住院老年慢性病患者死亡焦虑的现象学研究

Phenomenological study on death anxiety in elderly inpatients with chronic diseases

目的阐释住院老年慢性病患者死亡焦虑的真实体验,为安宁疗护提供理论依据。方法采用现象学研究法,深度访谈13例住院老年慢性病患者死亡焦虑的真实感受。结果通过分析、整理和提炼,得出死亡忧虑、人生遗憾、死亡态度、死亡提醒及临终决策权5个主题。结论作为临床医务工作者,要时刻关注住院老年慢性病患者死亡焦虑状况,加强死亡焦虑评估,尤其是癌症患者和临终期患者,提供个性化护理,提醒患者人生意义所在,从而降低其死亡焦虑水平。

Objective To explain the true experience of death anxiety in elderly inpatients with chronic diseases, and provide a theoretical basis for hospice care. Methods The phenomenological study method was used to deeply interview the true feelings of death anxiety in 13 elderly inpatients with chronic diseases. Results Through analysis, collation and refinement, the five themes of death anxiety, life regret, death attitude, death reminder and final decision power. Conclusions As clinical medical workers, we must always pay attention to the death anxiety of elderly inpatients with chronic diseases and strengthen the assessment of death anxiety. In particular, patients with cancer and patients at the end of life are provided with personalized care to remind them of the meaning of life and reduce the anxiety level of death.