Michigan State University College of Nursing, East Lansing, Michigan, USA.
University of Michigan School of Nursing, Ann Arbor, Michigan, USA.
Death Stud. 2010 Nov-Dec;34(10):931-46. doi: 10.1080/07481181003765477.
Confronting the reality of death is an important challenge for individuals facing life-threatening illness such as lung cancer, the leading cause of cancer death. Few studies, however, document the nature of death-related concerns in individuals newly diagnosed with lung cancer. The aims of this exploratory study were to examine unsolicited death-related concerns among newly diagnosed individuals, and to determine if age, gender, marital status, stage of disease, type of treatment, presence of comorbid conditions, and veteran status were related to extent of death concerns. A mixed-method approach was used to examine death concerns in 73 individuals newly diagnosed with non-small cell lung cancer. Seven categories related to death were identified: psychological preparation, time left, impact, behavioral preparation, acceptance, cancer death experiences, and post-death. Stage of disease and veteran status were factors that were related to increased numbers of death-related content. Findings demonstrate that death concerns are varied, primarily negative, and are relevant to the person facing a new lung cancer diagnosis, thus highlighting the importance for health care providers to assess, discuss, and listen for death concerns in the acute care setting.
直面死亡的现实是那些身患绝症（如肺癌，癌症死亡的主要原因）的个体所面临的重要挑战。然而，鲜有研究记录了那些新被诊断为肺癌的个体的与死亡相关的关注点的本质。本探索性研究的目的在于检验新诊断出的肺癌个体的未被征询的与死亡相关的关注点，以及确定年龄、性别、婚姻状况、疾病分期、治疗类型、合并症的存在和退伍军人身份是否与死亡关注点的程度相关。采用混合方法研究了 73 名新诊断为非小细胞肺癌的个体的死亡关注点。确定了与死亡相关的七个类别：心理准备、剩余时间、影响、行为准备、接受、癌症死亡经历和死后。疾病分期和退伍军人身份是与更多与死亡相关的内容相关的因素。研究结果表明，死亡关注点是多样的，主要是负面的，并且与面临新的肺癌诊断的个体相关，从而强调了医疗保健提供者在急性护理环境中评估、讨论和关注死亡关注点的重要性。
