Analysis On The Formation Mechanism And Social Work Intervention Path Of Anticipatory Grief Among Primary Family Caregivers Of Terminal Cancer Patients

In recent years,the incidence and mortality of cancer have gradually increased,and terminal cancer patients have inevitably become the dying subjects.During the caring of cancer patients,anticipatory grief is a complex care experience that is easily encountered by the primary family caregiver of the patient.It can easily cause serious damage to the caregiver’s quality of life,care quality,and patient care experience,and it may also be bereavement.Period of grief and poor adjustment have laid the roots of curse,and its negative consequences cannot be ignored.The current situation of expected grief of cancer caregivers,what is the mechanism behind the experience,and how to intervene from the perspective of social work are worthy of deep consideration.This article started from the perspective of social work and mainly relied on the "stress coping theory" to construct an analysis framework.It selected 15 primary family caregivers of terminal cancer patients in a community health service center in Shanghai as the research objects,aiming to explore the group’s the formation mechanism of anticipatory grief and the way of social work intervention.Firstly,based on the survey results of the Anticipatory Grief Scale,with daily non-participatory observations to explore the current status of anticipatory grief among caregivers of cancer patients.The study found that there are significant differences in the anticipatory grief levels of the caregivers interviewed,which are manifested in physical symptoms,emotional experience,social life,and daily behavior.Overall,there is a certain division in the anticipatory grief of the caregivers.Based on this,this article chose to divide the interviewed caregivers into high and low scores,and successively selected semi-structured interviews to explore their care landscape,and further analyzed the specific formation behind the differential anticipatory grief experience among cancer caregivers,and extracted relevant theoretical analysis models from it.This model mainly includes: major stressors that easily induce anticipatory grief during care,the caregiver’s cognitive evaluation of these stressors,self-coping ability and coping resources,as well as subsequent specific coping methods and strategies.Among them,starting from the event that a loved one was diagnosed as terminal cancer,cancer caregivers go through a complex stressor-cognition-coping process,during which the caregiver’s cognitive evaluation of stressors,the evaluation of their own coping ability and coping resources influence and interact with each other,and jointly influence the coping styles and strategies that the caregiver chooses in the future,and ultimately determine whether they will experience severe anticipatory grief experience.Based on the above research results,this article attempts to explore the intervention path of medical social work from the three dimensions of micro,meso,and macro,which can be used to prevent or alleviate the anticipatory grief of the primary family caregivers of terminal cancer patients and assist them to achieve a relatively good state of grief adjustment.