Characteristics and Social Support Needs Predicting Anticipatory Grief in the Spouses of Patients with Cancer at the End of Life  

作　　者：Kanako Amano Kanako Ichikura Kazuho Hisamura Hiroki Sakurai Ryota Yanaizumi Saori Takahashi Yuko Shimizu Kazuhiro Kawada Osamu Takahashi Eisuke Matsushima Takashi Takeuchi Hidehiko Takahashi Kanako Amano;Kanako Ichikura;Kazuho Hisamura;Hiroki Sakurai;Ryota Yanaizumi;Saori Takahashi;Yuko Shimizu;Kazuhiro Kawada;Osamu Takahashi;Eisuke Matsushima;Takashi Takeuchi;Hidehiko Takahashi(Liaison Psychiatry and Psycho-oncology Unit, Department of Psychiatry and Behavioral Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan;Palliative Care Ward, Heiwa Hospital, Yokohama, Japan;Department of Health Science, Kitasato University School of Allied Health Sciences, Sagamihara, Japan;Department of Medical Oncology, Kanazawa Medical University, Ishikawa, Japan;Department of Palliative Medicine, Toranomon Hospital, Tokyo, Japan;Department of Palliative Care, Cancer Institute Hospital of Japanese Foundation for Cancer Research (JFCR), Tokyo, Japan;Department of Anesthesiology, Yokohama City University Medical Center, Yokohama, Japan;Department of Anesthesiology, Seirei Yokohama Hospital, Yokohama, Japan;Yuu Home Care Clinic, Yokohama, Japan;Department of Psychiatry and Behavioral Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental Uni-versity, Tokyo, Japan)

机构地区：[1]Liaison Psychiatry and Psycho-oncology Unit, Department of Psychiatry and Behavioral Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan [2]Palliative Care Ward, Heiwa Hospital, Yokohama, Japan [3]Department of Health Science, Kitasato University School of Allied Health Sciences, Sagamihara, Japan [4]Department of Medical Oncology, Kanazawa Medical University, Ishikawa, Japan [5]Department of Palliative Medicine, Toranomon Hospital, Tokyo, Japan [6]Department of Palliative Care, Cancer Institute Hospital of Japanese Foundation for Cancer Research (JFCR), Tokyo, Japan [7]Department of Anesthesiology, Yokohama City University Medical Center, Yokohama, Japan [8]Department of Anesthesiology, Seirei Yokohama Hospital, Yokohama, Japan [9]Yuu Home Care Clinic, Yokohama, Japan [10]Department of Psychiatry and Behavioral Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental Uni-versity, Tokyo, Japan

出　　处：《International Journal of Clinical Medicine》2022年第3期98-120,共23页临床医学国际期刊（英文）

摘　　要：Background: Medical staff provide care to spouses of terminal cancer patients through trial and error by meeting their various support needs and spousal factors regarding their anticipatory grief. Studies on the association between spousal characteristics and anticipatory grief have been inconclusive;additionally, there has been insufficient research on support needs for anticipatory grief of spouses. This study aimed to explore the spousal characteristics and social support needs predicting anticipatory grief in spouses of patients with cancer at the end of life. Methods: This was a cross-sectional study. Eligible spouses (n = 102) completed a self-report questionnaire in two hospitals with palliative care units in Japan. The questionnaire included demographic information, a tool assessing social support needs of spouses, and the Anticipatory Grief Scale for Family Caregivers. Results: Simple regression analyses indicated that patient age, chemotherapy, no treatment, ECOG PS3, children aged under 20 years, total score of “social support needs regarding the disease and treatment of the patients” and subscale scores (“medical condition and cure,” “daily life and social support,” and “intimacy and employment”), and total score of “social support needs of the spouses” and subscale scores (“family psychological issues and social support” and “intimacy, employment, and society”) were significant variables (all p p Conclusions: Patients having no experience of “chemotherapy” and higher “social support needs of the spouses” in Model 1, and greater spousal needs of “family psychological issues and social support” in Model 2 were significant predictors of severe anticipatory grief. Medical staff should pay attention to these risk factors that predict anticipatory grief among spouses.Background: Medical staff provide care to spouses of terminal cancer patients through trial and error by meeting their various support needs and spousal factors regarding their anticipatory grief. Studies on the association between spousal characteristics and anticipatory grief have been inconclusive;additionally, there has been insufficient research on support needs for anticipatory grief of spouses. This study aimed to explore the spousal characteristics and social support needs predicting anticipatory grief in spouses of patients with cancer at the end of life. Methods: This was a cross-sectional study. Eligible spouses (n = 102) completed a self-report questionnaire in two hospitals with palliative care units in Japan. The questionnaire included demographic information, a tool assessing social support needs of spouses, and the Anticipatory Grief Scale for Family Caregivers. Results: Simple regression analyses indicated that patient age, chemotherapy, no treatment, ECOG PS3, children aged under 20 years, total score of “social support needs regarding the disease and treatment of the patients” and subscale scores (“medical condition and cure,” “daily life and social support,” and “intimacy and employment”), and total score of “social support needs of the spouses” and subscale scores (“family psychological issues and social support” and “intimacy, employment, and society”) were significant variables (all p p Conclusions: Patients having no experience of “chemotherapy” and higher “social support needs of the spouses” in Model 1, and greater spousal needs of “family psychological issues and social support” in Model 2 were significant predictors of severe anticipatory grief. Medical staff should pay attention to these risk factors that predict anticipatory grief among spouses.

关 键 词：CANCER SPOUSE Spousal Characteristics Social Support Needs Anticipatory Grief 

分 类 号：R73[医药卫生—肿瘤]