Identifying bereaved grievers with greatest medical or social service needs in Japan

作     者：Carl Becker Yozo Taniyama Megumi Kondo-Arita Noriko Sasaki Shinya Yamada Kayoko Yamamoto 

作者机构：Policy Science UnitSchool of MedicineKyoto UniversityKyotoJapan Department of Religious StudiesTohoku UniversitySendaiJapan Nakayama International CenterOsaka Medical CollegeTakatsukiJapan Department of Healthcare Economics and Quality ManagementGraduate School of MedicineKyoto UniversityKyotoJapan Department of EthnologyNational Museum of Japanese HistorySakuraJapan Department of NursingTenri Health Care UniversityTenriJapan 

出 版 物：《Family Medicine and Community Health》 (家庭医学与社区卫生（英文）)

年 卷 期：2022年第10卷第1期

页      面：1-9页

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

基　　金：This study was funded by the Japanese Ministry of Education(Research Grant A number 18H04075) 

主　　题：service sided return 

摘      要：Objective Severe grief adversely affects the health of bereaved families,potentially burdening medical and community health *** for effective community health maintenance must identify the people likely to face severe effects of *** present study identified characteristics of mourners who experience severe grief within a year of bereavement to confirm whether this grief increased their reliance on Japanese medical and social *** We conducted a nationwide postal survey of Japanese bereaved within the previous year,to compare those reporting daily or overwhelming‘heavy’grief to those with less heavy grief,in terms of demographic and socioeconomic details,daily work and non-work activity,frequency of medical and social service ***/participants In 2019,with the support of the Ministry of Education and the All Japan Funeral Co-Operation,we distributed approximately 5500 questionnaires to Japanese who had presided at funerals within the past year for anonymous *** January of 2020,we received 1078 complete voluntary responses from bereaved *** Half of the‘heavy grief’group(n=143)reported adverse effects on health and daily life,including needs for pharmacological,medical or welfare *** of husbands or children were particularly connected to severe grief;‘unexpected’death from cancer caused the greatest ***(even part-time)buffered against severe grief;grief was greater for the unemployed and substantially worse for those who lost significant income at the same time as they lost loved *** These findings suggest that prior counselling should reduce the shock of bereavement and economic loss,which increases subsequent medical *** professionals and community health workers can use the above factors to target in advance the family members in greatest danger of heavy grief,to intervene lest grief adversely affect their physical and psychological health after ber