The Association Between Coping Styles, Meaning in Life, Death Preparedness of Advanced Cancer Patients

IF 3.5 2区医学 Q2 CLINICAL NEUROLOGY

Journal of pain and symptom management Pub Date : 2025-07-09 DOI:10.1016/j.jpainsymman.2025.07.001

Xi Zhang PhD , Jingxin Wang MSc , Mei Liu MSc , Feng Li BSn , Tieying Zeng PhD

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引用次数: 0

Abstract

Context

The current level of death preparedness in advanced cancer patients is low. However, death preparedness is an important prerequisite for quality of life and quality of death for these patients.

Objectives

This study aimed to explore the unique relationship between coping styles, meaning in life, and death preparedness in advanced cancer patients, and whether meaning in life mediates the relationship between coping styles and death preparedness.

Methods

A cross-sectional study design was used. A convenience sampling method was used to recruit 1100 advanced cancer patients from seven hospitals in Hubei and Anhui provinces, China. Data were collected using the medical coping modes questionnaire, the meaning in life questionnaire, and the death preparedness scale. Pearson's correlation was used to examine the relationship between coping styles, meaning in life, and death preparedness. Mediation analyses examined whether meaning in life mediated the relationship between coping styles and death preparedness.

Results

The coping style of confrontation and meaning in life are positively correlated with death preparedness. The coping style of avoidance is negatively correlated with death preparedness. Meaning in life plays a partial mediating role between the coping styles of confrontation, avoidance and death preparedness.

Conclusion

These findings provide new knowledge and perspectives to promote death preparedness in advanced cancer patients. Meaning in life played a partial mediating role between coping styles of confrontation, avoidance and death preparedness. Therefore, to improve patients’ death preparedness, taking effective measures to enhance patients’ meaning in life is particularly important.

查看原文本刊更多论文

晚期癌症患者的应对方式，生活意义，死亡准备之间的关系。

背景：目前晚期癌症患者的死亡准备水平较低。然而，死亡准备是这些患者生活质量和死亡质量的重要先决条件。目的：探讨晚期癌症患者应对方式、生活意义与死亡准备之间的独特关系，以及生活意义是否在应对方式与死亡准备之间起中介作用。方法：采用横断面研究设计。采用方便抽样的方法，从湖北省和安徽省的7家医院招募了1100名晚期癌症患者。采用医疗应对方式问卷、生活意义问卷和死亡准备量表收集数据。皮尔逊相关性被用来检验应对方式、生活意义和死亡准备之间的关系。中介分析考察了生活意义是否介导了应对方式和死亡准备之间的关系。结果：对抗应对方式、生活意义与死亡准备呈正相关。回避应对方式与死亡准备呈负相关。生活意义在对抗、回避和死亡准备的应对方式之间起部分中介作用。结论：本研究结果为促进晚期癌症患者的死亡准备提供了新的认识和视角。生活意义在对抗、回避和死亡准备的应对方式之间起部分中介作用。因此，要提高患者的死亡准备，采取有效措施增强患者的生命意义就显得尤为重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of pain and symptom management 医学-临床神经学

CiteScore

8.90

自引率

6.40%

发文量

821

审稿时长

26 days

期刊介绍： The Journal of Pain and Symptom Management is an internationally respected, peer-reviewed journal and serves an interdisciplinary audience of professionals by providing a forum for the publication of the latest clinical research and best practices related to the relief of illness burden among patients afflicted with serious or life-threatening illness.