10.1177/1056789514562152

Vollständiger Abstract

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PurposeFamily caregivers of terminal cancer patients experience anticipatory grief. Blended narrative nursing interventions remain insufficiently evaluated in palliative care. This single-group pre-post study examined changes in anticipatory grief following a four-week blended narrative nursing intervention and secondarily explored caregiver characteristics associated with the magnitude of change.MethodsSixty-three caregivers were recruited from five Chinese hospice and palliative care institutions; 55 completed the intervention and were included in the pre-post analyses. The intervention combined daily asynchronous online narrative activities with weekly in-person group workshops facilitated by nurses. Anticipatory grief was assessed using the 27-item Anticipatory Grief Scale at baseline (T 0 ) and post-intervention (T 1 ). Pre-post changes were examined using paired-samples t tests with Bonferroni correction and the absolute values of within-subject Cohen's d z (|d z |). Exploratory stepwise multiple linear regression examined caregiver characteristics associated with reduction scores. Engagement was summarized.ResultsStatistically significant pre-post reductions were observed across all seven anticipatory grief subdomains (all <i>P</i> < .001), with absolute within-subject Cohen's d z values ranging from 0.58 for anxiety to 2.08 for anger. Mean online completion was 78.5%; mean workshop attendance was 3.6 of 4 sessions. Higher caregiver-patient intimacy was associated with smaller reductions in five subdomains, whereas extraversion, religious affiliation, and socioeconomic characteristics were associated with larger reductions in specific domains.ConclusionsSubstantial pre-post reductions in anticipatory grief were observed following the intervention. However, the single-group design precludes causal attribution. Controlled studies with longer follow-up and prespecified moderator analyses are needed to evaluate intervention effectiveness and response heterogeneity.

Abstract: PubMed · Datensatz