Duelo inadaptado en personas frágiles y dependientes de Canarias

  1. Martín Rodríguez Álvaro 1
  2. Pedro Ruymán Brito Brito 1
  3. Alfonso Miguel García Hernández 1
  1. 1 C. Salud Santa Cruz de la Palma, La Palma (Canarias)
Revista:
RqR Enfermería Comunitaria

ISSN: 2254-8270

Año de publicación: 2022

Volumen: 10

Número: 1

Páginas: 13-23

Tipo: Artículo

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Otras publicaciones en: RqR Enfermería Comunitaria

Resumen

As a general framework, the different types of grief can be grouped into three categories: normal, maladaptive or complicated and at risk. The level of dependency of the deceased plays an important role in the development of complications, especially in previously frail pa- tients. Objective: to study grief in a particularly fragile group: dependent persons. Method: An observational, descriptive, cross-sectional, epidemiological study was carried out in the Primary Care setting in the Canary Islands with mourners identified in 2018 and 2019. Results: The prevalence of complicated grief is higher in women (13%) and frail or dependent patients (15.2%). In mourners at intermediate social risk, identified using the Gijón Sociofamilial Scale, the prevalence is 24.1%. The recording of defining characteristics of nursing diagnoses and related or risk factors is limited. The health area with the highest prevalence of Complicated Grief was Tenerife (13.3%) Conclusions: Frail or dependent people suffer more non-adapted grief than autonomous people. However, no associations of moderate or strong magnitude are evident. Further research on the needs of previously frail patients, especially those related to the psychosocial sphere, should be carried out through the epidemiology of care.

