Objective To explore the influence of family function and personal characteristics on death anxiety in patients with advanced cancer,providing reference for finding methods and approaches to alleviate death anxiety in advanced cancer patients.Methods From March to June 2023,convenience sampling was used to select 182 advanced cancer patients admitted to the Cancer Center of the Fifth Affiliated Hospital of Sun Yat-sen University.The Chinese Version of Death and Dying Distress Scale and Family APGAR Index were used to investigate patients'death anxiety and family function.The Numerical Rating Scale and Kamofsky Performance Status were used to assess patients'pain and performance status.Single factor analysis and multiple linear regression were used to analyze the influencing factors of death anxiety in advanced cancer patients.Results A total of 182 questionnaires were distributed,and 165 valid questionnaires were collected,with a valid response rate of 90.7％.The death anxiety score of advanced cancer patients was(22.52±15.27),and 10.3％(17/165)of patients had moderate or above death anxiety.The patients'total family function score was(8.62±1.97),and 86.7％(143/165)patients self-reported good family function.The death anxiety score was negatively correlated with the family function score(P＜0.05).Multiple linear regression analysis showed that Kamofsky Performance Status score,pre-illness employment,family function,place of residence,and pain score were the influencing factors of death anxiety in advanced cancer patients,and the differences were statistically significant(R2=0.196,P＜0.01).Conclusions The advanced cancer patients have low levels of death anxiety in our study.Advanced cancer patients with moderate family dysfunction,living in rural areas,working before illness,and high pain scores have high levels of death anxiety,while patients with good performance status have low levels of death anxiety.It is recommended that clinical workers strengthen the assessment of death anxiety and family function in patients with advanced cancer,take timely and effective measures based on influencing factors,and help alleviate death anxiety in patients with advanced cancer.
维普
万方数据