关键词: 消化系统恶性肿瘤, 预期性悲伤, 现状调查, 影响因素

Abstract: Objective: To investigate the anticipatory grief status of the main caregivers of patients with malignant digestive system tumors and analyze its influencing factors, so as to provide reference for improving the physical and mental health of the main caregivers. Methods: 215 primary caregivers for hospitalized patients with malignant tumors of digestive system from April 2018 to April 2019 in a tertiary hospital were selected as the study subjects. The current situation was investigated with general information questionnaire, Hamilton anxiety/depression scale and expected sadness scale(AGS), and the impact of anticipatory grief was analyzed. Results: The anticipatory grief score of main caregivers of patients with digestive system malignant tumors was 87.35±7.41, which was on the upper middle level, with the highest score（4.08±0.55） in sense dimension of loss and the lowest score（2.21±0.65） in ability dimension of accomplishing tasks. The results of multiple linear regression showed that anxiety, gender, willingness to care, relationship with patients and course of illness were the main factors influencing the expected grief of the main caregivers (P<0.05). Conclusion: The main caregivers of patients with digestive system malignant tumors have obvious anticipated grief. Medical workers should intervene as early as possible according to individual conditions to improve the physical and mental health of caregivers, thus improving the quality of care for patients with digestive system malignant tumors.

Key words: Malignant tumors of digestive system, Anticipatory grief, Current situation survey, Influencing factors