【摘要】 目的 调查晚期肾癌患者配偶的预期性悲伤现状及影响因素，为实施针对性干预提供参考。方法 对209例晚期肾癌住院患者的配偶，采用一般资料调查表、中文版预期性悲伤量表、领悟社会支持量表、照顾负担量表、心理韧性量表进行问卷调查。结果 晚期肾癌患者配偶预期性悲伤得分为(86.02±16.12)分，性别、有无复发/转移、照顾负担、心理韧性、社会支持是该群体预期性悲伤的影响因素，共解释总变异水平的28.7%(均P<0.05)。结论 晚期肾癌患者配偶的预期性悲伤水平较高，医护人员应关注女性配偶群体、存在复发转移的患者配偶，以及社会支持水平不足、照顾负担重、心理韧性水平低的晚期肾癌患者配偶，并采取有效干预措施降低其预期性悲伤水平。更多还原

【Abstract】 Objective To investigate the status of anticipatory grief in spouses of patients with advanced renal cancer, and to analyze the influencing factors.Methods Totally, 209 spouses of hospitalized patients with advanced renal cancer were selected through convenience sampling and surveyed with a general information questionnaire, the Chinese version of Anticipatory Grief Scale, the Perceived Social Support Scale, the Zarit Burden Interview and the Connor-Davidson Resilience Scale.Results The spouses of patients with advanced renal cancer scored(86.02±16.12) points in anticipatory grief.Gender, relapse/metastasis, care burden, psychological resilience and social support were influencing factors of anticipatory grief in this group, accounting for 28.7% of the total variation(all P<0.05).Conclusion Anticipatory grief in spouses of patients with advanced renal cancer is at a high level.Medical staff should pay attention to female spouses, spouses of patients with recurrence and metastasis, spouses with insufficient social support, heavy care burden or low psychological resilience, and take effective intervention measures to reduce their anticipatory grief level.更多还原