关键词: 肝癌, 死亡焦虑, 影响因素分析, 肿瘤护理

Abstract:

Objective To understand the current status of death anxiety in patients with primary liver cancer and analyze its influencing factors，so as to provide basis for developing individualized psychological guidance and intervention measures. Methods A convenient sampling method was used to select 302 patients with primary liver cancer who were hospitalized in a tertiary hospital in Jiangsu Province from March to November 2022. The General Demographic Information Questionnaire，the Templer’s Death Anxiety Scale（T-DAS），the State-Trait Anxiety Inventory（STAI），the Rosenberg Self-esteem Scale（SES） and the Self-perceived Burden Scale（SPBS） were used to conduct questionnaire survey during hospitalization. Single factor analysis and multiple linear regression analysis were applied to analyze the factors influencing the death anxiety in patients with primary liver cancer. Results A total of 298 patients with primary liver cancer were included in the study. The effective recovery rate was 98.68%. The total score of the F-DAS was（7.10±3.43） points；56.38% of the patients had high death anxiety. Multiple linear regression analysis results showed that the factors influencing the death anxiety in patients with primary liver cancer included gender，China liver cancer staging，duration of diagnosis，self-esteem，trait anxiety and self-perceived burden. A total of 49.00% of the variation in death anxiety was explained. Conclusion The death anxiety of patients with primary liver cancer is at a high level. It is suggested that medical staff should pay more attention to female patients with China liver cancer staging IV，diagnosis time﹥3 months and low self-esteem，high levels of trait-anxiety and self-perceived burden，in order to develop personalized intervention measures，carry out psychological counseling and emotional support to relieve patients’ death anxiety.

Key words: Primary Liver Cancer, Death Anxiety, Root Cause Analysis, Oncologic Nursing