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Patients Sense of S...
Patients Sense of Security During Palliative Care-What Are the Influencing Factors?
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- Milberg, Anna (författare)
- Östergötlands Läns Landsting,Linköpings universitet,Hälsa, Aktivitet, Vård (HAV),Hälsouniversitetet,LAH Linköping,Palliativt kompetenscentrum
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- Friedrichsen, Maria (författare)
- Östergötlands Läns Landsting,Linköpings universitet,Hälsa, Aktivitet, Vård (HAV),Hälsouniversitetet,Palliativt kompetenscentrum
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- Jakobsson, Maria (författare)
- Östergötlands Läns Landsting,LAH Linköping
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- Nilsson, Eva-Carin (författare)
- Linköpings universitet,Avdelningen för omvårdnad,Hälsouniversitetet
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- Niskala, Birgitta (författare)
- Östergötlands Läns Landsting,Primärvården i centrala länsdelen
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- Olsson, Maria (författare)
- Northern County of Kalmar, Oskarshamn, Sweden
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- Wahlberg, Rakel (författare)
- Östergötlands Läns Landsting,LAH Linköping
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- Krevers, Barbro (författare)
- Linköpings universitet,Avdelningen för hälso- och sjukvårdsanalys,Hälsouniversitetet
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(creator_code:org_t)
- Elsevier, 2014
- 2014
- Engelska.
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Ingår i: Journal of Pain and Symptom Management. - : Elsevier. - 0885-3924 .- 1873-6513. ; 48:1, s. 45-55
- Relaterad länk:
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http://www.jpsmjourn...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
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- CONTEXT:Having a sense of security is vitally important to patients who have a limited life expectancy.OBJECTIVES:We sought to identify the factors associated with patients' sense of security during the palliative care period.METHODS:We recruited 174 adult patients (65% of those eligible) from six palliative home care units. The relationship between the patients' sense of security during palliative care and individual factors was evaluated in a stepwise procedure using the generalized linear model (ordinal multinomial distribution and logit link).RESULTS:Respondents' ratings of their sense of security ranged from 1 (never) to 6 (always), with a mean value of 4.6 (SD 1.19). Patients with lower feelings of security experienced higher stress; more worry about personal finances; lower feelings of self-efficacy; a lower sense of security with the palliative care provided (lower ratings on subscales of care interaction); mastery; prevailed own identity; higher symptom intensity (especially depression, anxiety, and lack of well-being); lower health-related quality of life; lower attachment anxiety and avoidance; less support from family, relatives, and friends; lower comfort for those closest to them; and more often had gynecological cancer. Six variables (mastery, nervousness and stress, gynecological cancer, self-efficacy, worrying about personal finances, and avoidance) were selected in building the stepwise model.CONCLUSION:These findings stress the importance of palliative care services in supporting dying patients' sense of security through symptom management with a wide scope and through supporting the patients' sense of mastery, identity, and perception of a secure care interaction and also through attention to the family members' situation.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine (hsv//eng)
- SAMHÄLLSVETENSKAP -- Sociologi (hsv//swe)
- SOCIAL SCIENCES -- Sociology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
Nyckelord
- Sense of security; palliative; patient; mastery; stress; attachment; social support; quality of life
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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