BMC Palliative Care,
Год журнала:
2024,
Номер
23(1)
Опубликована: Дек. 26, 2024
Abstract
Background
COVID-19
drastically
affected
healthcare
services
world-wide.
In
the
UK,
many
cancer
were
overwhelmed
as
oncology
staff
reassigned,
and
diagnoses
treatments
delayed.
The
impact
of
these
pressures
on
end-of-life
care
for
patients
with
advanced
their
relatives
is
not
well
understood.
Methods
Secondary
thematic
analysis
qualitative
survey
interview
data,
collected
from
family
members
close
friends
bereaved
by
cancer,
part
a
national
bereavement
study
(Survey
N
=
156;
Interview
10).
Results
Four
key
themes
identified:
contact
towards
end
life;
Mixed
experiences
support
members;
Variable
communication
quality
health
social
professionals;
Prioritisation
its
patient
care.
Hospital
was
perceived
more
negatively
than
community
in
almost
all
areas,
while
charities
district
nurses
appreciated
most.
Almost
participants
felt
that
detrimentally
prioritised
over
relative/friend.
Conclusions
People
uniquely
pandemic-restrictions
disruptions
to
services.
As
re-build
post-pandemic,
improvements
palliative
hospitals,
investment
into
care,
ensuring
compassionate
families
must
be
prioritised,
alongside
preparedness
future
pandemics
or
similar
events.
The
advent
of
the
COVID-19
pandemic
has
profoundly
transformed
grief
around
world.
What
are
impacts
context
factors
regarding
on
dysfunctional
symptoms
grief?
This
is
a
study
with
qualitative
approach,
integrative
review,
whose
article
data
collection
was
carried
out
in
following
databases:
Biblioteca
Virtual
de
Saúde
(BVS),
Portal
Brasileiro
Publicações
e
Dados
Científicos
em
Acesso
Aberto
(Oasisbr),
United
States
National
Library
Medicine
(PubMed),
Scientific
Electronic
(SciELO)
and
Web
Science.
Thirty-three
articles
were
selected
for
analysis.
studies
showed
different
results
when
risk
detailed
individually.
However,
proved
to
be
complex
element
that
created
vulnerability
associated
grieving.
Bioethics
presents
itself
as
locus
interdisciplinary
discussion
more
profound
understanding
specificities
and,
based
social
political
responsibility
Protection
protect
vulnerable
populations,
it
recommended
mental
health
professionals
who
intentionally
explore
grieving
process.
suffering
people
bereaved
during
must
publicly
recognized,
offering
safe
spaces
reception
sharing.
BMC Palliative Care,
Год журнала:
2025,
Номер
24(1)
Опубликована: Апрель 2, 2025
The
levels
of
support
needs
among
people
bereaved
due
to
cancer
are
high;
however,
bereavement
services
underutilised.
Reasons
unknown.
We
aimed
examine
the
relationship
caregiving
burden
and
involvement
palliative
care
with
utilisation
formal
by
family
carers
who
died
cancer.
Secondary
analysis
population-based
mortality
follow-back
study
(QUALYCARE)
relatives
adults
registered
death
an
adult
involved
in
caregiving.
ran
a
multivariate
logistic
regression
determine
whether
explain
support.
Out
523
members
(66%
women,
Mage=59
(SD
=
14),
43%
spouses/partners,
41%
children),
149
(28.8%)
utilised
(73.8%
Mage=60
55%
spouse/partner,
36%
children).
found
higher
grief
intensity
(measured
Texas
Revised
Inventory
Grief)
than
reported
population
norms.
Bivariate
confirmed
hypothesised
associations.
However,
these
were
not
retained
model.
Utilisation
was
associated
presence
at
moment
(OR
1.769,
95%CI
1.044-2.994)
(1.036,
1.015-1.058).
Subjective
experiences
such
as
being
present
need
for
support,
raising
issue
continuity
into
bereavement.
Further
research
is
warranted
better
understand
complex
relationships
between
caregiving,
bereavement,
role
facilitating
access
Background
The
grief
of
relatives
patients
who
died
COVID-19
in
an
intensive
care
unit
(ICU)
has
exacted
enormous
toll
worldwide.
Aims
To
determine
the
prevalence
probable
prolonged
disorder
(PGD)
at
12
months
post-loss
and
beyond.
We
also
sought
to
examine
circumstances
death
during
pandemic
that
might
pose
a
heightened
risk
PGD,
associations
between
PGD
diagnosis,
quality
life
social
disconnection.
Method
conducted
observational,
cross-sectional
multicentre
study
next
kin
those
March
2020
December
2021.
Participants
were
recruited
from
ICUs
South-East
London.
Prolonged
Grief
Disorder
Scale
(PG-13-R),
Quality-of-Life
(QOLS)
Oxford
Grief-Social
Disconnection
(OG-SD)
used.
Results
A
total
73
assessed,
all
them
over
year
after
their
loss.
Twenty-five
(34.2%;
95%
CI
23.1–45.4%)
ICU
met
criteria
for
PGD.
Those
had
significantly
worse
(QOLS
score
mean
difference
26;
17–34;
P
<
0.001)
endorsed
greater
disconnection
(OG-SD
means
41;
27–54;
0.001).
Conclusions
findings
suggest
rates
are
elevated
among
ICU.
This,
coupled
with
experienced
by
meeting
criteria,
suggests
need
attend
deprivations
dysfunctions
this
population
group.
Palliative Medicine,
Год журнала:
2024,
Номер
unknown
Опубликована: Окт. 15, 2024
Grieving
is
a
natural
process,
and
many
people
adjust
with
support
from
family
friends.
Around
40%
of
would
benefit
additional
input.
Online
bereavement
interventions
may
increase
access
to
support.
Evidence
regarding
their
acceptability
effectiveness
emerging
but
needs
be
synthesised.