Full
Outline
To explore the multiple influencing pathways of death anxiety and death attitude in patients with advanced lung cancer,so as to provide a reference for formulating precise death education strategies.
A cross-sectional survey design was adopted.A total of 164 patients with advanced lung cancer from a tertiary grade A cancer specialty hospital in Yunnan province were selected as the research subjects.General information questionnaires,the Chinese version of the Death Anxiety Scale(CT-DAS),and the Chinese version of the Death Attitude Profile-Revised(DAP-R) were used for the investigation.Data analysis was conducted using the fuzzy-set qualitative comparative analysis(fsQCA) method to identify the antecedent condition configurations leading to high levels of death anxiety,negative and positive death attitudes.
There were 6 configuration paths of death anxiety in patients with advanced lung cancer,presenting 5 different patterns,namely long-term isolation-communication deficiency type,high load-silence type,prognosis fear type,traumatic notification type,and spiritual struggle-silence negative type.Negative death attitudes had 8 configuration paths,presenting 5 different patterns,namely exhaustion silence type,early shock type,sudden high malignancy type,high malignancy load type,long-term aphasia type.Positive death attitudes had 6 configuration paths,presenting 4 different patterns,namely open communication type,long-term adaptation type,positive planning type,and focused on the present type.
The death anxiety and death attitudes of patients with advanced lung cancer are the result of multiple factors coupling.The multiple causal paths discovered in this study could provide a basis for formulating precise death education strategies based on the combination of patients' individual characteristics,and are of great significance for promoting the development of clinical death education.
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| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
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