Zhang Xi, Zeng Tieying, Zhao Meizhen, Su Yisui, Liu Xiaohong, Chen Ye
Department of Nursing, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
School of Nursing, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
J Adv Nurs. 2024 Dec 8. doi: 10.1111/jan.16669.
Death preparedness in patients with advanced cancer is an important prerequisite for improving the quality of death. However, there are insufficient studies on death preparedness in patients with advanced cancer, and the level of death preparedness needs to be further improved.
To develop a model of death preparedness in patients with advanced cancer.
A qualitative approach with grounded theory was used. Data were collected between February 2024 and July 2024 in the oncology wards of the two general hospitals in Wuhan. We recruited 12 patients, 11 family members, 16 nurses and 4 doctors for semistructured interviews. Data analysis included open coding, axial coding and selective coding. The study is reported using the COREQ checklist.
Death preparedness in patients with advanced cancer is a spiralling process whose core components include death awareness, emotional response, hospice programme and reflexive care, and multiple personal, interpersonal and social factors influence it.
A model of death preparedness in advanced cancer patients was constructed through rooted theory, revealing its formation and change process. This model deepens the understanding of death preparedness and helps healthcare providers identify patients' preparedness status in advance to provide more targeted support and care. This personalised care enhances patients' quality of life and reduces the psychological burden on them and their families, achieving more comprehensive and humanised end-of-life care.
To better understand patients' death preparedness, healthcare providers should focus on patients' cognitive, emotional, behavioural and social needs in the process of death preparation from a multifactorial perspective, and provide targeted support and assistance. No Patient or Public Contributions were included in this paper.
晚期癌症患者的死亡准备是提高死亡质量的重要前提。然而，关于晚期癌症患者死亡准备的研究不足，死亡准备水平有待进一步提高。
构建晚期癌症患者死亡准备模型。
采用扎根理论的质性研究方法。于2024年2月至2024年7月在武汉两家综合医院的肿瘤科病房收集数据。我们招募了12名患者、11名家属、16名护士和4名医生进行半结构式访谈。数据分析包括开放编码、主轴编码和选择编码。本研究使用COREQ清单进行报告。
晚期癌症患者的死亡准备是一个螺旋式过程，其核心要素包括死亡意识、情绪反应、临终关怀计划和反思性护理，并且受到多种个人、人际和社会因素的影响。
通过扎根理论构建了晚期癌症患者死亡准备模型，揭示了其形成和变化过程。该模型加深了对死亡准备的理解，有助于医护人员提前识别患者的准备状态，以提供更有针对性的支持和护理。这种个性化护理提高了患者的生活质量，减轻了患者及其家属的心理负担，实现了更全面、人性化的临终关怀。
为了更好地理解患者的死亡准备情况，医护人员应从多因素角度关注患者在死亡准备过程中的认知、情感、行为和社会需求，并提供有针对性的支持和帮助。本文未纳入患者或公众的贡献。
