Volume 2, Issue 3 (Summer 2016 -- 2016)                   JCCNC 2016, 2(3): 153-160 | Back to browse issues page

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Bastani F, Farnood F, Haqhani H. Evaluation of Death Anxiety in Elderly Patients With Cancer Undergoing Chemotherapy. JCCNC. 2016; 2 (3) :153-160
URL: http://jccnc.iums.ac.ir/article-1-88-en.html
1- Department of Geriatric Nursing, School of Nursing & Midwifery, Iran University of Medical Sciences, Tehran, Iran.
2- Department of Geriatric Nursing, School of Nursing & Midwifery, Iran University of Medical Sciences, Tehran, Iran. , fataneh_farnood@yahoo.com
3- Department of Biostatistics, School of Health, Iran University of Medical Sciences, Tehran, Iran.
Abstract:   (2541 Views)

Background: Aging population and prevalence of diseases like cancer among them have affected general health of the elderly, so that one of the influential factors on health components of elderly patients with cancer is death anxiety, which has important consequences in them.
Methods: In this cross-sectional (descriptive correlational) study, 130 elderly patients with cancer undergoing chemotherapy were recruited by convenience sampling method. To collect information, demographic information form and Templer’s death anxiety inventory were used. To analyze the data, descriptive statistics, statistical tests were used through SPSS 21.
Results: The results showed that 42.3% of the old people had high death anxiety. The mean (SD) score of death anxiety was found 6.85 (2.7) which was at the desirable level. In this study, death anxiety of old people had significant relationship with variables of age (P<0.001), marital status (P<0.012), education level (P<0.001), cancer type (P<0.023), period of suffering from cancer (P<0.018), and other comorbid diseases (P<0.001). So that old people with lower age, higher level of education, married, lower period of cancer, and without underlying diseases, had lower death anxiety.
Conclusion: The results of this study can be a basis for better understanding of educational, consultation, and supporting needs regarding coping with anxiety and its management (based on the culture of the community) in this group of elderly patients with cancer.

Keywords: Aging, Cancer, Death anxiety
Full-Text [PDF 551 kb]   (1328 Downloads) |   |   Full-Text (HTML)  (242 Views)  
Type of Study: Research | Subject: General
Received: 2016/09/21 | Accepted: 2017/01/18 | Published: 2017/01/18

