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Death anxiety among advanced cancer patients: a cross-sectional survey
PURPOSE: This study aimed to investigate death anxiety in advanced cancer patients and identify associated factors in the context of Chinese culture. METHODS: Participants (N = 270) with advanced cancer in a tertiary cancer hospital completed anonymous questionnaire surveys. Measures included the Ch...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8752389/ https://www.ncbi.nlm.nih.gov/pubmed/35018522 http://dx.doi.org/10.1007/s00520-022-06795-z |
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author | Hong, Yang Yuhan, Lu Youhui, Gu Zhanying, Wang Shili, Zheng Xiaoting, Hou Wenhua, Yu |
author_facet | Hong, Yang Yuhan, Lu Youhui, Gu Zhanying, Wang Shili, Zheng Xiaoting, Hou Wenhua, Yu |
author_sort | Hong, Yang |
collection | PubMed |
description | PURPOSE: This study aimed to investigate death anxiety in advanced cancer patients and identify associated factors in the context of Chinese culture. METHODS: Participants (N = 270) with advanced cancer in a tertiary cancer hospital completed anonymous questionnaire surveys. Measures included the Chinese version of a Likert-type Templer-Death Anxiety Scale, Rosenberg’s Self-esteem Scale, Medical Coping Modes Questionnaire, the Social Support Rating Scale, and Connor-Davidson Resilience Scale. Data were analyzed in SPSS using descriptive statistics, Student’s t test, Pearson correlation test, and linear regression. RESULTS: Respondents returned 252 (93.33%) of the 270 questionnaires. The total CL-TDAS score was 39.56 ± 10.20. The top three items were “I fear dying a painful death” (3.59 ± 1.41), “I often think about how shortly life really is” (3.11 ± 1.33), and “1 am not particularly afraid of getting cancer” (3.09 ± 1.35). Associated factors of death anxiety (R(2) = .333, F = 15.756, p < .001) were the medical coping mode (resignation, confronce), self-esteem, the participants’ adult children, the patient-primary caregivers’ relationship, resilience, and the level of activity of daily living. CONCLUSIONS: Our results demonstrate high levels of death anxiety in advanced cancer patients. Generally, patients with adult children, high self-esteem and resilience had low death anxiety. Conversely, patients with low levels of activity of daily living and high coping mode (resignation, confrontation) reported high death anxiety. We determined that associated factors contributed to reduce death anxiety. Social interventions are recommended to improve the end-of-life transition for patients and caregivers. |
format | Online Article Text |
id | pubmed-8752389 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-87523892022-01-12 Death anxiety among advanced cancer patients: a cross-sectional survey Hong, Yang Yuhan, Lu Youhui, Gu Zhanying, Wang Shili, Zheng Xiaoting, Hou Wenhua, Yu Support Care Cancer Original Article PURPOSE: This study aimed to investigate death anxiety in advanced cancer patients and identify associated factors in the context of Chinese culture. METHODS: Participants (N = 270) with advanced cancer in a tertiary cancer hospital completed anonymous questionnaire surveys. Measures included the Chinese version of a Likert-type Templer-Death Anxiety Scale, Rosenberg’s Self-esteem Scale, Medical Coping Modes Questionnaire, the Social Support Rating Scale, and Connor-Davidson Resilience Scale. Data were analyzed in SPSS using descriptive statistics, Student’s t test, Pearson correlation test, and linear regression. RESULTS: Respondents returned 252 (93.33%) of the 270 questionnaires. The total CL-TDAS score was 39.56 ± 10.20. The top three items were “I fear dying a painful death” (3.59 ± 1.41), “I often think about how shortly life really is” (3.11 ± 1.33), and “1 am not particularly afraid of getting cancer” (3.09 ± 1.35). Associated factors of death anxiety (R(2) = .333, F = 15.756, p < .001) were the medical coping mode (resignation, confronce), self-esteem, the participants’ adult children, the patient-primary caregivers’ relationship, resilience, and the level of activity of daily living. CONCLUSIONS: Our results demonstrate high levels of death anxiety in advanced cancer patients. Generally, patients with adult children, high self-esteem and resilience had low death anxiety. Conversely, patients with low levels of activity of daily living and high coping mode (resignation, confrontation) reported high death anxiety. We determined that associated factors contributed to reduce death anxiety. Social interventions are recommended to improve the end-of-life transition for patients and caregivers. Springer Berlin Heidelberg 2022-01-12 2022 /pmc/articles/PMC8752389/ /pubmed/35018522 http://dx.doi.org/10.1007/s00520-022-06795-z Text en © The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2022 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic. |
spellingShingle | Original Article Hong, Yang Yuhan, Lu Youhui, Gu Zhanying, Wang Shili, Zheng Xiaoting, Hou Wenhua, Yu Death anxiety among advanced cancer patients: a cross-sectional survey |
title | Death anxiety among advanced cancer patients: a cross-sectional survey |
title_full | Death anxiety among advanced cancer patients: a cross-sectional survey |
title_fullStr | Death anxiety among advanced cancer patients: a cross-sectional survey |
title_full_unstemmed | Death anxiety among advanced cancer patients: a cross-sectional survey |
title_short | Death anxiety among advanced cancer patients: a cross-sectional survey |
title_sort | death anxiety among advanced cancer patients: a cross-sectional survey |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8752389/ https://www.ncbi.nlm.nih.gov/pubmed/35018522 http://dx.doi.org/10.1007/s00520-022-06795-z |
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