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Influential Factors of Complicated Grief of Bereaved Spouses from Cancer Patient
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So Myeong Kim, So Hi Kown
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J Korean Acad Nurs 2018;48(1):59-69. Published online January 15, 2018
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DOI: https://doi.org/10.4040/jkan.2018.48.1.59
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 Abstract
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- Abstract
Purpose
The purpose of this study was to investigate variables and construct paths that affect complicated grief.
Methods
Participants in this cross-sectional, descriptive study were 164 bereaved spouses of cancer patients at least 12 months before the death. Data were collected from October 2016 to February 2017 using self-report structured questionnaires and were analyzed using IBM SPSS 21.0 and AMOS 20.0.
Results
The variables affecting complicated grief of bereaved spouses of cancer patients were the quality of end-of-life care (g=.15, p<.001), preparedness for death (b=-.06, p=.005), and coping with bereavement (b=-.24, p<.001), whereas the quality of death and dying did not show any effects. Preparedness for death had multiple mediating effects in the relationship between the quality of end-of-life care and complicated grief (z=-2.20, p=.028), and in the relationship between the quality of end-of-life care and coping with bereavement (z=2.11, p=.035). Coping with bereavement had a mediating effect on the relationship between preparedness for death and complicated grief (z=-2.39, p=.017).
Conclusion
This study revealed that preparedness for death and coping with bereavement play a prominent role in complicated grief. Therefore, it is important to help in preparing for death and enhancing coping with bereavement of spouses providing end-of-life care to cancer patients. In addition, investigating cultural differences in the relationship between the quality of end-of-life care and complicated grief is recommended.
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Citations
Citations to this article as recorded by  - Hindi translation and validation of perinatal grief scale (short version): Assessing grief following stillbirth in bereaved mothers
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