晚期癌症患者主要照顾者的预期性悲伤及其影响因素研究

Anticipatory grief and its influencing factors in major caregivers of patients with advanced cancer

目的探讨晚期癌症患者主要照顾者的预期性悲伤现状及其影响因素。方法使用方便抽样,选择2017年10月至2018年5月住院的晚期癌症患者的329名主要照顾者作为研究对象。使用基本资料调查表、预期性悲伤量表和领悟社会支持量表进行调查。结果晚期癌症患者主要照顾者的预期性悲伤得分为(88.49 ± 16.47)分,领悟社会支持得分为(60.33 ± 11.58)分。多元线性回归分析显示,与患者关系、领悟社会支持、患者自理程度、性别和宗教信仰可影响晚期癌症患者主要照顾者的预期性悲伤水平,且可解释总变异的54.2%。结论医务工作者应为晚期癌症患者主要照顾者,提供多方面的帮助与教育,尊重并鼓励有宗教信仰者适当参与宗教活动,鼓励照顾者充分表达自己的情感,疏导其不良情绪反应,改善照顾者的居丧结局。

Objective To explore the status of anticipatory grief in major caregivers of patients with advanced cancer and its influencing factors. Methods There were 329 major caregivers of patients with advanced cancer recruited between October 2017 and May 2018. The basic data questionnaire, Anticipatory Grief Scale and Perceived Social Support Scale were used in the investigation. Results The scores of anticipatory grief and perceived social support were 88.49±16.47 and 60.33±11.58 respectively. The result of multiple linear regression revealed that relationship with patients, perceived social support, gender and religion were associated with anticipatory grief and could explain 54.2% of the total variance. Conclusions Medical workers should provide assistance to the major caregivers of patients with advanced cancer, respect and encourage the appropriate participation of religious activities, encourage caregivers to fully express their feelings, decrease their adverse emotional reactions and improve their bereavement outcome.