of time during clinic visits. Those PCPs who had experienced their own losses were significantly more comfortable in speaking to patients about recent losses and more confident in their ability to diagnose PGD. We recommend bereavement education be incorporated into the medical school curriculum from the outset, utilizing the psychological principle of graded exposure to bereaved individuals.