The current mixed methods study investigated what changes in quality of life (QOL) mean to older adults with complicated grief treated with Accelerated Resolution Therapy (ART) post-hospice services. An informational matrix, which included select patient characteristics (e.g., number of comorbidities, single versus multiple deaths, relationship role), four identified qualitative themes, end of study QOL scores measured by the Centers for Disease Control and Prevention Health-Related QOL Healthy Days Module, and changes in scores from baseline to end of study, was created to analyze the data. Results showed that although a history of multiple deaths may contribute to greater improvements in QOL with therapy, having at least one comorbidity resulted in a richer description and endorsement of QOL in response to treatment. This is the first longitudinal, randomized controlled trial using a mixed methods approach to examine QOL of hospice family caregivers with complicated grief who are receiving ART. This study identifies potential links of QOL and caregiver characteristics, providing nurses with foundational knowledge for assessment, care, and further research on the experiences of complicated grief. [Journal of Gerontological Nursing, 48(5), 19–26.]

目前的混合方法研究调查了生活质量 (QOL) 的变化对接受加速解决治疗 (ART) 临终关怀服务的复杂悲伤的老年人意味着什么。一个信息矩阵，其中包括选定的患者特征（例如，合并症的数量、单人死亡与多人死亡、关系角色）、四个确定的定性主题、由疾病控制和预防中心健康相关的 QOL 健康日测量的研究结束 QOL 分数创建模块以及从基线到研究结束的分数变化来分析数据。结果表明，尽管多次死亡的病史可能有助于通过治疗更好地改善生活质量，但至少有一种合并症会导致对治疗反应生活质量的更丰富的描述和认可。这是第一个使用混合方法检查接受 ART 的患有复杂悲伤的临终关怀家庭护理人员的生活质量的纵向随机对照试验。本研究确定了生活质量和照顾者特征的潜在联系，为护士提供了评估、护理和进一步研究复杂悲伤经历的基础知识。[老年护理杂志，48（5），19-26。]