Verbal communication of families with cancer patients at end of life: A questionnaire survey with bereaved family members
| Autor: | Megumi Simizu, Mariko Shiozaki, Kaori Ichihara, Tatsuya Morita, Satoru Tsuneto, Yasuo Shima, Kei Hirai, Mitsunori Miyasita, Shinichi Sato, Kazuhiro Nakazato, Ryuhei Tatara |
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| Rok vydání: | 2015 |
| Předmět: |
Male
Forgiveness Palliative care media_common.quotation_subject Emotions Experimental and Cognitive Psychology Bereaved family 03 medical and health sciences Nonverbal communication 0302 clinical medicine Japan 030502 gerontology Neoplasms Surveys and Questionnaires Gratitude Humans Family media_common Aged Terminal Care Communication Perspective (graphical) Palliative Care Questionnaire Middle Aged Psychiatry and Mental health Cross-Sectional Studies Oncology Feeling Attitude 030220 oncology & carcinogenesis Female 0305 other medical science Psychology Clinical psychology Bereavement |
| Zdroj: | Psycho-oncology. 27(1) |
| ISSN: | 1099-1611 |
| Popis: | Objective To clarify the verbal communication of feelings between families and patients in Japanese palliative care units from the perspective of bereaved family members by examining (1) proportions of families' and patients' verbalization of six feelings (gratitude, love, seeking forgiveness, giving forgiveness, wishes after death, and continuing bonds), (2) recognition of receiving these feelings through verbalization from the family's perspective, and (3) the specific attitudes of family members that influence their verbalizations. Methods In 2010, a cross-sectional survey was conducted with 968 bereaved families of cancer patients in palliative care units across Japan. Results Five hundred thirty-seven responses were analyzed. (1) “Gratitude” was verbalized most often (families: 47%; patients: 61%), and “expressing forgiveness” least often (families: 16%; patients: 11%). (2) Even if the words were not used, 81.2% to 88.2% of families answered that they had received the patient's feelings, and 71.8% to 85.4% of families felt the patient had received their feelings. (3) Multiple logistic regression analyses indicated that the strongest attitudes determining verbalizing were “not wanting to say farewell without conveying feelings,” “a daily basis of expressing,” and “heart-to-heart communication” (ishin-denshin). Conclusions For both families and patients, verbalizing feelings was difficult. Our results showed that families' and patients' verbalizing and receiving of feelings must be aligned to understand their communication at the end of life in Japan. Future research is needed to verify how attitude helps promote or inhibit verbalization. |
| Databáze: | OpenAIRE |
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