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目的:调查髋臼骨折老年患者主要照顾者预期性悲伤的现况，探讨其影响因素。方法:采用便利抽样法，选择2018年1月—2019年12月在杭州市富阳区第一人民医院进行手术治疗并出院回家的168例髋臼骨折老年患者的主要照顾者为研究对象，运用一般资料调查表、家庭疾病负担量表和预期性悲伤量表为工具进行调查。结果:髋臼骨折老年患者主要照顾者预期性悲伤的得分为（69.61±6.35）分；多重线性回归分析结果显示，髋臼骨折老年患者主要照顾者的年龄、与患者关系、照顾时间及家庭疾病负担程度是其预期性悲伤的主要影响因素（n P<0.05）。n 结论:髋臼骨折老年患者的主要照顾者存在中度水平的预期性悲伤，医护人员关注患者心理问题的同时，应将照顾者也列入心理护理的对象范畴，并积极探讨有效的护理措施，以促进照顾者的身心健康。“,”Objective:To investigate the present situation of anticipatory grief of main caregivers of elderly patients with acetabular fractures and to explore its influencing factors.Methods:Using the convenient sampling method, a total of 168 main caregivers of elderly patients with acetabular fractures who underwent surgical treatment in the First People's Hospital of Fuyang District in Hangzhou and were discharged from the hospital from January 2018 to December 2019 were selected as research objects. General information questionnaire, Family Disease Burden Scale and Anticipatory Grief Scale were used to investigate.Results:The score of Anticipatory Grief Scale of primary caregivers for elderly patients with acetabular fractures was (69.61±6.35) . The results of multiple regression analysis showed that the age of the main caregivers of elderly patients with acetabular fractures, the relationship with the patients, the time of care and the degree of family disease burden were the main influencing factors of anticipatory grief (n P<0.05) .n Conclusions:The main caregivers of elderly patients with acetabular fractures have a moderate level of anticipatory grief. While paying attention to the psychological problems of patients, medical staff should also include caregivers in the object category of psychological care and actively explore effective nursing measures to promote the physical and mental health of caregivers.