癌症患者预感性悲伤的评估与干预研究进展OA
Advances in the Assessment and Intervention of Anticipatory Grief in Pa-tients with Cancer
癌症是全球重要的公共卫生问题,癌症患者在疾病诊断与治疗过程中常伴随明显的心理困扰,其中预感性悲伤(anticipatory grief,AG)逐渐受到学界关注.过高水平的 AG 不仅影响患者的治疗依从性和治疗效果,还可能降低生活质量并影响疾病转归.本文系统梳理了 AG 概念的发展与护理学界定,综述癌症患者 AG 的主要评估工具,并从生物—心理—社会视角总结其影响因素的研究进展.在此基础上,归纳了近年来针对癌症患者 AG 的主要干预措施,包括心理干预、身心干预及社会支持方法,并分析相关研究的证据特点与临床应用价值.通过对现有研究的整合与评述,旨在为癌症患者 AG 的临床评估与护理干预提供参考,并为未来开展高质量干预研究和优化临床护理实践提供依据.
Cancer remains a major global public health concern,and patients with cancer frequently experience signifi-cant psychological distress during diagnosis and treatment.Among these psychological responses,anticipatory grief(AG)has received increasing scholarly attention in recent years.Elevated levels of AG may adversely affect patients'treatment ad-herence and outcomes,reduce quality of life,and potentially influence disease prognosis.This review summarizes the con-ceptual development and nursing definition of AG,outlines its main assessment tools,and concludes research progress on in-fluencing factors from a biopsychosocial perspective.Furthermore,current intervention approaches for managing AG in canc-er patients are summarized,including psychological interventions,mind-body interventions,and social support strategies,with discussion of their evidence characteristics and potential clinical applications.By integrating current evidence and com-mentary,this review aims to provide a reference for the clinical assessment and nursing management of AG in cancer patients and to inform future high-quality intervention research and the optimization of clinical nursing practice.
古扎努尔·吐尔逊;黎俊汝;滕寒冰;丁露可;王佳旭;胡雪晨
201318 上海,上海交通大学 护理学院||201108 上海,中山圣湘海济生物医药有限公司上海分公司201318 上海,上海交通大学 医学院201318 上海,上海交通大学 医学院201318 上海,上海交通大学 医学院201318 上海,上海交通大学 医学院201318 上海,上海交通大学 护理学院
医药卫生
预感性悲伤癌症患者评估工具影响因素干预措施
Anticipatory griefCancer patientsAssess-ment toolsInfluencing factorsInterventions
《肿瘤预防与治疗》 2026 (6)
496-503,8
This study was supported by grants from Shanghai Jiao Tong University(No.SJTUHLXK2023,No.19250244). 上海交通大学医学院护理学科建设项目(编号:SJTUHLXK2023)上海交通大学医学院大学生创新训练计划项目(编号:19250244)
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