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目的:调查中晚期消化系统癌症病人家庭照顾者预期性悲伤水平并探索其相关因素。方法:选取某医院消化内科病房的中晚期消化系统癌症病人家庭照顾者283例，采用预期性悲伤量表(AGS)、领悟社会支持量表(PSSS)、简易应对方式量表(SCSQ)、疾病不确定感家属量表(MULS-FM)进行调查。结果:家庭照顾者AGS总分为[91.00(80.00,98.00)]分。多重线性回归分析显示，家庭照顾者的AGS总分与PSSS总分(β=-0.21)、积极应对得分(β=-0.43)、受教育程度(β=-4.99)、年龄(β=-4.23)负关联；与MULS-FM总分(β=0.24)正关联。结论:中晚期消化系统癌症患者家庭照顾者的预期性悲伤处于中等偏高水平，其预期性悲伤与领悟社会支持、积极应对、疾病不确定感、受教育程度与年龄相关。
Abstract：Objective:To investigate the anticipatory grief and to explore its correlates among family caregivers of patients with advanced gastrointestinal cancer.Methods:A total of 283 family caregivers of patients with advanced digestive cancer in the gastroenterology ward of a hospital were assessed using the Perceptive Social Support Scale(PSSS),Simplified Coping Style Questionnaire(SCSQ),Mishel Illness Uncertainty Scale for Family Member(MULS-FM) and Anticipatory Grief Scale(AGS).Results:The median AGS score was 91.00(80.00,98.00).Multiple linear regression analysis revealed that the AGS scores were negatively correlated with PSSS scores(β=-0.21),positive coping scores(β=-0.43),education level(β=-4.99) and age(β=-4.23),but positively correlated with MULS-FM scores(β=0.24).Conclusion:Family caregivers exhibited moderate-to-high anticipatory grief, which significantly influenced by age, perceived social support, positive coping style, illness uncertainty and education level.
[1] Zheng RS,Zhang SW,Zeng HM,et al.Cancer incidence and mortality in China,2016[J].Natl Cancer Cent,2022,2(1):1-9.
[2] 李纪宾，邹小农.《2016年中国癌症发病和死亡情况》解析[J].环境卫生学杂志，2023,13(1):45-47,53.
[3] 贾善群，周乾宇，刘慧敏，等.2004―2018年中国消化道恶性肿瘤死亡趋势[J].中华疾病控制杂志，2021,25(9):1020-1025.
[4] Yu W,Lu Q,Lu Y,et al.Relationship between anticipatory grief and communication avoidance in Chinese caregivers of patients with advanced cancer[J].Cancer Nurs,2022,45(4):E728-E735.
[5] Lundorff M,Holmgren H,Zachariae R,et al.Prevalence of prolonged grief disorder in adult bereavement:a systematic review and meta-analysis[J].Affect Disord,2017,212:138-149.doi:10.1016/j.jad.2017.01.030.
[6] 霍平乐，李然立，孙芸，等.中文迁延悲伤量表修订版的效度和信度[J].中国心理卫生杂志，2022,36(5):411-416.
[7] 刘利平.消化系统恶性肿瘤患者主要照顾者预期性悲伤现状及影响因素分析[J].天津护理，2020,28(4):399-402.
[8] 赵梅，赵咏梅，黄媛媛，等.肝癌病人家属预期性悲伤现状调查及影响因素分析[J].全科护理，2020,18(36):5177-5181.
[9] 郭婷.胃癌患者家庭照顾者预期性悲伤现状及其与照顾负担的关系研究[D].南昌：南昌大学，2019.
[10]甘婷.照顾负担对结直肠癌患者家庭照顾者预期性悲伤的影响研究：社会支持的中介效应[D].成都：成都中医药大学，2023.
[11]Lindemann E.Symptomatology and management of acute grief[J].Am J Psychiatry,1944,101(2):141-148.
[12]于文华，陆宇晗，路潜，等.癌症患者主要照顾者预期性悲伤的研究进展[J].中华护理杂志，2018,53(6):730-735.
[13]Rando TA.Clinical dimensions of anticipatory mourning:theory and practice in working with the dying,their loved ones,and their caregivers [M].Champaign,IL:Research Press,2000:20.
[14]邹恂.现代护理诊断手册[M].3版.北京：北京大学医学出版社，2003:106.
[15]辛大君.晚期癌症患者及其家属悲伤反应研究[D].泸州：西南医科大学，2016.
