Description of the Process of Grieving and Depression in Patient with Coronary Hearth Disease in the Intensive Room (original) (raw)
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Clinical correlates of complicated grief among individuals with acute coronary syndromes
Neuropsychiatric Disease and Treatment, 2015
The study aimed at exploring bereavement and complicated grief (CG) symptoms among subjects without a history of coronary heart disease (CHD) at the time of a first acute coronary syndrome (ACS) and to evaluate the relationship of CG symptoms and ACS. Method: Overall, 149 subjects with ACS (namely, acute myocardial infarct with or without ST-segment elevation or unstable angina), with no previous history of CHD, admitted to three cardiac intensive care units were included and evaluated by the Structured Clinical Interview for Complicated Grief (SCI-CG), Hamilton Depression Rating Scale, Hamilton Anxiety Rating Scale, and the 36-item Short-Form Health Survey (MOS-SF-36). Results: Of the total sample of 149 subjects with ACS, 118 (79.2%) met criteria for DSM-5 persistent complex bereavement disorder. Among these, subjects who lost a partner, child, or sibling were older (P=0.008), less likely to be working (P=0.032), and more likely to be suffering from hypertension (P=0.021), returned higher scores on the SCI-CG (P=0.001) and developed the index ACS more frequently between 12 and 48 months after the death than those who lost a parent or another relative (P#0.0001). The occurrence of ACS 12-48 months (P=0.019) after the loss was positively correlated with SCI-CG scores. An inverse relationship with SCI-CG scores was observed for patients who experienced ACS more than 48 months after the loss (P=0.005). The SCI-CG scores significantly predicted lower scores on the "general health" domain of MOS-SF-36 (P=0.030), as well as lower scores on "emotional well-being" domain (P=0.010). Conclusion: A great proportion of subjects with ACS report the loss of a loved one. Among these, the loss of a close relative and the severity of CG symptoms are associated with poorer health status. Our data corroborate previous data indicating a strong relationship between CG symptoms and severe cardiac problems.
WIDYAKALA: JOURNAL OF PEMBANGUNAN JAYA UNIVERSITY, 2020
This research is to identify the relationship between emotion-focued coping and family support with anticipatory grief in mothers of child cancer patients. This research uses the sampling quota of 30 subjects which are the mothers of child cancer patients. This research uses the Marwit-Meuser Caregiver Grief Inventory (short-form) scale to assess the condition of anticipatory grief. The researchers assess emotion-focus coping and family support by using the scale that the researchers have methodized. Research result showed that the hypothesis is accepted, as follows: 1) There is a relationship between emotion-focused coping and family support with anticipatory grief in mothers of child cancer patients (R 12y =-0.909, F =64.281, and p=0.000), 2) There is a inverted relationship between emotion-focused coping with anticipatory grief in mothers of child cancer patients (r 1y =-0.883 and p=0.000), and 3) There is a inverted relationship between family support with anticipatory grief in mothers of child cancer patients (r 2y =-0.892 and p=0.000).
Grief: Aetiology, Symptoms and Management
PRILOZI, 2021
Grief is a process provoked as a response to different losses, such as death, loss of job, relationship breakdown, some unexpected life events and changes, etc. The experiences of loss and bereavement are very individual. Even though loss is expected, the person feels traumatized, especially if death is provoked by violence, natural disasters, or war. This pandemic, like other disasters (wars, tsunami, earthquakes, floods, etc.) has provoked intensive reactions of grief, reactions that could persist for years. The core symptoms of grief are described in the ICD-11 and DSM-5 manuals. The term “complicated grief” in the medical sense refers to a superimposed process that alters grief and modifies its course for the worse. Prolonged grief disorder (PGD) is characterized by normal grief symptoms, but these are symptoms that remain too intense for too long of a period. This article is a review of the manifestations and duration of grief in different occasions, and it is based on over 50 ...
Analysis of Mourning and Complicated Grief With Suggested Applications for Clinicians
Journal of Spirituality in Mental Health, 2015
Mourning is a normal, universal response to death with countless cultural elaborations worldwide. When individuals are unable to progress through normal mourning, Complicated Grief (CG) can be a result. Ways in which humans deal with the universal consequences of death are examined and compared to the typical modern setting found in first world nations. It is suggested that normal mourning is facilitated by various ritual acts and if these activities lack certain features (suggested by cross-cultural analysis of mourning rituals), an increased risk of CG may result. Examination of rituals furthermore suggests ways clinicians may help patients cope with loss.
Complicated grief after death of a relative in the intensive care unit
The European respiratory journal, 2015
An increased proportion of deaths occur in the intensive care unit (ICU). We performed this prospective study in 41 ICUs to determine the prevalence and determinants of complicated grief after death of a loved one in the ICU. Relatives of 475 adult patients were followed up. Complicated grief was assessed at 6 and 12 months using the Inventory of Complicated Grief (cut-off score >25). Relatives also completed the Hospital Anxiety and Depression Scale at 3 months, and the Revised Impact of Event Scale for post-traumatic stress disorder symptoms at 3, 6 and 12 months. We used a mixed multivariate logistic regression model to identify determinants of complicated grief after 6 months. Among the 475 patients, 282 (59.4%) had a relative evaluated at 6 months. Complicated grief symptoms were identified in 147 (52%) relatives. Independent determinants of complicated grief symptoms were either not amenable to changes (relative of female sex, relative living alone and intensivist board cer...
