Cargando…
Anticipatory Grief among Chinese Family Caregivers of Patients with Advanced Cancer: A Cross-Sectional Study
OBJECTIVE: The objective of this study was to explore the interrelationship between anticipatory grief (AG), caregiver burden, communication, preparation for death, and coping style. METHODS: A convenience sample of 256 Chinese family caregivers of patients with advanced cancer were recruited from a...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8186392/ https://www.ncbi.nlm.nih.gov/pubmed/34159229 http://dx.doi.org/10.4103/apjon.apjon-214 |
_version_ | 1783704947355811840 |
---|---|
author | Yu, Wenhua Lu, Qian Lu, Yuhan Yang, Hong Zhang, Lichuan Guo, Renxiu Hou, Xiaoting |
author_facet | Yu, Wenhua Lu, Qian Lu, Yuhan Yang, Hong Zhang, Lichuan Guo, Renxiu Hou, Xiaoting |
author_sort | Yu, Wenhua |
collection | PubMed |
description | OBJECTIVE: The objective of this study was to explore the interrelationship between anticipatory grief (AG), caregiver burden, communication, preparation for death, and coping style. METHODS: A convenience sample of 256 Chinese family caregivers of patients with advanced cancer were recruited from an academic cancer hospital between April 2018 and May 2019. This cross-sectional survey included the AG Scale, caregiver burden (Caregiver Reaction Assessment), communication (Caregivers' Communication with Patients about Illness and Death Scale), preparation for death, and coping style (Simplified Coping Style Questionnaire). Structural equation modeling tested the interrelation between them. RESULTS: The final model fitted the data acceptably (χ(2) = 25.79, degrees of freedom = 17, P = 0.08, root mean square error of approximation = 0.05, goodness-of-fit index [GFI] = 0.98, adjusted GFI [AGFI] = 0.95, parsimony GFI [PGFI] = 0.46, normed fit index = 0.94, comparative fit index = 0.98). Poor communication contributed to less preparation for death and caregiver burden, which further aggravate AG. Communication was positively associated with AG. In addition, communication and positive coping style interacted to further influence caregiver burden. CONCLUSIONS: Preliminary results supported the model and showed that poor communication, less preparation for death, and caregiver burden contributed to AG while positive coping alleviated AG. Findings suggest the need for further studies to explore effective intervention for communication, preparation for death, burden, and coping style of caregivers to ultimately alleviate AG. |
format | Online Article Text |
id | pubmed-8186392 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-81863922021-06-21 Anticipatory Grief among Chinese Family Caregivers of Patients with Advanced Cancer: A Cross-Sectional Study Yu, Wenhua Lu, Qian Lu, Yuhan Yang, Hong Zhang, Lichuan Guo, Renxiu Hou, Xiaoting Asia Pac J Oncol Nurs Original Article OBJECTIVE: The objective of this study was to explore the interrelationship between anticipatory grief (AG), caregiver burden, communication, preparation for death, and coping style. METHODS: A convenience sample of 256 Chinese family caregivers of patients with advanced cancer were recruited from an academic cancer hospital between April 2018 and May 2019. This cross-sectional survey included the AG Scale, caregiver burden (Caregiver Reaction Assessment), communication (Caregivers' Communication with Patients about Illness and Death Scale), preparation for death, and coping style (Simplified Coping Style Questionnaire). Structural equation modeling tested the interrelation between them. RESULTS: The final model fitted the data acceptably (χ(2) = 25.79, degrees of freedom = 17, P = 0.08, root mean square error of approximation = 0.05, goodness-of-fit index [GFI] = 0.98, adjusted GFI [AGFI] = 0.95, parsimony GFI [PGFI] = 0.46, normed fit index = 0.94, comparative fit index = 0.98). Poor communication contributed to less preparation for death and caregiver burden, which further aggravate AG. Communication was positively associated with AG. In addition, communication and positive coping style interacted to further influence caregiver burden. CONCLUSIONS: Preliminary results supported the model and showed that poor communication, less preparation for death, and caregiver burden contributed to AG while positive coping alleviated AG. Findings suggest the need for further studies to explore effective intervention for communication, preparation for death, burden, and coping style of caregivers to ultimately alleviate AG. Wolters Kluwer - Medknow 2021-05-31 /pmc/articles/PMC8186392/ /pubmed/34159229 http://dx.doi.org/10.4103/apjon.apjon-214 Text en Copyright: © 2021 Ann & Joshua Medical Publishing Co. Ltd https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Yu, Wenhua Lu, Qian Lu, Yuhan Yang, Hong Zhang, Lichuan Guo, Renxiu Hou, Xiaoting Anticipatory Grief among Chinese Family Caregivers of Patients with Advanced Cancer: A Cross-Sectional Study |
title | Anticipatory Grief among Chinese Family Caregivers of Patients with Advanced Cancer: A Cross-Sectional Study |
title_full | Anticipatory Grief among Chinese Family Caregivers of Patients with Advanced Cancer: A Cross-Sectional Study |
title_fullStr | Anticipatory Grief among Chinese Family Caregivers of Patients with Advanced Cancer: A Cross-Sectional Study |
title_full_unstemmed | Anticipatory Grief among Chinese Family Caregivers of Patients with Advanced Cancer: A Cross-Sectional Study |
title_short | Anticipatory Grief among Chinese Family Caregivers of Patients with Advanced Cancer: A Cross-Sectional Study |
title_sort | anticipatory grief among chinese family caregivers of patients with advanced cancer: a cross-sectional study |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8186392/ https://www.ncbi.nlm.nih.gov/pubmed/34159229 http://dx.doi.org/10.4103/apjon.apjon-214 |
work_keys_str_mv | AT yuwenhua anticipatorygriefamongchinesefamilycaregiversofpatientswithadvancedcanceracrosssectionalstudy AT luqian anticipatorygriefamongchinesefamilycaregiversofpatientswithadvancedcanceracrosssectionalstudy AT luyuhan anticipatorygriefamongchinesefamilycaregiversofpatientswithadvancedcanceracrosssectionalstudy AT yanghong anticipatorygriefamongchinesefamilycaregiversofpatientswithadvancedcanceracrosssectionalstudy AT zhanglichuan anticipatorygriefamongchinesefamilycaregiversofpatientswithadvancedcanceracrosssectionalstudy AT guorenxiu anticipatorygriefamongchinesefamilycaregiversofpatientswithadvancedcanceracrosssectionalstudy AT houxiaoting anticipatorygriefamongchinesefamilycaregiversofpatientswithadvancedcanceracrosssectionalstudy |