Understanding the will to live in patients nearing death

被引:109
作者
Chochinov, HM
Hack, T
Hassard, T
Kristjanson, LT
Mcclement, S
Harlos, M
机构
[1] Univ Manitoba, Dept Psychiat, Winnipeg, MB R3E 0V9, Canada
[2] Canc Care Manitoba, Palliat Care Res Unit, Winnipeg, MB, Canada
[3] Canc Care Manitoba, Patient & Family Support Serv, Winnipeg, MB, Canada
[4] Univ Manitoba, Fac Nursing, Winnipeg, MB, Canada
[5] Edith Cowan Univ, Perth, NSW, Australia
[6] St Boniface Gen Hosp, Winnipeg, MB R2H 2A6, Canada
关键词
D O I
10.1176/appi.psy.46.1.7
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
This study examined concurrent influences on the will to live in 189 patients with end-stage cancer. The authors found significant correlations between the will to live and existential, psychological, social, and, to a lesser degree, physical sources of distress. Existential variables proved to have the most influence, with hopelessness, burden to others, and dignity entering into the final model. Health care providers must learn to appreciate the importance of existential issues and their ability to influence the will to live among patients nearing death.
引用
收藏
页码:7 / 10
页数:4
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