Study on the Current Status and Influencing Factors of Anticipatory Sadness in Young and Middle-aged Patients with Advanced Tumors
Objectives This study aims to investigate the current status and influencing factors of anticipatory sadness in young and middle-aged patients with advanced cancer,and to provide a scientific basis for the development of targeted intervention programs in clinics.Methods A total of 331 young and middle-aged patients with advanced tumors who visited a tertiary-level A-class cancer hospital in Beijing from January 1,2023 to May 31,2023 were selected as a convenience sample for the cross-sectional survey.The questionnaire survey was conducted using general information questionnaire,advanced cancer anticipatory sadness scale,family care index scale,and simplified fear of disease progression scale.Pearson's method was used for correlation analysis to explore the correlation between anticipatory sadness and family care and fear of disease progression.Multiple linear regression was used to analyze the influencing factors of anticipatory sadness.Results The score of prognosiding sadness in young and middle-aged patients with advanced cancer was 69.41±15.09,which was at a high level.The main factors affecting prognostic sadness in young and middle-aged patients with advanced cancer were family care(P=0.010),degree of fear disease progression(P<0.001),gender(P=0.007),and educational level(P=0.017).Conclusions The anticipatory sadness is at a high level in young and middle-aged patients with advanced cancer.There are differences in anticipatory grief among middle-aged and young adults with advanced cancer based on varying levels of family care,degree of fear of disease progression,gender,and educational background.Clinical nursing staff should strengthen the assessment of anticipatory grief levels in such patients,develop and implement targeted intervention plans and strategies,and provide comprehensive support and education.This will help reduce their anticipatory grief levels and improve the patients'psychological well-being.
Young and middle-aged peopleCancerAnticipatory griefInfluencing factors