Referencias bibliográficas

  • 1 Prigerson HG, Horowitz MJ, Jacobs SC, Parkes CM, Aslan M. Correction: Prolonged Grief Disorder: Psychometric Validation of Criteria Proposed for DSM-V and ICD-11. PLOS Medicine. 2013 10(12): 10.1371/annotation/ a1d91e0d-981f-4674-926c-0fbd2463b5ea. https://doi.org/10.1371/annotation/a1d91e0d-981f-4674-926c-0fbd2463b5ea
  • 2 Prigerson HG, Kakarala S, Gang J, Maciejewski PK. History and Status of Prolonged Grief Disorder as a Psychiatric Diagnosis. Annual review of clinical psychology, 2021. 17: 109–126. https://doi.org/10.1146/annurevclinpsy-081219-093600
  • 3 García-Hernández AM. Duelo Adaptativo, No Adaptativo y Continuidad de Vínculos. Ene. 2021. 15(1). Consultado de http://ene-enfermeria.org
  • 4 Herdman H, Kamitsuru S, Takao C. Nursing Diagnosis: Definitions and Classification 2021-23. 12 Edition. NANDA International , Inc. 2021.
  • 5 Barreto P, Yi P, Soler C. Predictores de Duelo Complicado. Psicosoncología, 2008; 5(2-3):383-400.
  • 6 Johnson JG, Vanderwerker LC, Bornstein RF, Zhang B, Prigerson HG. Development and validation of an instrument for the assessment of dependency among bereaved persons. J Psychopathol Behav Assess 2006; 28: 1–10
  • 7 Piper WE, Ogrodniczuk JS, Joyce AS, McCallum M, Weidman R, Azim HF. Ambivalence and other relationship predictors of grief in psychiatric outpatients. Journal of Nervous and Mental Disease, 2001; 189: 781–787
  • 8 Lundorff M, Holmgren H, Zachariae R, Farver-Vestergaard I, O’Connor M. Prevalence of prolonged grief disorder in adult bereavement: A systematic review and meta-analysis. Journal of affective disorders, 2017;212:138–149. https://doi.org/10.1016/j.jad.2017.01.030
  • 9 Ministerio de Sanidad, Consumo y Bienestar Social. Encuesta Nacional de Salud ENSE, España 2017. Serie informes monográficos 3: LIMITACIÓN Y DISCAPACIDAD. Madrid: Ministerio de Sanidad, Consumo y Bienestar Social, 2019.
  • 10 Instituto Canario de Estadística. Encuesta de Condiciones de Vida / Resultados principales. Canarias. 2013- 2019
  • 11 Servicio Canario de Salud. Programa de Atención a las Personas Mayores en Atención Primaria. Actualización 2017.
  • 12 Elizabeth A, Lobb-Linda J, Kristjanson-Samar M. Leanne-Monterosso A, Georgia K, Halkett. AD. Predictors of Complicated Grief: A Systematic Review of Empirical Studies, Death Studies, 2010; 34(8): 673-698, DOI: 10.1080/07481187.2010.496686
  • 13 Díaz-Palacios ME, Domínguez-Puente O, Toyos-García G. Resultados de la aplicación de una escala de valoración sociofamiliar en Atención Primaria. Rev Esp Geriatr Gerontol, 1994; 29(4):239-245
  • 14 Aoun SM, Breen LJ, Howting DA, Rumbold B, McNamara B, Hegney D. Who needs bereavement support? A population based survey of bereavement risk and support need. PLoS One. 2015 Mar 26;10(3):e0121101. doi: 10.1371/journal.pone.0121101. PMID: 25811912; PMCID: PMC4374848.
  • 15 Kersting A, Brähler E, Glaesmer H, Wagner B. Prevalence of complicated grief in a representative population-based sample. J Affect Disord. 2011 Jun;131(1-3):339-43. doi: 10.1016/j.jad.2010.11.032. Epub 2011 Jan 8. PMID: 21216470.
  • 16 McSpedden M, Mullan B, Sharpe L, Breen LJ, Lobb EA. The presence and predictors of complicated grief symptoms in perinatally bereaved mothers from a bereavement support organization. Death Stud. 2017 Feb;41(2):112-117. doi: 10.1080/07481187.2016.1210696. Epub 2016 Aug 30. PMID: 27573073.
  • 17 Currier J, Holland J, Coleman R, Neimeyer RA. Bereavement following violent death: An assault on life and meaning. The Journal of Death and Dying. Enero 2008; 53(3): 175-191.
  • 18 Milman E, Neimeyer RA, Fitzpatrick M, MacKinnon CJ, Muis KR, Cohen SR. Prolonged grief and the disruption of meaning: Establishing a mediation model. J Couns Psychol. 2019 Nov;66(6):714-725. doi: 10.1037/cou0000370. PMID: 31647284.
