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

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International Journal of Clinical Medicine 2022年第3期13卷 98-120页

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 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

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

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Factors Associated with Social Support Needs of Spouses of Patients with Cancer: Online Survey

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International Journal of Clinical Medicine 2019年第4期10卷 270-292页

作者： kanako Amano kanako ichikura Kazuho Hisamura Yuko Motomatsu Eisuke Matsushima Section of Liaison Psychiatry and Palliative Medicine Graduate School of Medical and Dental Sciences Tokyo Medical and Dental University Tokyo Japan Palliative care ward Heiwa Hospital Kanagawa Japan Department of Health Science School of Allied Health Sciences Kitasato University Kanagawa Japan Department of Medical Oncology Kanazawa Medical University Ishikawa Japan Nursing Department Tokyo Medical and Dental University Hospital Tokyo Japan

Background: A means of assessing the social support needs of spouses of patients with cancer is not available in Japan, yet such individuals are at increased risk of developing psychological difficulties. Objectives: The present study aimed (1) to describe the social support needs of spouses of patients with cancer, and (2) to explore factors associated with social support needs of spouses of patients with cancer. Design: Spouses (n = 559) of patients with cancer were recruited by registered agents of an online survey company and completed a self-reporting, online questionnaire. Measurements: The questionnaires included demographic information and a tool to assess social support needs. Results: Factor analysis of social support needs of the spouses of patients with cancer indicated that (1) “social support needs regarding disease and treatment of patient” (54 items) comprised 3 factors (“medical condition and cure”, “daily life and social support”, “intimacy and employment”), and (2) “social support needs of spouse (19 items)” comprised 2 factors (“family psychological issues and social support” and “intimacy, employment and society”). The ANOVA and T tests showed that “younger age”, “under treatment”, and “cancer not cured: treatment stopped”, “PS1” and “PS 2-4”, the presence of “lung cancer”, and “recurrence/metastasis” were significant factors (all

关键词： Cancer Spouse Social Support Needs Assessment Tool Online Survey

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