Influencing Factors and Correlation between Death Anxiety and Death Attitudes in Patients with Advanced Lung Cancer

Dingyi ZHANG; Yuelin LI; Yunhua WANG; Yiheng CHEN; Qian ZHANG; Yulin LU

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Article Navigation > Journal of Kunming Medical University > 2026 > Accepted Manuscript

Dingyi ZHANG, Yuelin LI, Yunhua WANG, Yiheng CHEN, Qian ZHANG, Yulin LU. Influencing Factors and Correlation between Death Anxiety and Death Attitudes in Patients with Advanced Lung Cancer[J]. Journal of Kunming Medical University.

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Influencing Factors and Correlation between Death Anxiety and Death Attitudes in Patients with Advanced Lung Cancer

1.
School of Nursing，Kunming Medical University
2.
Department of Rehabilitation and Palliative Medicine，The Third Affiliated Hospital of Kunming Medical University/ Yunnan Cancer Hospital/Peking University Cancer Hospital Yunnan
3.
Kunming Medical University Haiyuan College，China

Received Date: 2025-10-23

Abstract

Abstract

Objective To understand the current status of death anxiety and death attitudes among patients with advanced lung cancer, explore their influencing factors, and examine the correlation between these two variables. Methods A cross-sectional survey design was employed. From March 2025 to July 2025, 164 patients with advanced lung cancer were conveniently sampled from a tertiary Grade-A hospital in Kunming, Yunnan Province. Data were collected using a general information questionnaire, the Chinese version of the Death Anxiety Scale （CT-DAS）, and the Chinese version of the Death Attitude Profile-Revised （DAP-R）. Results The death anxiety score among patients with advanced lung cancer was 36.41±17.86, indicating a relatively high level. The mean score for positive death attitude items was 2.83±0.64, and for negative death attitude items was 2.75±1.12, suggesting a relatively positive death attitude overall. The predominant tendency was natural acceptance with a score of 4.27±0.96, accounting for 67.1%. Multiple linear regression analysis revealed that discussing death with family and friends was a positive influencing factor for death anxiety, death fear, death avoidance, and negative death attitudes （P < 0.05）, and a negative influencing factor for natural acceptance and positive death attitudes （P < 0.05）. The frequency of cancer treatment was a positive influencing factor for natural acceptance （P < 0.05）. Cancer stage was a negative influencing factor for approach acceptance （P < 0.05）. Duration since diagnosis was a positive influencing factor for escape acceptance （P < 0.05）. Death anxiety was positively correlated with negative death attitudes, death fear, and death avoidance （P < 0.05）, and negatively correlated with positive death attitudes, natural acceptance, and approach acceptance （P < 0.05）. Conclusion Greater attention should be paid to the psychological environment of patients. Future efforts should focus on establishing a personalized support model centered on guiding patients to shift death-related discussions from emotional catharsis to positive actions and implementing stratified psychological assessment, thereby effectively improving psychological outcomes in patients with advanced lung cancer.
- Death anxiety,
- Death attitudes,
- Influencing factors,
- Correlation,
- Palliative care

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References(29)

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