  • 19 Rodríguez-Álvaro M, García-Hernández AM, Brito-Brito PR, Aguirre-Jaime A, Fernández-Gutiérrez DÁ. Bereavement care interventions and outcome criteria planned by community nurses in the Canary Islands. Enferm Clin (Engl Ed). 2018 Feb 19:S1130-8621(17)30194-8. English, Spanish. doi: 10.1016/j.enfcli.2017.11.005. Epub ahead of print. PMID: 29472159. Enferm Clin. 2018.
  • 20 Batista SMLP, Martins RML. Suffering-associated factors in chronic disease in hospitalised patients in Portugal. Enferm Clin (Engl Ed). 2021 May-Jun;31(3):135-147. English, Spanish. doi: 10.1016/j.enfcli.2020.12.043. Epub 2021 Mar 19. PMID: 33745808.
  • 21 Macias C, Jones D, Harvey J, Barreira P, Harding C, Rodican C. Bereavement in the context of serious mental illness. Psychiatr Serv. 2004 Apr;55(4):421-6. doi: 10.1176/appi.ps.55.4.421. PMID: 15067155; PMCID: PMC2759894.
  • 22 Yi P, Barreto P, Soler C, Fombuena M, Espinar V, Pascual L, Navarro R, González R., Bernabeu J, Suárez J. Grief support provided to caregivers of palliative care patients in Spain. Palliative medicine, 2006; 20(5), 521–531. https://doi.org/10.1191/0269216306pm1165oa
  • 23 Lundorff M, Bonanno GA, Johannsen M, O’Connor M. Are there gender differences in prolonged grief trajectories? A registry-sampled cohort study. J Psychiatr Res. 2020 Oct;129:168-175. doi: 10.1016/j.jpsychires.2020.06.030. Epub 2020 Jul 24. PMID: 32739617.
  • 24 Parro-Jiménez E, Morán N, Gesteira C, Sanz J, García-Vera MP. Duelo complicado: Una revisión sistemática de la prevalencia, diagnóstico, factores de riesgo y de protección en población adulta de España . Anales de Psicología / Annals of Psychology, 2021; 37(2), 189-201. https://doi.org/10.6018/analesps.443271
  • 25 Rodríguez-Álvaro M. Epidemiología Enfermera del Duelo en Canarias. Cuidar, 2020; 0(1). Consultado de www.eneenfermeria.org
  • 26 Creighton G, Oliffe JL, Butterwick S, Saewyc E. After the death of a friend: young men’s grief and masculine identities. Soc Sci Med. 2013 May;84:35-43. doi: 10.1016/j.socscimed.2013.02.022. Epub 2013 Feb 19. PMID: 23517702; PMCID: PMC4760764.
  • 27 Medina-Pérez M, Barrios-Torres R, Cabeza-Mora A, Guillén-Toledano M, González-Silva S, Estupiñán-Ramírez M, Grupo Metodología Enfermera Dirección General de Programas Asisenciales. Utilización del Proceso Enfermero en Atención Primaria en Canarias. Ene, 2020 15(1). Consultado de http://eneenfermeria.org/ojs/index.php/ENE/article/view/1132
  • 28 Brito-Brito PR. Armas-Felipe JM. Crespo-Gómez A. Aguire-Jaime A. Impacto del programa de formación y asesoramiento en metodología enfermera: “cuidarte”. Metas de Enfermería, 2011; 14(3):8-14
  • 29 Rodríguez-Álvaro M, Brito-Brito PR, García-Hernández AM, Aguirre-Jaime A, Fernandez-Gutierrez DA. The Grieving Nursing Diagnoses in the Primary Healthcare Setting. Int J Nurs Knowl. 2019 Jan;30(1):34-42. doi: 10.1111/2047-3095.12202. Epub 2018 Jan 23. PMID: 29360242.
  • 30 Kokou-Kpolou CK, Park S, Lenferink LIM, Iorfa SK, Fernández-Alcántara M, Derivois D, Cénat JM. Prolonged grief and depression: A latent class analysis. Psychiatry Res. 2021 May;299:113864. doi: 10.1016/j.psychres.2021.113864. Epub 2021 Mar 8. PMID: 33756206.
  • 31 Rodríguez-Álvaro M. Impacto del Duelo Complicado. Una lectura a través del Lenguaje del Cuidado. Ene, 2019; 13(3). Consultado de www.ene-enfermeria.org
  • 32 Instituto Nacional de Estadística. Encuesta Europea de Salud [Internet]. Madrid: Ministerio de Sanidad, Servicios Sociales e Igualdad; 2014 [citado 15 octubre 2020]. Disponible en: https://www.ine.es/dynt3/inebase/es/index.htm?type=pcaxis&path=/t15/p420/a2019/p04/&file=pcaxis
  • 33 Yi P. Duelo: Factores de riesgo de duelo complicado en cuidados paliativos. [Tesis Doctoral]. Valencia: Universidad de Valencia. 2016. Recuperado a partir de: https://www.educacion.gob.es/teseo/mostrarRef.do?ref=1198926
  • 34 Djelantik AAAMJ, Smid GE, Mroz A, Kleber RJ, Boelen PA. The prevalence of prolonged grief disorder in bereaved individuals following unnatural losses: Systematic review and meta regression analysis. J Affect Disord. 2020 Mar 15;265:146-156. doi: 10.1016/j.jad.2020.01.034. Epub 2020 Jan 13. PMID: 3209073
Fuente de los datos: Dialnet