Li Yuanyuan, Dong Wanglin, Tang Haishan, Guo Xiajun, Wu Sijia, Lu Guangli, Li Xia, Chen Chaoran
Institute of Nursing and Health, School of Nursing and Health, Henan University, Kaifeng, China.
Institute of Business Administration, School of Business, Henan University, Kaifeng, China.
J Clin Nurs. 2024 May;33(5):1933-1947. doi: 10.1111/jocn.17021. Epub 2024 Jan 29.
A systematic review and meta-analysis was performed to identify the factors related to cancer death anxiety based on available evidence.
This systematic review and meta-analysis followed the PRISMA 2020 guidelines.
Seven databases were searched to identify studies on the relationships of cancer death anxiety with demographic characteristics, disease factors and psychosocial factors from inception to May 2023. The Agency for Medical Research and Quality (AHRQ) scale was used to evaluate the quality of the included studies. After two researchers independently completed the literature search, data extraction and quality evaluation, meta-analysis was conducted by using RevMan5.3 and Stata 17.0 software.
In total, 52 studies were included in this review. The results revealed that there were positive correlations of death anxiety with female sex, the symptom burden, anxiety levels, depression levels, fear of recurrence, attachment avoidance, psychological distress, resignation and confrontation coping. Death anxiety was negatively correlated with age, education level, ability to perform daily activities, self-esteem, spiritual well-being, sense of meaning in life, resilience, quality of life, social support and religious beliefs.
Our results can inform the design of interventions to address death anxiety and improve the overall quality of life of cancer patients. Healthcare professionals should promptly identify and focus on death anxiety in high-risk populations of cancer patients.
Cancer patients commonly experience death anxiety, and this anxiety has a nonnegligible impact on patients' mental health and overall quality of life. This study can inform the development of interventions by clinical healthcare professionals.
This was a meta-analysis based on data from previous studies.
基于现有证据进行系统评价和荟萃分析，以确定与癌症死亡焦虑相关的因素。
本系统评价和荟萃分析遵循PRISMA 2020指南。
检索了七个数据库，以确定从开始到2023年5月关于癌症死亡焦虑与人口统计学特征、疾病因素和心理社会因素之间关系的研究。使用医学研究与质量机构（AHRQ）量表评估纳入研究的质量。在两名研究人员独立完成文献检索、数据提取和质量评估后，使用RevMan5.3和Stata 17.0软件进行荟萃分析。
本评价共纳入52项研究。结果显示，死亡焦虑与女性性别、症状负担、焦虑水平、抑郁水平、复发恐惧、回避依恋、心理困扰、听天由命和对抗应对呈正相关。死亡焦虑与年龄、教育水平、日常生活活动能力、自尊、精神幸福感、生活意义感、心理韧性、生活质量、社会支持和宗教信仰呈负相关。
我们的结果可为应对死亡焦虑的干预措施设计提供参考，以提高癌症患者的整体生活质量。医疗保健专业人员应及时识别并关注癌症患者高危人群中的死亡焦虑。
癌症患者普遍存在死亡焦虑，这种焦虑对患者的心理健康和整体生活质量有不可忽视的影响。本研究可为临床医疗保健专业人员制定干预措施提供参考。
这是一项基于既往研究数据的荟萃分析。
