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Sökning: onr:"swepub:oai:DiVA.org:du-26371" > Care at end of life...

  • Lövgren, MalinErsta Sköndal Bräcke högskola,Karolinska Institutet,Palliativt forskningscentrum, PFC,Karolinska institutet (författare)

Care at end of life influences grief : A nationwide long-term follow-up among young adults who lost a brother or sister to childhood cancer

  • Artikel/kapitelEngelska2018

Förlag, utgivningsår, omfång ...

  • Larchmont, New York :Mary Ann Liebert Inc,2018
  • printrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:DiVA.org:du-26371
  • https://urn.kb.se/resolve?urn=urn:nbn:se:du-26371URI
  • https://doi.org/10.1089/jpm.2017.0029DOI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-90711URI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-343422URI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:137586183URI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-6626URI
  • https://gup.ub.gu.se/publication/277197URI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • Funding:Gålö FoundationNational Cancer Institute
  • BACKGROUND: A majority of cancer-bereaved siblings report long-term unresolved grief, thus it is important to identify factors that may contribute to resolving their grief.OBJECTIVE: To identify modifiable or avoidable family and care-related factors associated with unresolved grief among siblings two to nine years post loss.DESIGN: This is a nationwide Swedish postal survey.MEASUREMENTS: Study-specific questions and the standardized instrument Hospital Anxiety and Depression Scale. Primary outcome was unresolved grief, and family and care-related factors were used as predictors.SETTING/PARTICIPANTS: Cancer-bereaved sibling (N = 174) who lost a brother/sister to childhood cancer during 2000-2007 in Sweden (participation rate 73%). Seventy-three were males and 101 females. The age of the siblings at time of loss was 12-25 years and at the time of the survey between 19 and 33 years.RESULTS: Several predictors for unresolved grief were identified: siblings' perception that it was not a peaceful death [odds ratio (OR): 9.86, 95% confidence interval (CI): 2.39-40.65], limited information given to siblings the last month of life (OR: 5.96, 95% CI: 1.87-13.68), information about the impending death communicated the day before it occurred (OR: 2.73, 95% CI: 1.02-7.33), siblings' avoidance of the doctors (OR: 3.22, 95% CI: 0.75-13.76), and lack of communication with family (OR: 2.86, 95% CI: 1.01-8.04) and people outside the family about death (OR: 5.07, 95% CI: 1.64-15.70). Depressive symptoms (OR: 1.27, 95% CI: 1.12-1.45) and time since loss (two to four years: OR: 10.36, 95% CI: 2.87-37.48 and five to seven years: OR: 8.36, 95% CI: 2.36-29.57) also predicted unresolved grief. Together, these predictors explained 54% of the variance of unresolved grief.CONCLUSION: Siblings' perception that it was not a peaceful death and poor communication with family, friends, and healthcare increased the risk for unresolved grief among the siblings.

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Sveen, Josefin,Docent,1976-Ersta Sköndal Bräcke högskola,Palliativt forskningscentrum, PFC(Swepub:esh)jossve (författare)
  • Nyberg, TommyKarolinska Institutet,Karolinska Institutet; University of Cambridge, United Kingdom (författare)
  • Eilegård Wallin, Alexandra,1975-Högskolan Dalarna,Omvårdnad,School of Education, Health and Society, Dalarna University, Falun, Sweden(Swepub:oru)axen (författare)
  • Prigerson, Holly GWeill Cornell Medicine, Center for Research on End-of-Life Care, New York, USA (författare)
  • Steineck, Gunnar,1952Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för onkologi,Institute of Clinical Sciences, Department of Oncology(Swepub:gu)xstegu (författare)
  • Kreicbergs, UlrikaErsta Sköndal Bräcke högskola,Karolinska Institutet,Palliativt forskningscentrum, PFC,Karolinska institutet(Swepub:esh)ulrkre (författare)
  • Karolinska InstitutetPalliativt forskningscentrum, PFC (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:Journal of Palliative MedicineLarchmont, New York : Mary Ann Liebert Inc21:2, s. 156-1621096-62181557-7740

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