Prevalence of complicated grief and related factors in elderly individuals in Sabzevar City, Iran
Psychogeriatrics, 2020
Aim: Although often undiagnosed and untreated, prolonged grief and its conversion to complicated grief (CG) can lead to functional impairment. Given the impact of CG on mortality and quality of life in elderly individuals, this study aimed to determine the prevalence of CG and its related factors among the elderly in the city of Sabzevar in Iran. Methods: The subjects of this cross-sectional study were elderly individuals aged 60 years and older who lived Sabzevar in 2019. Participants were randomly selected in two stages. First, the grief experience of 823 elderly individuals was investigated. Second, the 247 individuals who met the inclusion criteria and had experienced grief were assessed for CG. Data were collected with a demographic information questionnaire, the Brief Grief Questionnaire, and the Geriatric Depression Scale. Results: The prevalence of CG among the participants who had experienced grief was 18.6%. Significant differences in CG prevalence were observed among participants according to age, gender, marital status, occupation, and relationship to the deceased person (P < 0.05). The prevalence of CG was also significantly associated with the deceased person's age, gender, and cause of death; the participant being the deceased's primary caregiver and the participant being with the deceased at the time of death(P < 0.05). Furthermore, CG was significantly higher in people with mild or severe depression than in non-depressed participants (P = 0.01). The odds of CG and sub-threshold CG incidence were 2.94 times higher in women than in men and 3.64 times higher in participants with severe depression than in non-depressed participants. Conclusion: Complicated grief is relatively prevalent among the elderly, and it is associated with age, gender, marital status, depression status, and some variables related to the deat time of the deceased. Given the negative effects of CG on individuals and the community, appropriate planning is needed to reduce its incidence in elderly individuals who have experienced grief.
Journal of Client-centered Nursing Care (JCCNC), 2022
Background: Nurses working in various patient care departments are exposed to different traumatic situations, patient suffering, and death in their routine care. This study investigated grief and coping experiences amongst registered nurses working in various care departments of a major government health facility in the Ashanti region of Ghana. Methods: A descriptive cross-sectional survey amongst nurses was conducted. A quotasampling technique was applied to yield a representative sample of 79 nurses working in different wards of Konongo-Odumasi Government Hospital in Konong, Ghana. A structured self-administered questionnaire was used for data collection. Standard descriptive statistics (e.g. frequency and proportions) were used to summarize the survey data. The data were analyzed using SPSS software, v. 20. Results: The majority of nurses (63%) reported feelings of grief following the death of patients they had cared for. Most respondents (89%) who did not acknowledge a grief experience did not grieve out of fear or as a show of professionalism. Some reported impacts of grief included insomnia (39%), loss of appetite (51%), tiredness (8%), feeling of depression (24%), and reduced functionality at work and home (27%). Common coping strategies for dealing with grief following patient death included physical exercise (67%), engaging in spiritual practices (51%), listening to music (47%), and discussing with other colleagues (42%). Only 47% of nurses reported access to professional counseling. Conclusion: Regular training on effective grief coping strategies and emotional support for nurses caring for the dying may positively affect the health and well-being of nurses and improve the quality of care for both the dying patient and their families. Providing professional counseling for nurses is also suggested.
Concilium
With the progress of medicine and technologies in the health area, finitude started to occur in hospital complexes, thereby, making the grieving institutionalized. The psychologist who has in his work routine the counseling of critically ill patients and their relatives needs to have academic preparation and psychic resources in his training. Understand the role of the psychologist in coping with patients who experience the grieving processes and characterize the sociodemographic profile of these professionals were the goals of the present. Qualitative, descriptive, cross-sectional research. Data were collected through interviews and a sociodemographic questionnaire. Descriptive and phenomenological modality analysis. Six psychologists, average age of 32.6 years, 50% of spiritual religion, 83.3% single, satisfied with their workand 66.7% were not currently undergoing psychological counseling. Among the categories of meaning, we highlight the aspect of the importance of working with ...
Journal of Nursing Scholarship, 2019
Purpose: To describe the meanings of the lived experiences of grieving of Thai Buddhist husbands who had lost their wives from critical illnesses. Design: Hermeneutic phenomenological approach using van Manen's concepts. Seven husbands from southern Thailand who met the inclusion criteria participated in the study. Methods: Individual in-depth interviews were conducted and recorded on tape, while the interview data were transcribed and analyzed following van Manen's phenomenological approach. Trustworthiness was established using Lincoln and Guba's criteria. Findings: Five thematic categories described the meanings of the experiences, which were reflective of the four lived worlds of body, relation, space, and time. The lived world of body was "loss of thoughtful focus and energy," the lived world of relation was characterized by "surrendering attachment with the deceased" and "attachment to the children," the lived space reflected "social connection," and lived time was "healing time." Conclusions: The grief experience did not seem to be complicated, and the hoped-for experience was being healed through surrendering attachment with the deceased while maintaining attachment with children and social connection. The model of grieving may contribute to the knowledge of nursing care processes, specifically in palliative and end-of-life care, and other care processes for healthcare professionals. Clinical Relevance: Hospital administrators can clearly support a bereavement service to provide a continuum of after-death care for Buddhist males. Nurses and healthcare providers can develop a bereavement care process by valuing the religious principles integrating social interaction for male bereaved husbands.