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Factors influencing death anxiety among patients with end-stage chronic diseases: a scoping review.

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Τίτλος: Factors influencing death anxiety among patients with end-stage chronic diseases: a scoping review.
Συγγραφείς: Ma Y; Affiliated Hospital of Yanbian University (Yanbian Hospital), Yanji, China.; School of Nursing at Yanbian University, Yanji, China., Zhang X; Affiliated Hospital of Yanbian University (Yanbian Hospital), Yanji, China.; School of Nursing at Yanbian University, Yanji, China., Guo L; Affiliated Hospital of Yanbian University (Yanbian Hospital), Yanji, China.; School of Nursing at Yanbian University, Yanji, China., Li Y; Affiliated Hospital of Yanbian University (Yanbian Hospital), Yanji, China.; School of Nursing at Yanbian University, Yanji, China., Shi J; Affiliated Hospital of Yanbian University (Yanbian Hospital), Yanji, China.; School of Nursing at Yanbian University, Yanji, China., Lang Y; School of Nursing at Yanbian University, Yanji, China., Sun W; Affiliated Hospital of Yanbian University (Yanbian Hospital), Yanji, China. 9000001101@ybu.edu.cn.
Πηγή: BMC palliative care [BMC Palliat Care] 2026 Apr 09; Vol. 25 (1). Date of Electronic Publication: 2026 Apr 09.
Τύπος έκδοσης: Journal Article; Scoping Review
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: BioMed Central Country of Publication: England NLM ID: 101088685 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-684X (Electronic) Linking ISSN: 1472684X NLM ISO Abbreviation: BMC Palliat Care Subsets: MEDLINE
Imprint Name(s): Original Publication: London : BioMed Central, [2002-
Ιατρικοί όροι (MeSH): Anxiety*/psychology , Anxiety*/etiology , Terminally Ill*/psychology , Attitude to Death*, Chronic Disease/psychology ; Terminal Care/psychology ; Humans
Περίληψη: AIMS: To systematically identify and map the influencing factors, assessment tools, and interventions for death anxiety among patients with end-stage chronic diseases. DESIGN: A scoping review conducted in accordance with the JBI Global methodology and reported following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines. DATA SOURCES: A systematic search was conducted across nine databases: CNKI, Wanfang, VIP, CBM, PubMed, CINAHL, Embase, Web of Science, and the Cochrane Library. The search covered the period from database inception to December 15, 2025. REVIEW METHODS: Guided by the Population, Concept, and Context (PCC) framework, two researchers independently performed literature screening, data extraction, and quality appraisal using JBI Global Critical Appraisal Tools. RESULTS: Sixty-eight original studies were included. The prevalence of high death anxiety among terminal patients ranged from 25 to 80% (mean = 53.30%). Influencing factors were identified across demographic, socioeconomic, disease-related, and psycho-behavioral dimensions. Commonly used assessment tools included the Templer Death Anxiety Scale (T-DAS), the Death and Dying Distress Scale (DADDS), and the Death Anxiety Questionnaire (DAQ). Current interventions primarily involve Acceptance and Commitment Therapy (ACT), Virtual Reality (VR)-integrated support, Life Review Therapy, Managing Cancer and Living Meaningfully (CALM) therapy, and Cognitive Behavioral Therapy (CBT). CONCLUSION: Death anxiety is highly prevalent among patients with end-stage chronic diseases and is negatively correlated with quality of life. There is a critical need to implement culturally adapted measurement tools and disease-specific assessments. IMPACT: This review highlights the necessity of shifting the care paradigm from "cure-centered" to "dignity-centered". Nursing professionals should prioritize a systematic "early screening–precise assessment–dyadic intervention" approach, focusing on "patient-caregiver" dyadic models to alleviate the fear of death and promote end-of-life quality. NO PATIENT OR PUBLIC CONTRIBUTION: As this study is a scoping review based on the synthesis of publicly available literature, no patients, service users, caregivers, or members of the public were involved in the design, conduct, analysis, interpretation, or preparation of this manuscript.
Competing Interests: Declarations. Ethics approval and consent to participate: This study is a secondary analysis of existing literature and does not involve direct human participants. Competing interests: The authors declare no competing interests.
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Grant Information: JGJX24D0088 General Research Project of Higher Education in Jilin Province (2024)
Contributed Indexing: Keywords: Chronic disease; Death anxiety; Influencing factors; Scoping review; Terminal care
Entry Date(s): Date Created: 20260409 Date Completed: 20260628 Latest Revision: 20260628
Update Code: 20260628
PubMed Central ID: PMC13182092
DOI: 10.1186/s12904-026-02086-0
PMID: 41957647
Βάση Δεδομένων: MEDLINE
Περιγραφή
ISSN:1472-684X
DOI:10.1186/s12904-026-02086-0