Abstract：
OBJECTIVE: A systematic review and meta-analysis was performed to identify the factors related to cancer death anxiety based on available evidence.
METHODS: This systematic review and meta-analysis followed the PRISMA 2020 guidelines.
METHODS: Seven databases were searched to identify studies on the relationships of cancer death anxiety with demographic characteristics, disease factors and psychosocial factors from inception to May 2023. The Agency for Medical Research and Quality (AHRQ) scale was used to evaluate the quality of the included studies. After two researchers independently completed the literature search, data extraction and quality evaluation, meta-analysis was conducted by using RevMan5.3 and Stata 17.0 software.
RESULTS: In total, 52 studies were included in this review. The results revealed that there were positive correlations of death anxiety with female sex, the symptom burden, anxiety levels, depression levels, fear of recurrence, attachment avoidance, psychological distress, resignation and confrontation coping. Death anxiety was negatively correlated with age, education level, ability to perform daily activities, self-esteem, spiritual well-being, sense of meaning in life, resilience, quality of life, social support and religious beliefs.
CONCLUSIONS: Our results can inform the design of interventions to address death anxiety and improve the overall quality of life of cancer patients. Healthcare professionals should promptly identify and focus on death anxiety in high-risk populations of cancer patients.
CONCLUSIONS: Cancer patients commonly experience death anxiety, and this anxiety has a nonnegligible impact on patients\' mental health and overall quality of life. This study can inform the development of interventions by clinical healthcare professionals.
UNASSIGNED: This was a meta-analysis based on data from previous studies.
METHODS: This systematic review and meta-analysis followed the PRISMA 2020 guidelines.
METHODS: Seven databases were searched to identify studies on the relationships of cancer death anxiety with demographic characteristics, disease factors and psychosocial factors from inception to May 2023. The Agency for Medical Research and Quality (AHRQ) scale was used to evaluate the quality of the included studies. After two researchers independently completed the literature search, data extraction and quality evaluation, meta-analysis was conducted by using RevMan5.3 and Stata 17.0 software.
RESULTS: In total, 52 studies were included in this review. The results revealed that there were positive correlations of death anxiety with female sex, the symptom burden, anxiety levels, depression levels, fear of recurrence, attachment avoidance, psychological distress, resignation and confrontation coping. Death anxiety was negatively correlated with age, education level, ability to perform daily activities, self-esteem, spiritual well-being, sense of meaning in life, resilience, quality of life, social support and religious beliefs.
CONCLUSIONS: Our results can inform the design of interventions to address death anxiety and improve the overall quality of life of cancer patients. Healthcare professionals should promptly identify and focus on death anxiety in high-risk populations of cancer patients.
CONCLUSIONS: Cancer patients commonly experience death anxiety, and this anxiety has a nonnegligible impact on patients\' mental health and overall quality of life. This study can inform the development of interventions by clinical healthcare professionals.
UNASSIGNED: This was a meta-analysis based on data from previous studies.
摘要：
目的：根据现有证据进行系统评价和荟萃分析，以确定与癌症死亡焦虑相关的因素。
方法：本系统综述和荟萃分析遵循PRISMA2020指南。
方法：搜索了七个数据库，以确定有关癌症死亡焦虑与人口统计学特征之间关系的研究。从开始到2023年5月的疾病因素和社会心理因素。采用医学研究与质量机构(AHRQ)量表对纳入研究的质量进行评价。经过两名研究者独立完成文献检索,数据提取和质量评估，采用RevMan5.3和Stata17.0软件进行Meta分析。
结果：总计，本综述包括52项研究。结果发现死亡焦虑与女性性别呈正相关,症状负担，焦虑程度,抑郁程度,害怕复发，附件避免，心理困扰,辞职和对抗应对。死亡焦虑与年龄呈负相关,教育水平,进行日常活动的能力，自尊,精神上的幸福，生活中的意义，弹性，生活质量,社会支持和宗教信仰。
结论：我们的结果可以为设计干预措施提供信息，以解决死亡焦虑并改善癌症患者的整体生活质量。医疗保健专业人员应及时识别并关注癌症患者高危人群的死亡焦虑。
结论：癌症患者通常会经历死亡焦虑，这种焦虑对患者的心理健康和整体生活质量有不可忽视的影响。这项研究可以为临床医疗保健专业人员制定干预措施提供信息。
■这是基于先前研究数据的荟萃分析。
方法：本系统综述和荟萃分析遵循PRISMA2020指南。
方法：搜索了七个数据库，以确定有关癌症死亡焦虑与人口统计学特征之间关系的研究。从开始到2023年5月的疾病因素和社会心理因素。采用医学研究与质量机构(AHRQ)量表对纳入研究的质量进行评价。经过两名研究者独立完成文献检索,数据提取和质量评估，采用RevMan5.3和Stata17.0软件进行Meta分析。
结果：总计，本综述包括52项研究。结果发现死亡焦虑与女性性别呈正相关,症状负担，焦虑程度,抑郁程度,害怕复发，附件避免，心理困扰,辞职和对抗应对。死亡焦虑与年龄呈负相关,教育水平,进行日常活动的能力，自尊,精神上的幸福，生活中的意义，弹性，生活质量,社会支持和宗教信仰。
结论：我们的结果可以为设计干预措施提供信息，以解决死亡焦虑并改善癌症患者的整体生活质量。医疗保健专业人员应及时识别并关注癌症患者高危人群的死亡焦虑。
结论：癌症患者通常会经历死亡焦虑，这种焦虑对患者的心理健康和整体生活质量有不可忽视的影响。这项研究可以为临床医疗保健专业人员制定干预措施提供信息。
■这是基于先前研究数据的荟萃分析。
