Analysis On Status And Influencing Factors Of Death Anxiety In Patients With Malignant Tumor

ObjectivesTo make an investigation about death anxiety and its effect factors among malignant tumor patients, and providing evidence for intervention measures of death anxiety; To probe the relationship between death anxiety and self-esteem and quality of life among malignant tumor patients.MethodsUsing convenient sampling method enrolled 835 malignant tumor patients, the selection during October 2014 to July 2015 in a hospital in Anhui province. Guiding fill in general situation questionnaire, T-DAS, SES and EORTC QLQ-C30. The main point includes the influence factors of death anxiety, the correlation analysis of death anxiety, self-esteem and quality of life.Results1.835 effective questionnaires were collected. In all respondents,431 of 835 (51.6%) were female.686 of 835(82.2%) were married cases, single cases 9(1.1%), divorced or widowed cases 140 (16.8%). The minimum age 19 years old, biggest 89 years old, proportion of 60-74 years old up to 325 people(38.9%); Among the investigation objects, primary school background and below 423 patients (50.7%), professional distribution, farmers 492 cases (58.9%); Economic situation, family per capita income in 1000-1000 yuan RMB per month, most in 358 patients (42.9%); Patients with new type of rural cooperative medical and the highest percentage of 441 cases (52.8%).2.The average score of death anxiety level of malignant tumor patients was 6.99±3.20; Death anxiety scale three entries, with the highest scores were relegated to dimension the pressure and pain, respectively is:item 5, I’m not afraid of death; Item 6, I’m not afraid of cancer; Item 9,1 am afraid of painful death.3. Marital status, religious beliefs, and gender have a significant influence on the death anxiety.4. Patients with death anxiety level and each dimension score have a negatively correlation with self-esteem.5. The score from high to low of quality of life among malignant tumor patients followed by:CF, EF, PF, RF, SF. Tip:the higher the score, the better function. Symptoms domain score from high to low in turn is:FA, PN, NV, and a single entry in the field of scoring from high to low scores in the order:FI, AP, SL, CO, OY, DI, the higher the score showed the more obvious symptoms.6. Among malignant tumor patients, the level of death anxiety was negative correlation with CF,EF,SF and GH; has positive correlation with NV,FA,SL,AP and CO, and negatively correlated with OY.ConclusionsMalignant tumor patients have a high degree of death anxiety; The level of death anxiety associated with the self-esteem and quality of life; Religion, marital status, and gender is the main influence factors of patients with malignant tumor under death anxiety.