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Managing Anticipatory Grief in Family and Partners: A Systematic Review and Qualitative Meta-Synthesis
The Family Journal Pub Date : 2021-04-26 , DOI: 10.1177/10664807211000715
Umair Majid 1 , Adedoja Akande 2
Affiliation  

Almost every person is affected by grief at some point during their lifetime. However, the majority of grief research has focused on the experiences and perspectives of individuals after loss. Grief can be expected or unexpected depending on the nature of loved one’s death. Like postdeath grief, individuals who expect the impending loss of a loved one may feel uncertainty, fear, and sadness, which can lead to a number of adverse outcomes on their health. Some research labels the predeath experience as anticipatory grief (AG). In this qualitative systematic review, we analyze 13 studies to examine how caregivers of terminally ill patients experience AG. First, we identify the four stages of AG: time of diagnosis, transition to hospice care, nearing death, and the moment of death. We highlight the characteristics of each stage and the coping mechanisms that family used to navigate them. Second, we discuss how AG influences family and partner roles and responsibilities. We also examine the interplay between caregiving motivations and activities, and the four stages of AG. We consider the relationship between AG, caregiving, and postdeath adjustment, including physical and mental health outcomes.



中文翻译:

管理家庭和伴侣中的预期悲伤:系统评价和定性元综合

几乎每个人在其一生中的某个时候都会受到悲伤的影响。然而,大多数悲痛的研究都集中在失去后的个人的经历和观点上。悲伤可能是预期的还是意外的,具体取决于所爱之人的死亡性质。就像死后的悲痛一样,期望亲人即将丧生的人可能会感到不确定,恐惧和悲伤,这可能会导致许多不利于健康的结果。一些研究将死前经历标记为预期悲伤(AG)。在这项定性的系统评价中,我们分析了13项研究,以检查绝症患者的护理人员如何体验AG。首先,我们确定了AG的四个阶段:诊断时间,临终关怀过渡,接近死亡和死亡时刻。我们重点介绍了每个阶段的特征以及家庭用来应对它们的应对机制。其次,我们讨论股份公司如何影响家庭和伴侣的角色和责任。我们还研究了护理动机和活动与AG的四个阶段之间的相互作用。我们考虑了AG,护理和死亡后调整之间的关系,包括身体和心理健康状况。

更新日期:2021-04-26
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