1. Azadchehr, M. J., Rahgozar, M., Karimloo, M., Adib Haj Bageri, M. 2014. [To identify some factors effective on survival of the elderly living in nursing home using Copula Competing Risk Model: Bayesian approach (Persian)]. Journal of Health Promotion Management, 3(4), pp. 46-55.
2. Azaiza, F., Ron, P., Shoham, M., & Gigini, I. 2010. Death and dying anxiety among elderly Arab muslims in Israel. Death Studies, 34(4), pp. 351–364. doi: 10.1080/07481181003613941 [DOI:10.1080/07481181003613941]
3. Bahrami, N., Moradi, M., Soleimani, M. A., Kalantari, Z. & Hosseini, F. 2013. [Death anxiety and its relationship with quality of life in women with cancer (Persian)]. Iran Journal of Nursing, 26(82), pp. 51-61.
4. Beery, T. A., Baas, L. S., Fowler, C., & Allen, G. 2002. Spirituality in Persons with Heart Failure. Journal of Holistic Nursing, 20(1), pp. 5–25. doi: 10.1177/089801010202000102 [DOI:10.1177/089801010202000102]
5. Bodner, E., Shrira, A., Bergman, Y. S., Cohen-Fridel, S., & Grossman, E. S. 2015. The interaction between aging and death anxieties predicts ageism. Personality and Individual Differences, 86, pp. 15–19. doi: 10.1016/j.paid.2015.05.022 [DOI:10.1016/j.paid.2015.05.022]
6. Burke, B. L., Martens, A. & Faucher, E. H. 2010. Two decades of terror management theory: A meta-analysis of mortality salience research. Personality and Social Psychology Review, 14(2), pp. 155–195. doi: 10.1177/1088868309352321 [DOI:10.1177/1088868309352321]
7. Engels, E. A., Pfeiffer, R. M., Ricker, W., Wheeler, W., Parsons, R., & Warren, J. L. 2011. Use of surveillance, epidemiology, and end results-medicare data to conduct case-control studies of cancer among the us elderly. American Journal of Epidemiology, 174(7), pp. 860–870. doi: 10.1093/aje/kwr146 [DOI:10.1093/aje/kwr146]
8. Fritsche, I., Jonas, E., Kayser, D. N., & Koranyi, N. 2010. Existential threat and compliance with pro-environmental norms. Journal of Environmental Psychology, 30(1), pp. 67–79. doi: 10.1016/j.jenvp.2009.08.007 [DOI:10.1016/j.jenvp.2009.08.007]
9. Ghorbanalipour, M, Esma'ili, A. 2012, [Determining the efficacy of logo therapy in death anxiety among the older adults (Persian)]. Culture Counseling, 3(9), pp. 53-68. doi: 10.22054/qccpc.2012.6063
10. Grady, P. A., Knebel, A. R., & Draper, A. 2001. End-of-life issues in AIDS: The research perspective. Journal of the Royal Society of Medicine, 94(9), pp. 479-82. [DOI:10.1177/014107680109400918] [PMID] [PMCID]
11. Habibi, A., Nikpour, S., Seyedoshohadaei, M., & Haghani, H. 2006. [Health promoting behaviors and its related factors in elderly (Persian)]. Iran Journal of Nursing, 19(47), pp. 35-48.
12. Harpham, T., Grant, E., & Rodriguez, C. 2004. Mental health and social capital in Cali, Colombia. Social Science & Medicine, 58(11), pp. 2267–77. doi: 10.1016/j.socscimed.2003.08.013 [DOI:10.1016/j.socscimed.2003.08.013]
13. Janda, M., DiSipio, T., Hurst, C., Cella, D., & Newman, B. 2009. The Queensland cancer risk study: General population norms for the Functional assessment of cancer therapy-general. Psycho-Oncology, 18(6), pp. 606–614. doi: 10.1002/pon.1428 [DOI:10.1002/pon.1428]
14. Jørgensen, T. L., Hallas, J., Friis, S., & Herrstedt, J. 2012. Comorbidity in elderly cancer patients in relation to overall and cancer-specific mortality. British Journal of Cancer, 106(7), pp. 1353–1360. doi: 10.1038/bjc.2012.46 [DOI:10.1038/bjc.2012.46]
15. Karren, K.J., Hafen, B.Q., Smith, N.L. & Frandsen, K.J. 2002. Body/mind health: The effects of attitudes, emotions, and relationships. Sanfrancisco: Pearson.
16. Lehto, R. H. & Stein, K. F. 2009. Death anxiety: An analysis of an evolving concept. Research and Theory for Nursing Practice, 23(1), pp. 23–41. doi: 10.1891/1541-6577.23.1.23 [DOI:10.1891/1541-6577.23.1.23]
17. Mansour nezhad, Z., kajbaf, M. B., kiyani, F., poursaeid, R. 2011. [Investigating the relationship between religious orientation (inside, outside) and sex with death anxiety among students (Persian)]. Journal of New findings in psychology, 5(15), pp. 135-143.
18. Mohammadi, M., Touri Moghaddam, C., Shahsavarani, A., Sabze Ara Langroodi, M. 2013. [Comparing the relationship between self-esteem and mental health in the prediction of death anxiety (Persian)]. Journal of Psychological Science, 12(47), pp. 343-365.
19. Muramatsu, N., Yin, H., & Hedeker, D. 2010. Functional declines, social support, and mental health in the elderly: Does living in a state supportive of home and community-based services make a difference. Social Science & Medicine, 70(7), pp. 1050–8. doi: 10.1016/j.socscimed.2009.12.005 [DOI:10.1016/j.socscimed.2009.12.005]
20. Naderi, F., Roushani, Kh. 2012. [Relationship of spiritual intelligence and social intelligence with death anxiety in old women (Persian)]. Journal of Women and Culture, 2(6). pp. 55-67.
21. Naghavi, M. 2006. [Health manifestation modification in Iran (Persian)]. Journal of Iranian Epidemiology, 1(3), pp. 13-25.
22. Prakash, R., Choudhary, S. K., & Singh, U. S. 2004. A study of morbidity pattern among geriatric population in an urban area of Udaipur, Rajasthan. Indian Journal Community Medicine, 29(1), pp. 35-40.
23. Rajabi, Gh., Bohrani M. 2001. [Factor analysis of death anxiety question (Persian)]. Journal of Psychology, 20(2), pp. 322-344.
24. Salehi, F., Mohsenzade, F., & Arefi, M. 2016. [Prevalence of death anxiety in patients with breast cancer in Kermanshah (Persian)]. 2015. Iranian Journal of Breast Disease, 8(4), pp. 34-40.
25. Sherman, D. W., R. Norman. 2010. Comparison of death anxiety and quality of life of patients with advanced cancer or AIDS and their family caregivers. Journal of the Association of Nurses in AIDS Care, 21(2), pp. 99-112. [DOI:10.1016/j.jana.2009.07.007] [PMID]
26. Schoenberg, M. H., Halle, M. 2009. Physical Activity in the Prevention and Treatment of Colorectal Carcinoma. Deutsches Arzteblatt International, 106(44), pp. 722-727. doi: 10.3238/arztebl.2009.0722
27. Shoja, M., Rimaz, S. H., Asadi Lari, M., Bagheri Yazdi, A., & Govhari, M. R. 2013. [Mental health of older people and social capital (Persian)]. Journal of the Iranian Institute for Health Sciences Research, 12(4), pp. 345-353.
28. Statistic Center of Iran. 2012. [The results of the General Census of Population and Housing of the country (Persian)]. Tehran: Statistic Center of Iran.
29. Tan, S. M., Beck, K. R., Li, H., Lim, E. C. L., & Krishna, L. K. R. 2014. Depression and anxiety in cancer patients in a Tertiary General Hospital in Singapore. Asian Journal of Psychiatry, 8, pp. 33–37. doi: 10.1016/j.ajp.2013.10.002 [DOI:10.1016/j.ajp.2013.10.002]
30. Templer, D. I. 1970. The construction and validation of a death anxiety scale. The Journal of General Psychology, 82(2), pp. 165–177. doi: 10.1080/00221309.1970.9920634. [DOI:10.1080/00221309.1970.9920634]
31. Vilhauer, R. P. 2008. A qualitative study of the experiences of women with metastatic breast cancer. Palliative & Supportive Care, 6(3). doi: 10.1017/s1478951508000382.pp. 249-58
32. Woo, E., Han, C., Jo, S. A., Park, M. K., Kim, S., Kim, E., et al. 2007. Morbidity and related factors among elderly people in South Korea: Results from the Ansan Geriatric (AGE) cohort study. BMC Public Health, 7:10, pp. 1-9. doi: 10.1186/1471-2458-7-10 [DOI:10.1186/1471-2458-7-10]
33. World Health Organization. Ageing and life course. 2014. Geneva: World Health Organization.
34. Henrie J., Patrick J. H. 2014. Religiousness, religious doubt, and death anxiety. Journal of Aging and Human Development. Journal of Concel Psychother, 78(3), pp. 203-227.

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