Death Anxiety and Its Influencing Factors Among Family Caregivers of Cancer Patients: A Cross‐Sectional Study

IF 3.2 3区 医学 Q1 NURSING Journal of Clinical Nursing Pub Date : 2024-09-17 DOI:10.1111/jocn.17441
Xiaofang Xie, Lianzhen Chen, Yu Cheng, Jun‐e Zhang
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Abstract

BackgroundIn China, caregiving for cancer patients is primarily the responsibility of family members. This role often exposes family caregivers to the contemplation of mortality. Death anxiety among family caregivers may influence the care they offer to cancer patients.ObjectiveThis study aims to evaluate the prevailing level of death anxiety among Chinese family caregivers of cancer patients and identify its influencing factors.DesignThis cross‐sectional study followed the STROBE statement.MethodsA total of 220 family caregivers of cancer patients were recruited from a prominent tertiary hospital in southern China. The survey included a general information questionnaire, the Collett–Lester Fear of Death Scale, the Social Support Rating Scale and the Simple Coping Style Questionnaire. In addition to descriptive statistics, ANOVA, mean differences, correlations and regression analyses were computed.ResultsThe average score for death anxiety among family caregivers of cancer patients was 104.27 ± 21.02. Death anxiety was negatively correlated with a positive coping style and social support. Multiple linear regression analysis revealed that marital status, death education, patients' fear of death and coping style accounted for 41.0% of the variance in death anxiety among family caregivers.ConclusionsFamily caregivers of cancer patients experienced a moderate level of death anxiety. Individuals who were unmarried or divorced, lacked death education, had negative coping styles or cared for patients with fear of death tended to have high levels of death anxiety.Relevance to Clinical PracticeHealthcare providers should act as credible educators to reduce caregivers' death anxiety by imparting positive coping styles and accurate knowledge and values about death so caregivers can provide high‐quality care to patients.
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癌症患者家庭照顾者的死亡焦虑及其影响因素:一项横断面研究
背景在中国,照顾癌症患者主要是家庭成员的责任。这一角色常常使家庭照护者面临死亡的思考。本研究旨在评估中国癌症患者家庭照护者普遍存在的死亡焦虑水平,并确定其影响因素。方法从中国南方一家著名的三级甲等医院招募了 220 名癌症患者家庭照护者。调查内容包括一般信息问卷、Collett-Lester 死亡恐惧量表、社会支持评定量表和简单应对方式问卷。除描述性统计外,还进行了方差分析、均值差异分析、相关分析和回归分析。死亡焦虑与积极的应对方式和社会支持呈负相关。多元线性回归分析显示,婚姻状况、死亡教育、患者对死亡的恐惧和应对方式占家庭照顾者死亡焦虑差异的 41.0%。与临床实践的相关性医疗服务提供者应充当可信的教育者,通过传授积极的应对方式以及有关死亡的准确知识和价值观来减少护理人员的死亡焦虑,从而使护理人员能够为患者提供高质量的护理。
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来源期刊
CiteScore
6.40
自引率
2.40%
发文量
0
审稿时长
2 months
期刊介绍: The Journal of Clinical Nursing (JCN) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of nursing practice. The primary aim is to promote a high standard of clinically related scholarship which advances and supports the practice and discipline of nursing. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, JCN seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Emphasis is placed on promoting critical debate on the art and science of nursing practice. JCN is essential reading for anyone involved in nursing practice, whether clinicians, researchers, educators, managers, policy makers, or students. The development of clinical practice and the changing patterns of inter-professional working are also central to JCN''s scope of interest. Contributions are welcomed from other health professionals on issues that have a direct impact on nursing practice. We publish high quality papers from across the methodological spectrum that make an important and novel contribution to the field of clinical nursing (regardless of where care is provided), and which demonstrate clinical application and international relevance.
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