Summary: | 碩士 === 國立臺北護理健康大學 === 生死與健康心理諮商系 === 104 === Purpose: The aim of this study is to explore the influence of family relationships and depression on anticipatory grief from the perspective of terminally ill cancer patients' family.
Methods: 60 terminally ill cancer patients' families (aged 21-72) completed four questionnaires including Family Relationships Index (FRI), Beck Depression Inventory II (BDI-II), Anticipatory Grief Inventory (AGI) and demographic information. The data were analysed using multiple regression.
Results: Different economic situation, relatives, role and degree of depression were obtaining different performance on family relationships, depression and anticipatory grief. BDI-II was significantly related to AGI total score (r=0.488, p<0.001), anticipatory (r=0.633, p<0.001) and cognitive coping (r=0.409, p<0.001) dimensions. The multiple regression model with depression and expressiveness produced R² =0 .313, F=12.992, p<0.05.
Discussion: The study found if terminally ill cancer patients' families were poorer economic situation, spouse and first-class blood relatives, primary caregivers and higher degree of depression, they might tend to be a higher degree of anticipatory grief. If patients were males, their families tended to experience more family conflict. Significant predictors of anticipatory grief were depression and family relationship.
Conclusion: The result is different from abroad research found that the cohesion of family relationships is the main predictor, not only focused on the state of depression, but also concerned the expressiveness. Families which had more expressiveness might experience more anticipatory grief, and health professionals should help families to rehears and to learn about anticipatory grief coping strategy.
|