Cancer caregivers at the end-of-life: How much me vs. how much we?

Autor: Bybee S; University of Utah College of Nursing, 10 S 2000 E, Salt Lake City, UT 84112, United States of America., Hebdon M; UT Austin School of Nursing, 1710 Red River St, Austin, TX 78712, United States of America., Cloyes K; Oregon Health & Science University, 3455 SW US Veterans Hospital Rd., Portland, OR 97239-2941, United States of America., Hiatt S; University of Utah College of Nursing, 10 S 2000 E, Salt Lake City, UT 84112, United States of America., Iacob E; University of Utah College of Nursing, 10 S 2000 E, Salt Lake City, UT 84112, United States of America., Reblin M; University of Vermont College of Medicine, Given Medical Building, E-126, 89 Beaumont Ave, Burlington, VT 05405, United States of America., Clayton M; University of Utah College of Nursing, 10 S 2000 E, Salt Lake City, UT 84112, United States of America., Ellington L; University of Utah College of Nursing, 10 S 2000 E, Salt Lake City, UT 84112, United States of America.
Jazyk: angličtina
Zdroj: PEC innovation [PEC Innov] 2023 Jul 25; Vol. 3, pp. 100193. Date of Electronic Publication: 2023 Jul 25 (Print Publication: 2023).
DOI: 10.1016/j.pecinn.2023.100193
Abstrakt: Objective: This study explored cancer caregivers' individual and communal coping through their use of personal and communal pronouns during naturally occurring conversations.
Methods: Nurse-home hospice visits involving cancer patients and their partner caregivers were audio recorded and then transcribed. Pronoun use was analyzed using Linguistic Inquiry Word Count (LIWC) software and descriptive statistics compared patient and partner caregivers' pronoun use. Personal and communal pronoun use was examined within six identified topics of caregiver speech: patient medical care, daily life, emotion, criticism/disagreement, relationships with family/friends, and asserting needs.
Results: Dyads ( N  = 76) had an average of 35.8 years in their relationship. Caregivers used proportionately more first-person singular (I-talk) than first-person plural (we-talk). However, they used significantly less I-talk than patients and less I-talk than LIWC measures in naturally occurring speech. Caregivers were most likely to discuss patient medical care (41.9%) and least likely to discuss their own needs (3.8%).
Conclusion: Partner caregivers may find it easier to express emotions related to communal stressors, rather than their individual ability to cope with end-of-life caregiving.
Innovation: Examining personal and communal pronoun use by partner caregivers during nurse-home hospice visits may provide a more objective measure of caregiver coping than standard self-report measures.
Competing Interests: The authors report there are no competing interests to declare.
(© 2023 The Authors.)
Databáze: MEDLINE