Re-living trauma near death: an integrative review using Grounded Theory narrative analysis

被引：2

作者：

Johnston, Nikki ^{[12
,13
,14
]}

Chapman, Michael ^{[1
,2
,3
]}

Gibson, Jo ^{[4
]}

Paterson, Catherine ^{[5
,6
,7
]}

Turner, Murray ^{[4
]}

Strickland, Karen ^{[8
,9
]}

Liu, Wai-Man ^{[10
]}

Phillips, Christine ^{[2
]}

Bail, Kasia ^{[4
,11
,12
]}

机构：

[1] Canberra Hlth Serv, Palliat & Support Care, Garran, ACT, Australia

[2] Australian Natl Univ, Sch Med & Psychol, Canberra, ACT, Australia

[3] Canberra Hlth Serv, Palliat Care Res Serv, Garran, ACT, Australia

[4] Univ Canberra, Fac Hlth, Bruce, ACT, Australia

[5] Flinders Univ S Australia, Coll Nursing & Hlth Sci, Adelaide, SA, Australia

[6] Cent Adelaide Local Hlth Network, Adelaide, SA, Australia

[7] Robert Gordon Univ, Aberdeen, Scotland

[8] Edith Cowan Univ, Sch Nursing & Midwifery, Joondalup, WA, Australia

[9] Auckland Univ Technol, Fac Hlth & Environm Sci, Sch Clin Sci, Auckland, New Zealand

[10] Australian Natl Univ, Res Sch Finance Actuarial Studies & Stat, Canberra, ACT, Australia

[11] Synergy Nursing & Midwifery Res Ctr, ACT Hlth Directorate, Canberra, ACT, Australia

[12] Univ Canberra, Fac Hlth, Ctr Ageing Res & Translat, Bruce, ACT, Australia

[13] Univ Canberra, Fac Hlth, ACT Hlth Directorate, Bldg 10,11 Kirinari St, Bruce, ACT 2617, Australia

[14] Synergy Nursing & Midwifery Res Ctr, Garran, Australia

来源：

PALLIATIVE CARE & SOCIAL PRACTICE | 2024年 / 18卷

关键词：

end-of-life care; identifying past trauma; increased suffering; trauma; trauma-informed palliative care; POSTTRAUMATIC-STRESS-DISORDER; PSYCHOSOCIAL PALLIATIVE CARE; END; VETERANS; LIFE; DISTRESS;

D O I：

10.1177/26323524241277851

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Background: Symptoms of emotional and physical stress near death may be related to previous experiences of trauma.Objective: To investigate current evidence regarding the following: (1) Is previous trauma identified in people who are dying, and if so, how? (2) How is previous trauma associated with the experience of death/dying in people with or without cognitive impairment? and (3) What palliative care interventions are available to people with previous trauma at the end of life?Design: This integrative review was conducted per Whittemore and Knafl's guidelines, which involves a stepped approach, specifically (1) problem identification, (2) literature search, (3) data evaluation, (4) data analysis and (5) presentation.Methods: This integrative review was reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. Electronic databases were searched in August 2021 and updated in August 2023. The articles were quality appraised, and narrative data were analysed using Grounded Theory (GT).Results: Of 1310 studies screened, 11 met the inclusion criteria (four qualitative and seven quantitative) conducted in Australia, Canada, Japan and the United States; and American studies accounted for 7/11 studies. Eight were focused on war veterans. Descriptive studies accounted for the majority, with only two publications testing interventions. Re-living trauma near death has additional features to a diagnosis of post-traumatic stress disorder alone, such as physical symptoms of uncontrolled, unexplained acute pain and this distress was reported in the last weeks of life.Conclusion: This study proposes that re-living trauma near death is a recognisable phenomenon with physical and psychological impacts that can be ameliorated with improved clinical knowledge and appropriate management as a new GT. Further research is needed to enable past trauma identification at the end of life, and trauma-informed safe interventions at the end of life are an urgent need.

引用

页数：22

共 50 条

[1] Post-traumatic Stress Disorder, Coronary Atherosclerosis, and Mortality [J].