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Patients Sense of Security During Palliative Care-What Are the Influencing Factors?
Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Local Health Care Services in Central Östergötland, Department of Advanced Home Care in Linköping. Östergötlands Läns Landsting, Local Health Care Services in East Östergötland, Center of Palliative Care.
Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Local Health Care Services in East Östergötland, Center of Palliative Care.ORCID iD: 0000-0002-9606-3238
Östergötlands Läns Landsting, Local Health Care Services in Central Östergötland, Department of Advanced Home Care in Linköping.
Linköping University, Department of Medical and Health Sciences, Division of Nursing Science. Linköping University, Faculty of Health Sciences.
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2014 (English)In: Journal of Pain and Symptom Management, ISSN 0885-3924, E-ISSN 1873-6513, Vol. 48, no 1, 45-55 p.Article in journal (Refereed) Published
Abstract [en]

CONTEXT:

Having a sense of security is vitally important to patients who have a limited life expectancy.

OBJECTIVES:

We sought to identify the factors associated with patients' sense of security during the palliative care period.

METHODS:

We recruited 174 adult patients (65% of those eligible) from six palliative home care units. The relationship between the patients' sense of security during palliative care and individual factors was evaluated in a stepwise procedure using the generalized linear model (ordinal multinomial distribution and logit link).

RESULTS:

Respondents' ratings of their sense of security ranged from 1 (never) to 6 (always), with a mean value of 4.6 (SD 1.19). Patients with lower feelings of security experienced higher stress; more worry about personal finances; lower feelings of self-efficacy; a lower sense of security with the palliative care provided (lower ratings on subscales of care interaction); mastery; prevailed own identity; higher symptom intensity (especially depression, anxiety, and lack of well-being); lower health-related quality of life; lower attachment anxiety and avoidance; less support from family, relatives, and friends; lower comfort for those closest to them; and more often had gynecological cancer. Six variables (mastery, nervousness and stress, gynecological cancer, self-efficacy, worrying about personal finances, and avoidance) were selected in building the stepwise model.

CONCLUSION:

These findings stress the importance of palliative care services in supporting dying patients' sense of security through symptom management with a wide scope and through supporting the patients' sense of mastery, identity, and perception of a secure care interaction and also through attention to the family members' situation.

Place, publisher, year, edition, pages
Elsevier, 2014. Vol. 48, no 1, 45-55 p.
Keyword [en]
Sense of security; palliative; patient; mastery; stress; attachment; social support; quality of life
National Category
Clinical Medicine Sociology Nursing
Identifiers
URN: urn:nbn:se:liu:diva-109388DOI: 10.1016/j.jpainsymman.2013.08.021ISI: 000338855100011OAI: oai:DiVA.org:liu-109388DiVA: diva2:738036
Available from: 2014-08-15 Created: 2014-08-15 Last updated: 2017-12-05Bibliographically approved

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Milberg, AnnaFriedrichsen, MariaKrevers, Barbro

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Division of Health, Activity and CareFaculty of Health SciencesDepartment of Advanced Home Care in LinköpingCenter of Palliative CareDivision of Nursing SciencePrimary Health Care in Central CountyDivision of Health Care Analysis
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Journal of Pain and Symptom Management
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