東華大學圖書館 |

Language: English

Help

回圖書館首頁

手機版館藏查詢

Back

Switch To: Labeled | MARC Mode | ISBD

Communication about end-of-life topi...

Fordham University.

Linked to FindBook

Google Book

Amazon

博客來

Communication about end-of-life topics between terminally ill cancer patients and their family members.

Record Type:	Language materials, printed : Monograph/item
Title/Author:	Communication about end-of-life topics between terminally ill cancer patients and their family members./
Author:	Abbey, Jennifer G.
Description:	192 p.
Notes:	Adviser: Barry Rosenfeld.
Contained By:	Dissertation Abstracts International69-11B.
Subject:	Health Sciences, Oncology. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoeng/servlet/advanced?query=3337626
ISBN:	9780549912453

Communication about end-of-life topics between terminally ill cancer patients and their family members.
Abbey, Jennifer G.

Communication about end-of-life topics between terminally ill cancer patients and their family members. - 192 p.

Adviser: Barry Rosenfeld.

Thesis (Ph.D.)--Fordham University, 2008.

Communication has increasingly been discussed as a critical component of endof-life (EOL) care. To date, the focus has primarily been on patient-physician communication with little attention given to the patient-family member relationship. The present study sought to fill this gap by clarifying the nature of communication about EOL topics between terminally ill cancer patients and their family members, as well as the impact of EOL communication on patients' psychological distress. A newly designed measure, the Patient-Family Member Illness Questionnaire (PFIQ), assessed dyad's desire for communication and amount of previous communication across 21 end-of-life topics. Additionally, patients were assessed for levels of anxiety, depression, hopelessness, and quality of life. Although desire for EOL communication and the amount of previous EOL communication were modest, they were significantly associated with patients' psychological distress levels. Patients' desire for EOL communication was significantly associated with anxiety and to a lesser extent depression. In multiple regression models, amount of previous EOL communication was significantly predictive of depression, hopelessness and quality of life, and to a lesser extent anxiety. Family member participation in the present study influenced the effect of previous communication on patients' psychological distress levels. More specifically, greater amounts of previous communication was associated with lower levels of psychological distress when family members participated, but was associated with higher levels of psychological distress when family members did not participate. When compared to alignment of patients' and family members' desire for communication, amount of previous communication was more strongly associated with depression and hopelessness, and to a lesser extent anxiety; no significant differences in impact were noted for quality of life scores. Although further validation of the PFIQ is needed, these results suggest that interventions focused on fostering patient-family member EOL communication may help reduce some of the psychological distress common at the end-of-life. These interventions may need to be targeted to specific sub-groups of terminally ill patients given the differential impact of EOL communication on distress levels as a function of family member participation. Longitudinal studies will assist in identifying the ideal points of intervention across the illness trajectory.

ISBN: 9780549912453Subjects--Topical Terms:

1018566
Health Sciences, Oncology.

Communication about end-of-life topics between terminally ill cancer patients and their family members.
LDR:03420nam 2200289 a 45 001 860374
005 20100715
008 100715s2008 ||||||||||||||||| ||eng d
020 $a 9780549912453
035 $a (UMI)AAI3337626
035 $a AAI3337626
040 $a UMI $c UMI
100 1 $a Abbey, Jennifer G. $3 1027945
245 1 0 $a Communication about end-of-life topics between terminally ill cancer patients and their family members.
300 $a 192 p.
500 $a Adviser: Barry Rosenfeld.
500 $a Source: Dissertation Abstracts International, Volume: 69-11, Section: B, page: 7127.
502 $a Thesis (Ph.D.)--Fordham University, 2008.
520 $a Communication has increasingly been discussed as a critical component of endof-life (EOL) care. To date, the focus has primarily been on patient-physician communication with little attention given to the patient-family member relationship. The present study sought to fill this gap by clarifying the nature of communication about EOL topics between terminally ill cancer patients and their family members, as well as the impact of EOL communication on patients' psychological distress. A newly designed measure, the Patient-Family Member Illness Questionnaire (PFIQ), assessed dyad's desire for communication and amount of previous communication across 21 end-of-life topics. Additionally, patients were assessed for levels of anxiety, depression, hopelessness, and quality of life. Although desire for EOL communication and the amount of previous EOL communication were modest, they were significantly associated with patients' psychological distress levels. Patients' desire for EOL communication was significantly associated with anxiety and to a lesser extent depression. In multiple regression models, amount of previous EOL communication was significantly predictive of depression, hopelessness and quality of life, and to a lesser extent anxiety. Family member participation in the present study influenced the effect of previous communication on patients' psychological distress levels. More specifically, greater amounts of previous communication was associated with lower levels of psychological distress when family members participated, but was associated with higher levels of psychological distress when family members did not participate. When compared to alignment of patients' and family members' desire for communication, amount of previous communication was more strongly associated with depression and hopelessness, and to a lesser extent anxiety; no significant differences in impact were noted for quality of life scores. Although further validation of the PFIQ is needed, these results suggest that interventions focused on fostering patient-family member EOL communication may help reduce some of the psychological distress common at the end-of-life. These interventions may need to be targeted to specific sub-groups of terminally ill patients given the differential impact of EOL communication on distress levels as a function of family member participation. Longitudinal studies will assist in identifying the ideal points of intervention across the illness trajectory.
590 $a School code: 0072.
650 4 $a Health Sciences, Oncology. $3 1018566
650 4 $a Psychology, Clinical. $3 524864
650 4 $a Sociology, Individual and Family Studies. $3 626655
690 $a 0622
690 $a 0628
690 $a 0992
710 2 $a Fordham University. $3 1020514
773 0 $t Dissertation Abstracts International $g 69-11B.
790 $a 0072
790 1 0 $a Rosenfeld, Barry, $e advisor
791 $a Ph.D.
792 $a 2008
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoeng/servlet/advanced?query=3337626