Nezami Nasrin, Dashti Forouzandeh, Alilu Leyla, Heidari Shiva
Department of Medical Surgical Nursing, Faculty of Nursing and Midwifery, Islamic Azad University, Isfahan (Khorasgan) Branch, Isfahan, Iran.
Department of Midwifery, Faculty of Nursing and Midwifery, Islamic Azad University, Isfahan (Khorasgan) Branch, Isfahan, Iran.
J Educ Health Promot. 2020 Oct 30;9:263. doi: 10.4103/jehp.jehp_287_20. eCollection 2020.
Death anxiety is one of the most common problems among women with cancer, which can affect the useful treatment process. With regard to the superior role of spiritual well-being over other aspects of health, the present study is aimed to compare the relationship between spiritual well-being and death anxiety among women with breast and cervical cancers and women with gastric and colorectal cancers.
This was a descriptive-correlational study. Research statistical population included Iranian women with cancer at major hospitals in Isfahan, Iran. 160 research samples were selected through convenience sampling method based on inclusion criteria using a demographic questionnaire, spiritual well-being scale (Paloutzian .) and death anxiety scale (Templer). Research data were analyzed through SPSS 22 using independent -test, Pearson's correlation, and analysis of variance at significance level 0.05.
The study findings indicated a significant inverse relationship between death anxiety and spiritual well-being (at 0.05) in both groups. As a result, people with higher spiritual well-being would experience less anxiety about death. In addition, the relationship between death anxiety and spiritual well-being in women with gastric and colorectal cancers was stronger than those with breast and cervical cancers.
Spiritual well-being is of effective factors of death anxiety among women suffering from cancer. Spirituality and meeting spiritual needs are considered as nursing care priorities for these women. Furthermore, paying attention to the spirituality by nurses may shield against individual difficulties.
死亡焦虑是癌症女性患者中最常见的问题之一，它会影响有效的治疗过程。鉴于精神健康在健康的其他方面具有优越作用，本研究旨在比较乳腺癌和宫颈癌女性患者与胃癌和结直肠癌女性患者的精神健康与死亡焦虑之间的关系。
这是一项描述性相关性研究。研究的统计总体包括伊朗伊斯法罕各大医院的癌症女性患者。通过便利抽样法，根据纳入标准，使用人口统计学问卷、精神健康量表（帕洛齐安……）和死亡焦虑量表（坦普勒）选取了160个研究样本。研究数据通过SPSS 22进行分析，采用独立样本t检验、皮尔逊相关性分析和方差分析，显著性水平为0.05。
研究结果表明，两组中死亡焦虑与精神健康之间均存在显著的负相关（p<0.05）。因此，精神健康水平较高的人对死亡的焦虑会更少。此外，胃癌和结直肠癌女性患者的死亡焦虑与精神健康之间的关系比乳腺癌和宫颈癌女性患者更强。
精神健康是癌症女性患者死亡焦虑的影响因素之一。精神性和满足精神需求被视为这些女性的护理重点。此外，护士关注精神性可能有助于避免个体困境。
