Abstract
Context: No study has examined the varying family experience of palliative sedation therapy (PST) for terminally ill patients in different settings. Objectives: To examine and compare family concerns about PST use and its effect on the grief suffered by terminally ill patients' families in palliative care units (PCUs) or intensive care units (ICUs). Methods: A total of 154 family members of such patients were recruited in Taiwan, of whom 143 completed the study, with 81 from the PCU and 62 from the ICU. Data were collected on their concerns regarding PST during recruitment. Grief levels were assessed at three days and one month after the patient's death with the Texas Revised Inventory of Grief. Results: Families' major concern about sedated patients in the PCU was that “there might be other ways to relieve symptoms” (90.2%), whereas families of ICU sedated patients gave the highest ratings to “feeling they still had something more to do” (93.55%), and “the patient's sleeping condition was not dignified” (93.55%). Family members recruited from the ICU tended to experience more grief than those from the PCU (P = 0.005 at Day 3 and < 0.001 at Month 1). PST use predicted higher levels of grief in family members recruited from the PCU (P < 0.001 at Day 3 and Month 1). Conclusion: Family experiences with the use of PST in terminally ill patients varied in different settings. Supportive care should address family concerns about PST use, and regular attention should be paid to the grief of individuals at higher risk.
| Original language | English |
|---|---|
| Pages (from-to) | 1531-1539 |
| Number of pages | 9 |
| Journal | Journal of Pain and Symptom Management |
| Volume | 55 |
| Issue number | 6 |
| DOIs | |
| Publication status | Published - Jun 1 2018 |
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Keywords
- cancer
- family
- grief
- intensive care unit
- palliative care
- Palliative sedation therapy
ASJC Scopus subject areas
- Nursing(all)
- Clinical Neurology
- Anesthesiology and Pain Medicine
Cite this
Differential Family Experience of Palliative Sedation Therapy in Specialized Palliative or Critical Care Units. / Shen, Hui Shan; Chen, Szu Yin; Cheung, Denise Shuk Ting; Wang, Shu Yi; Lee, Jung Jae; Lin, Chia-Chin.
In: Journal of Pain and Symptom Management, Vol. 55, No. 6, 01.06.2018, p. 1531-1539.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Differential Family Experience of Palliative Sedation Therapy in Specialized Palliative or Critical Care Units
AU - Shen, Hui Shan
AU - Chen, Szu Yin
AU - Cheung, Denise Shuk Ting
AU - Wang, Shu Yi
AU - Lee, Jung Jae
AU - Lin, Chia-Chin
PY - 2018/6/1
Y1 - 2018/6/1
N2 - Context: No study has examined the varying family experience of palliative sedation therapy (PST) for terminally ill patients in different settings. Objectives: To examine and compare family concerns about PST use and its effect on the grief suffered by terminally ill patients' families in palliative care units (PCUs) or intensive care units (ICUs). Methods: A total of 154 family members of such patients were recruited in Taiwan, of whom 143 completed the study, with 81 from the PCU and 62 from the ICU. Data were collected on their concerns regarding PST during recruitment. Grief levels were assessed at three days and one month after the patient's death with the Texas Revised Inventory of Grief. Results: Families' major concern about sedated patients in the PCU was that “there might be other ways to relieve symptoms” (90.2%), whereas families of ICU sedated patients gave the highest ratings to “feeling they still had something more to do” (93.55%), and “the patient's sleeping condition was not dignified” (93.55%). Family members recruited from the ICU tended to experience more grief than those from the PCU (P = 0.005 at Day 3 and < 0.001 at Month 1). PST use predicted higher levels of grief in family members recruited from the PCU (P < 0.001 at Day 3 and Month 1). Conclusion: Family experiences with the use of PST in terminally ill patients varied in different settings. Supportive care should address family concerns about PST use, and regular attention should be paid to the grief of individuals at higher risk.
AB - Context: No study has examined the varying family experience of palliative sedation therapy (PST) for terminally ill patients in different settings. Objectives: To examine and compare family concerns about PST use and its effect on the grief suffered by terminally ill patients' families in palliative care units (PCUs) or intensive care units (ICUs). Methods: A total of 154 family members of such patients were recruited in Taiwan, of whom 143 completed the study, with 81 from the PCU and 62 from the ICU. Data were collected on their concerns regarding PST during recruitment. Grief levels were assessed at three days and one month after the patient's death with the Texas Revised Inventory of Grief. Results: Families' major concern about sedated patients in the PCU was that “there might be other ways to relieve symptoms” (90.2%), whereas families of ICU sedated patients gave the highest ratings to “feeling they still had something more to do” (93.55%), and “the patient's sleeping condition was not dignified” (93.55%). Family members recruited from the ICU tended to experience more grief than those from the PCU (P = 0.005 at Day 3 and < 0.001 at Month 1). PST use predicted higher levels of grief in family members recruited from the PCU (P < 0.001 at Day 3 and Month 1). Conclusion: Family experiences with the use of PST in terminally ill patients varied in different settings. Supportive care should address family concerns about PST use, and regular attention should be paid to the grief of individuals at higher risk.
KW - cancer
KW - family
KW - grief
KW - intensive care unit
KW - palliative care
KW - Palliative sedation therapy
UR - http://www.scopus.com/inward/record.url?scp=85044085254&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85044085254&partnerID=8YFLogxK
U2 - 10.1016/j.jpainsymman.2018.02.007
DO - 10.1016/j.jpainsymman.2018.02.007
M3 - Article
AN - SCOPUS:85044085254
VL - 55
SP - 1531
EP - 1539
JO - Journal of Pain and Symptom Management
JF - Journal of Pain and Symptom Management
SN - 0885-3924
IS - 6
ER -