Association and Contribution of Patient and Bereaved Family Background to Outcomes of Survivor Surveys

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  • Tatewaki Rena
    Department of Palliative Nursing, Health Sciences, Tohoku University Graduate School of Medicine
  • Masukawa Kento
    Department of Palliative Nursing, Health Sciences, Tohoku University Graduate School of Medicine
  • Aoyama Maho
    Department of Palliative Nursing, Health Sciences, Tohoku University Graduate School of Medicine
  • Igarashi Naoko
    Department of Palliative Nursing, Health Sciences, Tohoku University Graduate School of Medicine
  • Morita Tatsuya
    Department of Palliative and Supportive Care, Seirei Mikatahara Hospital
  • Kizawa Yoshiyuki
    Department of Palliative and Supportive Care, Faculty of Medicine, Tsukuba University
  • Tsunefuji Akira
    Department of Human Health Sciences, Kyoto University Graduate School of Medicine
  • Shima Yasuo
    Department of Palliative Medicine, Tsukuba Medical Center Hospital
  • Miyashita Mitsunori
    Department of Palliative Nursing, Health Sciences, Tohoku University Graduate School of Medicine

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Other Title
  • 遺族調査のアウトカムに対する患者背景・遺族背景の関連・寄与度

Abstract

<p>A secondary analysis of data from national bereavement surveys conducted in 2014, 2016, and 2018 was conducted with the aim of identifying the contribution of various patient and bereavement backgrounds to the outcomes of the Bereavement Survey. The data were evaluated in terms of structure and process of care (CES), achievement of a desirable death (GDI), complexity grief (BGQ), and depression (PHQ-9). The large data set and comprehensive analysis of bereavement survey outcomes clarified the need for adjustment of confounding variables and which variables should be adjusted for in future analyses. Overall, the contribution of the background factors examined in this study to the CES (Adj-R2=0.014) and overall satisfaction (Adj-R2=0.055) was low. The contribution of the GDI (Adj-R2=0.105) was relatively high, and that of the PHQ-9 (Max-rescaled R2=0.200) and BGQ (Max-rescaled R2=0.207) was non-negligible.</p>

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