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Article: Family predictors of psychosocial outcomes among Hong Kong Chinese cancer patients in palliative care: Living and dying with the support paradox

TitleFamily predictors of psychosocial outcomes among Hong Kong Chinese cancer patients in palliative care: Living and dying with the support paradox
Authors
KeywordsCancer
Chinese
Dying
Family
Palliative care
Paradox
Psychosocial
Support
Issue Date2009
PublisherRoutledge. The Journal's web site is located at hhttp://www.tandfonline.com/WSHC
Citation
Social Work In Health Care, 2009, v. 48 n. 5, p. 519-532 How to Cite?
AbstractA good death is universally desired. For Chinese patients, the family is believed to play a key role in making this possible. This study aims at exploring the relationship of family-related factors and psychosocial outcomes among Hong Kong Chinese cancer patients in palliative care. Clinical data mining was adopted as the research method. Nurses collected data from clinical interviews with incoming palliative care patients. A total of 935 patients from three years of deceased patient records was included. Stepwise regression analysis demonstrated that caregivers' support and acceptance predicted fewer psychosocial symptoms of patients, whereas depressed family response to patient's illness and family anxiety predicted a greater number of psychosocial symptoms of patients upon their admission to palliative care. The findings suggested two possible pathways toward enhancing the psychosocial experience of dying patients, that is, the family support pathway and the familial-altruistic pathway. Further reflections on the findings may suggest that these patients may be situated in a support paradox, in which they desire family support but also worry about the burden that support places on family members. Implications for practice were discussed in the cultural context.
Persistent Identifierhttp://hdl.handle.net/10722/88122
ISSN
2015 Impact Factor: 0.8
2015 SCImago Journal Rankings: 0.354
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorChan, WCHen_HK
dc.contributor.authorEpstein, Ien_HK
dc.contributor.authorReese, Den_HK
dc.contributor.authorChan, CLWen_HK
dc.date.accessioned2010-09-06T09:39:04Z-
dc.date.available2010-09-06T09:39:04Z-
dc.date.issued2009en_HK
dc.identifier.citationSocial Work In Health Care, 2009, v. 48 n. 5, p. 519-532en_HK
dc.identifier.issn0098-1389en_HK
dc.identifier.urihttp://hdl.handle.net/10722/88122-
dc.description.abstractA good death is universally desired. For Chinese patients, the family is believed to play a key role in making this possible. This study aims at exploring the relationship of family-related factors and psychosocial outcomes among Hong Kong Chinese cancer patients in palliative care. Clinical data mining was adopted as the research method. Nurses collected data from clinical interviews with incoming palliative care patients. A total of 935 patients from three years of deceased patient records was included. Stepwise regression analysis demonstrated that caregivers' support and acceptance predicted fewer psychosocial symptoms of patients, whereas depressed family response to patient's illness and family anxiety predicted a greater number of psychosocial symptoms of patients upon their admission to palliative care. The findings suggested two possible pathways toward enhancing the psychosocial experience of dying patients, that is, the family support pathway and the familial-altruistic pathway. Further reflections on the findings may suggest that these patients may be situated in a support paradox, in which they desire family support but also worry about the burden that support places on family members. Implications for practice were discussed in the cultural context.en_HK
dc.languageengen_HK
dc.publisherRoutledge. The Journal's web site is located at hhttp://www.tandfonline.com/WSHCen_HK
dc.relation.ispartofSocial Work in Health Careen_HK
dc.subjectCanceren_HK
dc.subjectChineseen_HK
dc.subjectDyingen_HK
dc.subjectFamilyen_HK
dc.subjectPalliative careen_HK
dc.subjectParadoxen_HK
dc.subjectPsychosocialen_HK
dc.subjectSupporten_HK
dc.titleFamily predictors of psychosocial outcomes among Hong Kong Chinese cancer patients in palliative care: Living and dying with the support paradoxen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0098-1389&volume=48&spage=519&epage=532&date=2009&atitle=Family+predictors+of+psychosocial+outcomes+among+Hong+Kong+Chinese+cancer+patients+in+palliative+care:+living+and+dying+with+the+“support+paradox”en_HK
dc.identifier.emailChan, CLW: cecichan@hku.hken_HK
dc.identifier.authorityChan, CLW=rp00579en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1080/00981380902765824en_HK
dc.identifier.scopuseid_2-s2.0-70350438116en_HK
dc.identifier.hkuros157541en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-70350438116&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume48en_HK
dc.identifier.issue5en_HK
dc.identifier.spage519en_HK
dc.identifier.epage532en_HK
dc.identifier.isiWOS:000268787300003-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridChan, WCH=35736896500en_HK
dc.identifier.scopusauthoridEpstein, I=7004413733en_HK
dc.identifier.scopusauthoridReese, D=7006313208en_HK
dc.identifier.scopusauthoridChan, CLW=35274549700en_HK

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