A longitudinal survey of death anxiety in patients with newly diagnosed cancer
10.3969/j.issn.1000-6729.2023.12.009
- VernacularTitle:初诊癌症患者死亡焦虑的纵向研究
- Author:
Furong CHEN
1
,
2
;
Yongyi CHEN
;
Xiangyu LIU
;
Zhirui XIAO
;
Xianghua XU
Author Information
1. 中南大学湘雅医学院附属肿瘤医院/湖南省肿瘤医院,长沙 410013
2. 南华大学护理学院,湖南衡阳 412009
- Keywords:
patients with cancer;
death anxiety;
longitudinal studies
- From:
Chinese Mental Health Journal
2023;37(12):1052-1058
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the level of death anxiety and its related factors in patients with newly diagnosed cancer at different stages.Methods:A total of 266 cancer patients in a tertiary oncology hospital were se-lected and investigated at admission(Tl),discharge(T2),and 1 month after discharge(T3).They were assessed with the self-compiled general information questionnaire,Templer's Death Anxiety Scale(T-DAS),Acceptance and Action Questionnaire Second Edition(AAQ-Ⅱ.),and the Chinese version of the Meaning in Life Questionnaire(C-MLQ).The Kruskal-Wallis H test and generalized estimating equation were used to analyze the level of death anxi-ety and its influencing factors in cancer patients at different time points.Results:The Kruskal-Wallis H test showed that the total T-DAS scores and the difference in the scores of the four dimensions were statistically significant at three time points(Ps＜0.01),with the highest T1 score and the lowest T3 score.The results of generalized estima-ting equation showed that male gender(β=1.25),junior high school education(β=2.59),worker(β=1.46),farmer(β=1.67),respiratory(β=1.74),digestive system tumor(β=2.51),and AAQ-Ⅱ score(β=0.23)posi-tively predicted death anxiety in patients with cancer.Head and neck(β=-1.73),breast tumors(β=-1.84),stage Ⅰ(β=-2.58)and stage Ⅱ tumors(β=-2.11),and C-MLQ score(β=-0.15)negatively predicted death anxiety in patients with cancer.Conclusion:Death anxiety in patients with newly diagnosed cancer is highest on ad-mission and gradually relieves after discharge.
