[Concept analysis of preparatory grief in terminal cancer patients].
OBJECTIVE
The purpose of this study was to conceptualize and clarify a concept of "preparatory grief" in terminal cancer patients.


METHODS
A hybrid model of concept development was applied to develop a concept of preparatory grief, which included a field study carried out in Busan, Korea. Participants of this study were 8 cancer patients.


RESULTS
On the basis of our literature, research and clinical experience, the concept of preparatory grief emerged as a complex phenomenon playing an important role in five areas; physical, emotional, interpersonal, religious, and transcendental dimensions. Two new attributes were defined through a field phase; trust of the post-mortal world and a serene state of mind. Indicators reflected attitudes of sadness, worry, regret, capability to adapt and hope. The results of preparatory grief were loss of energy and interest, emotional chaos, contemplation, taciturnity and restoration.


CONCLUSIONS
Differentiating among preparatory grief and other symptoms in cancer patients is essential because of therapeutic implications. Understanding preparatory grief is necessary in order to manage cancer patients for promoting quality of life so that its application may have a positive impact on the patient's life.
Park
Hyoung-Sook
HS
College of Nursing, Pusan National University.
Kim
Myoung-Soo
MS
Jung
Jung-Sim
JS
Choi
Nam-Yeoun
NY
Yu
Sung-Mi
SM
Kim
Young-Soon
YS
Ko
Young-Hee
YH
D000223:Adaptation, Psychological; D000368:Aged; D003210:Concept Formation; D003376:Counseling / Q000379:methods*; D005260:Female; D006117:Grief; D006801:Humans; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D009369:Neoplasms / Q000451:nursing / Q000523:psychology*; D011788:Quality of Life; D013727:Terminal Care