Li Caiyue, Tang Nan, Yang Lili, Zeng Qing, Yu Tana, Pu Xiaojin, Wang Juan, Zhang Hongchen
School of Nursing, Lanzhou University, Lanzhou, China.
Lanzhou University First Hospital, Lanzhou, China.
Front Psychol. 2023 Jan 10;13:1020517. doi: 10.3389/fpsyg.2022.1020517. eCollection 2022.
This study aimed to explore the relationship between caregiver burden and anticipatory grief among caregivers of elderly cancer patients, and to examine the chain mediation effects of family functioning and resilience. A total of 624 valid questionnaires were collected. The Structural Equation Model was established to test the mediating effects of family functioning and resilience. Results showed that caregiver burden has a direct positive effect on anticipatory grief, both family functioning and resilience have negative effects on caregiver burden and anticipatory grief, and that resilience moderates the mediating effect of family functioning. Our findings suggest that reducing the caregiver burden among caregivers of elderly cancer patients, improving family functioning, and enhancing resilience have important effects in alleviating the anticipatory grief of caregivers. Our findings provide some references for further research. Medical staff should better understand the grief experience of caregivers and implement interventions to enable caregivers to better cope with anticipatory grief and psychological stress, so as to promote the quality of care for elderly cancer patients.
本研究旨在探讨老年癌症患者照顾者的照顾负担与预期性悲伤之间的关系，并检验家庭功能和心理弹性的链式中介作用。共收集到624份有效问卷。建立结构方程模型以检验家庭功能和心理弹性的中介作用。结果表明，照顾负担对预期性悲伤有直接正向影响，家庭功能和心理弹性对照顾负担及预期性悲伤均有负向影响，且心理弹性调节家庭功能的中介作用。我们的研究结果表明，减轻老年癌症患者照顾者的照顾负担、改善家庭功能以及增强心理弹性，对缓解照顾者的预期性悲伤具有重要作用。我们的研究结果为进一步研究提供了一些参考。医护人员应更好地理解照顾者的悲伤体验，并实施干预措施，使照顾者能够更好地应对预期性悲伤和心理压力，从而提高老年癌症患者的护理质量。