[16]孙迪，张旭，李小寒.癌症患者家庭照顾者预期性悲伤影响因素的研究进展[J].护理管理杂志，2023,23(6):448-452.
[17]郝楠，张昊，许雅琼，等.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[J].中国实用护理杂志，2019,35(28):2185-2189.
[18]Yu W,Lu Q,Lu Y,et al.Anticipatory grief among Chinese family caregivers of patients with advanced cancer:across-sectional study[J].Asia Pac J Oncol Nurs,2021,8(4):369-376.
[19]Li J,Sun D,Zhang X,et al.The relationship between anticipatory grief and illness uncertainty among Chinese family caregivers of patients with advanced lung cancer:a cross-sectional study[J].BMC Palliat Care,2022,21(1):30.doi:10.1186/s12904-022-00925-4.
[20]Sun D,Mao Z,Zhang X,et al.Relationship between post-traumatic stress symptoms and anticipatory grief in family caregivers of patients with advanced lung cancer:the mediation role of illness uncertainty[J].Front Psychiatry,2022,13:914862.doi:10.3389/fpsyt.2022.914862.
[21]Zhang N,Li H,Kang H,et al.Relationship between self-disclosure and anticipatory grief in patients with advanced lung cancer:the mediation role of illness uncertainty[J].Front Psychol,2023,14:1266818.doi:10.3389/fpsyg.2023.1266818.
[22]Coelho A,de Brito M,Teixeira P,et al.Family caregivers′ anticipatory grief:aconceptual framework for understanding its multiple challenges[J].Qual Health Res,2020,30(5):693-703.
[23]Mishel MH.Uncertainty in illness[J].Image J Nurs Sch,1988,20(4):225-232.
[24]Mishel MH,Braden CJ.Finding meaning:antecedents of illness uncertainty[J].Nurs Res,1988,37(2):98-127.
[25]Guan T,Chapman MV,de Saxe Zerden L,et al.Illness uncertainty and quality of life in patients with advanced cancer and their family caregivers:an actor-partner interdependence model analysis[J].Psychooncology,2023,32(11):1744-1751.
[26]倪平，陈京立，刘娜.护理研究中量性研究的样本量估计[J].中华护理杂志，2010,45(4):378-380.
[27]姜乾金.领悟社会支持量表(Perceived Social Support Scale,PSSS)[J].中国心理卫生杂志，1999,(增刊):131-133.
[28]解亚宁.简易应对方式量表信度和效度的初步研究[J].中国临床心理学杂志，1999,6(2):53-54.
[29]崔洪艳.慢性病患者家属疾病不确定感与社会支持、应对方式的相关性研究[D].延吉：延边大学，2010.
[30]李佳倩，朱冰洁，吴婷，等.晚期癌症患者家庭主要照顾者预期性悲伤现状及其影响因素分析[J].中国护理管理，2019,19(4):547-552.
[31]普艳敏，马欣妍，陈泓霓，等.领悟社会支持对呼吸系统疾病患者家庭照顾者心理弹性的影响[J].中国健康心理学杂志，2024,32(5):673-680.
[32]张玲玲，徐晶，朱安宏，等.领悟社会支持对大学生应对方式的影响：生命意义感和心理韧性的链式中介作用[J].中国健康心理学杂志，2021,29(5):758-761.
[33]黄郁，张洛奕，李娜，等.大学生孤独感与童年情感创伤及基本心理需求和积极应对的关系[J].中国心理卫生杂志，2024,38(12):1086-1094.
[34]Folkman S,Lazarus RS,Dunkel-Schetter C,et al.Dynamics of a stressful encounter:cognitive appraisal,coping,and encounter outcomes[J].J Pers Soc Psychol,1986,50(5):992-1003.
[35]Wadhwa D,Burman D,Swami N,et al.Quality of life and mental health in caregivers of outpatients with advanced cancer[J].Psychooncology,2013,22(2):403-410.
[36]胡存杰，李玥桐，顾立学.临床护理人员自我表露现状及影响因素分析[J].职业与健康，2022,38(19):2631-2634.
基本信息:
中图分类号:R473.73
引用信息:
[1]侯富文,马燕,李洋洋,等.中晚期消化系统癌症病人家庭照顾者的预期性悲伤及相关因素[J].中国心理卫生杂志,2025,39(11):937-942.
基金信息:
山东省医务职工科技创新计划项目(SDYWZGKCJH2023040)