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J Fam Nurs. 2021 May;27(2):114-123. doi: 10.1177/1074840721994332. Epub 2021 Mar 31.

Long-Term Effect of Receiving a Family Strengths-Oriented Intervention on Family Cancer Caregiver Stress, Anxiety, and Depression Symptoms: A Longitudinal Quasi-Experimental Study.

Journal of family nursing

Asta B Petursdottir, Mary Kay Rayens, Valgerdur Sigurdardottir, Erla Kolbrun Svavarsdottir

Affiliations

  1. School of Health Sciences, Faculty of Nursing, University of Iceland, Reykjavík, Iceland.
  2. Landspitali The National University Hospital, Reykjavík, Iceland.
  3. University of Kentucky, Lexington, USA.

PMID: 33787415 DOI: 10.1177/1074840721994332

Abstract

The aim of this longitudinal study was to evaluate the long-term effects of providing a therapeutic conversation intervention, based on Family Systems Nursing, to family caregivers of a close relative with advanced cancer over the period before and during bereavement. To prevent adverse outcomes, caregivers need ongoing support that begins pre-loss and extends into the post-loss period. This study employed a one-group pre-test, post-test quasi-experimental design. Twenty-four caregivers participated in two intervention trials conducted over a 42-month period, receiving two intervention sessions pre-loss (Trial 1) and one intervention session post-loss (Trial 2). Significant decreases in anxiety and stress were noted over the three post-loss assessments. The final post-loss stress outcome was significantly lower than the first pre-loss score. For the depression score, there was not a significant change over time within the pre- or post-loss period. The findings provide evidence of decreasing anxiety and stress following the implementation of an extended family nursing intervention for bereaved family caregivers.

Keywords: Family Systems Nursing; advanced cancer; bereavement; family caregiver; longitudinal research; palliative care

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