Construction of anticipatory grief intervention for family caregivers of advanced cancer patients based on narrative theory
10.3760/cma.j.cn211501-20230902-00447
- VernacularTitle:基于叙事理论的晚期癌症患者家庭照护者预期性悲伤干预方案的构建
- Author:
Yuzhe JIA
1
;
Xiaolin YANG
;
Shuting HUANG
;
Zibo FAN
;
Lu ZHU
;
Di YANG
;
Huihui CHEN
;
Guangqing ZHANG
Author Information
1. 南方医科大学南方医院肿瘤内科，广州 510515
- Keywords:
Cancer;
Caregivers;
Anticipatory grief;
Intervention
- From:
Chinese Journal of Practical Nursing
2024;40(11):823-830
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct an anticipatory grief intervention scheme for family caregivers of advanced cancer patients based on narrative theory, and to provide reference for anticipatory grief nursing intervention.Methods:From October 2022 to May 2023, through literature research, semi-structured interview and brainstorming method, the first draft of nursing intervention plan was constructed, the Delphi method was used to conduct 2 rounds of correspondence consultation with 15 experts, and the indicators at all levels were modified according to the opinions of experts, and the final draft of intervention plan was formed.Results:The experts were all female, aged (49.67 ± 5.83) years old. The authority coefficient of the two rounds of experts was 0.87. The Kendall coordination coefficients of the first, second, and third level indicators after the first round of expert inquiry were 0.195, 0.113, and 0.093, respectively. The Kendall coordination coefficients of the first, second, and third level indicators after the second round of expert inquiry were 0.200, 0.119, and 0.101, respectively. The differences were statistically significant ( χ2 values were 8.76-107.21, all P<0.05).Finally, a nursing intervention plan based on narrative theory was formed, which included 4 primary indicators, 19 secondary indicators and 72 tertiary indicators. Conclusions:The anticipatory grief intervention scheme for family caregivers of advanced cancer patients is scientific, practical and feasible, and can be used for psychological nursing of family caregivers.
