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Cancer nursing. 2024 Oct 30. doi: 10.1097/NCC.0000000000001410 Q12.42024

The Effect of Forgiveness Psychoeducation on Death Anxiety, Caregiver Burden, and Forgiveness Tendencies in Caregivers of Patients at the End of Life: A Randomized Controlled Trial

forgiveness心理教育对临终患者照顾者死亡焦虑、照护负担及宽恕倾向影响的随机对照试验 翻译改进

Merve Şahin  1, Fatma Demirkıran

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  • 1 Author Affiliations: Bergama Necla-Mithat Öztüre State Hospital, İzmir (Dr Şahin); and Department of Mental Health Nursing, Faculty of Nursing, Aydın Adnan Menderes University, Aydın (Dr Demirkıran), Turkey.
  • DOI: 10.1097/NCC.0000000000001410 PMID: 39475290

    摘要 中英对照阅读

    Background: Providing caregivers with the skills and awareness of forgiveness is crucial to help them express their emotions, navigate the grieving process more smoothly, enhance their interaction with the patient, and make the time until the patient's death more meaningful.

    Objective: To examine the effect of forgiveness psychoeducation on death anxiety, caregiver burden, and forgiveness tendencies in caregivers of patients at the end of life.

    Methods: A randomized controlled experimental method was used, including a pretest, posttest, 1-month follow-up, and 3-month follow-up. The research sample included 56 caregivers of patients (experimental group = 28, control group = 28) at the end of life. During the study, forgiveness psychoeducation was administered to the experimental group, whereas no intervention was carried out in the control group. Data were collected using the Personal Information Form, Thorson-Powell Death Anxiety Scale, Caregiver Burden Scale, and Heartland Forgiveness Scale.

    Results: The average scores of death anxiety and caregiving burden in the posttest and follow-up measurements of caregivers in the experimental group were statistically significantly lower than those of caregivers in the control group (P < .05).

    Conclusion: Forgiveness psychoeducation reduces death anxiety and caregiving burdens in caregivers of patients at the end of life. It is recommended to provide psychoeducation on forgiveness.

    Implication for practice: The psychoeducation conducted by Consultation Liaison Psychiatry Nurses aimed at increasing the internal process of forgiveness can positively influence the communication, emotions, and spiritual development of caregivers of patients at the end of life. Thus, improving the quality of care can be achieved through forgiveness.

    Keywords:death anxiety; caregiver burden; forgiveness tendencies

    背景: 为护理人员提供宽恕技能和意识至关重要,这可以帮助他们表达情绪,更顺利地度过哀悼过程,增强与患者的互动,并使患者去世前的时间更有意义。

    目标: 研究宽恕心理教育对临终病人护理人员死亡焦虑、照护负担以及宽恕倾向的影响。

    方法: 采用随机对照实验法,包括预测试、后测和1个月及3个月的随访。研究样本为56名临终病人的护理人员(实验组=28人,对照组=28人)。在研究过程中,向实验组提供宽恕心理教育,而对照组不进行任何干预。数据收集使用个人信息表、Thorson-Powell死亡焦虑量表、照护负担量表和Heartland宽恕量表。

    结果: 在后测及随访测量中,实验组护理人员的死亡焦虑和照护负担平均分统计上显著低于对照组护理人员(P

    结论: 宽恕心理教育可以减少临终病人护理人员的死亡焦虑和照护负担。建议提供有关宽恕的心理教育。

    实践意义: 咨询联络精神科护士进行的旨在增加护理人员内部宽恕过程的心理教育,能够积极影响其沟通、情感及灵性发展,并通过这种方式提高临终病人护理的质量。

    关键词:死亡焦虑; 照顾者负担; 宽恕倾向

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    期刊名:Cancer nursing

    缩写:CANCER NURS

    ISSN:0162-220X

    e-ISSN:1538-9804

    IF/分区:2.4/Q1

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    The Effect of Forgiveness Psychoeducation on Death Anxiety, Caregiver Burden, and Forgiveness Tendencies in Caregivers of Patients at the End of Life: A Randomized Controlled Trial