دورية أكاديمية

Perceptions of Death Among Patients with Advanced Cancer Receiving Early Palliative Care and Their Caregivers: Results from a Mixed-Method Analysis

التفاصيل البيبلوغرافية
العنوان: Perceptions of Death Among Patients with Advanced Cancer Receiving Early Palliative Care and Their Caregivers: Results from a Mixed-Method Analysis
المؤلفون: Bigi S., Ganfi V., Borelli E., Potenza L., Artioli F., Eliardo S., Mucciarini C., Cottafavi L., Ferrari U., Lombardo L., Cagossi K., Pietramaggiori A., Fantuzzi V., Bernardini I., Cruciani M., Cacciari C., Odejide O., Adolfo Porro C., Zimmermann C., Efficace F., Bruera E., Luppi M., Bandieri E.
المساهمون: Bigi, S., Ganfi, V., Borelli, E., Potenza, L., Artioli, F., Eliardo, S., Mucciarini, C., Cottafavi, L., Ferrari, U., Lombardo, L., Cagossi, K., Pietramaggiori, A., Fantuzzi, V., Bernardini, I., Cruciani, M., Cacciari, C., Odejide, O., Adolfo Porro, C., Zimmermann, C., Efficace, F., Bruera, E., Luppi, M., Bandieri, E.
سنة النشر: 2023
المجموعة: Archivio della ricerca dell'Università di Modena e Reggio Emilia (Unimore: IRIS)
مصطلحات موضوعية: advanced cancer, communication, death, early palliative care, qualitative research, terminal care
الوصف: BACKGROUND: Oncologists are often concerned that talking about death with patients may hinder their relationship. However, the views of death held by patients have not been thoroughly investigated. This study aimed to describe the perception of death among patients with advanced cancer receiving early palliative care (EPC) and their caregivers. MATERIAL AND METHODS: Qualitative and quantitative analyses were performed on 2 databases: (a) transcripts of open-ended questionnaires administered to 130 cancer patients receiving EPC with a mean age of 68.4 years and to 115 primary caregivers of patients on EPC with a mean age of 56.8; (b) texts collected from an Italian forum, containing instances of web-mediated interactions between patients and their caregivers. RESULTS: Quantitative analysis shows that: (a) patients and caregivers are not afraid of speaking about death; (b) patients and caregivers on EPC use the word "death" significantly more than patients on standard oncology care (SOC) and their caregivers (P < .0001). For both participants on EPC and SOC, the adjectives and verbs associated with the word "death" have positive connotations; however, these associations are significantly more frequent for participants on EPC (verbs, Ps < .0001; adjectives, Ps < .003). Qualitative analysis reveals that these positive connotations refer to an actual, positive experience of the end of life in the EPC group and a wish or a negated event in the SOC group. CONCLUSIONS: EPC interventions, along with proper physician-patient communication, may be associated with an increased acceptance of death in patients with advanced cancer and their caregivers.
نوع الوثيقة: article in journal/newspaper
اللغة: English
العلاقة: info:eu-repo/semantics/altIdentifier/pmid/36320128; info:eu-repo/semantics/altIdentifier/wos/WOS:000877747400001; volume:28; issue:1; firstpage:54; lastpage:62; journal:THE ONCOLOGIST; https://hdl.handle.net/11380/1296808Test; info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85146531943
DOI: 10.1093/oncolo/oyac227
الإتاحة: https://doi.org/10.1093/oncolo/oyac227Test
https://hdl.handle.net/11380/1296808Test
حقوق: info:eu-repo/semantics/openAccess
رقم الانضمام: edsbas.F444A634
قاعدة البيانات: BASE