Dying within dyads: Stress, sense of security and support during palliative home care.

<h4>Objectives</h4>To examine similarities and dissimilarities in patient and family caregiver dyads in their experience of stress, support, and sense of security.<h4>Methods</h4>144 patients and their family caregivers participated. Patients were admitted to six Swedish spec...

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Autores principales:	Maria Liljeroos, Per Milberg, Barbro Krevers, Anna Milberg
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/aee1afb8ef4f4f5bb170c746f1bc68b3
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spelling	oai:doaj.org-article:aee1afb8ef4f4f5bb170c746f1bc68b32021-12-02T20:08:16ZDying within dyads: Stress, sense of security and support during palliative home care.1932-620310.1371/journal.pone.0257274https://doaj.org/article/aee1afb8ef4f4f5bb170c746f1bc68b32021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0257274https://doaj.org/toc/1932-6203<h4>Objectives</h4>To examine similarities and dissimilarities in patient and family caregiver dyads in their experience of stress, support, and sense of security.<h4>Methods</h4>144 patients and their family caregivers participated. Patients were admitted to six Swedish specialist palliative home care units and diagnosed with a non-curable disease with an expected short survival. We analysed similarity patterns of answers within dyads (correlations) as well as dissimilarities, expressed as the difference between within-dyad responses. The latter were subjected to a model-building procedure using GLM, with 13 sociodemographic and clinical characteristics as independent variables.<h4>Results</h4>Within dyads, patients and family caregivers scored similar in their perception of support and sense of security with care. There was also dissimilarity within dyad responses in their perception of stress and support that could be attributed to sociodemographic or clinical characteristics. When patients scored higher levels of stress than family caregivers, the family caregiver was more likely to be male. Also family caregiver attachment style (attachment anxiety), patient age and the relationship of the family caregiver to the patient explained dissimilarities within the dyads.<h4>Conclusions</h4>Patients and family caregivers within the dyads often, but not always, had similar scores. We suggest that it is important that the healthcare staff identify situations in which perceptions within the dyads regarding stress and perception of support differ, such that they can recognise patients' and family caregivers' unique needs in different situations, to be able to provide adequate support and facilitate dyadic coping.Maria LiljeroosPer MilbergBarbro KreversAnna MilbergPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 9, p e0257274 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Maria Liljeroos Per Milberg Barbro Krevers Anna Milberg Dying within dyads: Stress, sense of security and support during palliative home care.
description	<h4>Objectives</h4>To examine similarities and dissimilarities in patient and family caregiver dyads in their experience of stress, support, and sense of security.<h4>Methods</h4>144 patients and their family caregivers participated. Patients were admitted to six Swedish specialist palliative home care units and diagnosed with a non-curable disease with an expected short survival. We analysed similarity patterns of answers within dyads (correlations) as well as dissimilarities, expressed as the difference between within-dyad responses. The latter were subjected to a model-building procedure using GLM, with 13 sociodemographic and clinical characteristics as independent variables.<h4>Results</h4>Within dyads, patients and family caregivers scored similar in their perception of support and sense of security with care. There was also dissimilarity within dyad responses in their perception of stress and support that could be attributed to sociodemographic or clinical characteristics. When patients scored higher levels of stress than family caregivers, the family caregiver was more likely to be male. Also family caregiver attachment style (attachment anxiety), patient age and the relationship of the family caregiver to the patient explained dissimilarities within the dyads.<h4>Conclusions</h4>Patients and family caregivers within the dyads often, but not always, had similar scores. We suggest that it is important that the healthcare staff identify situations in which perceptions within the dyads regarding stress and perception of support differ, such that they can recognise patients' and family caregivers' unique needs in different situations, to be able to provide adequate support and facilitate dyadic coping.
format	article
author	Maria Liljeroos Per Milberg Barbro Krevers Anna Milberg
author_facet	Maria Liljeroos Per Milberg Barbro Krevers Anna Milberg
author_sort	Maria Liljeroos
title	Dying within dyads: Stress, sense of security and support during palliative home care.
title_short	Dying within dyads: Stress, sense of security and support during palliative home care.
title_full	Dying within dyads: Stress, sense of security and support during palliative home care.
title_fullStr	Dying within dyads: Stress, sense of security and support during palliative home care.
title_full_unstemmed	Dying within dyads: Stress, sense of security and support during palliative home care.
title_sort	dying within dyads: stress, sense of security and support during palliative home care.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/aee1afb8ef4f4f5bb170c746f1bc68b3
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Dying within dyads: Stress, sense of security and support during palliative home care.

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