死亡焦虑与对临终时的痛苦和不确定性的恐惧有关。它也与患者的家庭护理人员有关，他们会对患者的死亡和临终感到恐惧。本研究调查了晚期癌症患者及其家庭护理人员的死亡焦虑患病率及其与社会人口学和医学特征的关系。我们招募了患者来自住院和门诊肿瘤科和姑息治疗机构的 UICC IV 期实体瘤。我们使用死亡和临终痛苦量表来评估临床上显着的死亡焦虑。我们使用同步多元线性回归分析来分析其与社会人口统计学和医疗特征的关联。死亡焦虑在 37% 的患者 (N=481) 和 75% 的家庭护理人员 (N=140) 中普遍存在。最常见的死亡焦虑担忧是“对自己的死亡对亲人的影响感到痛苦”（52％的患者）和“对失去与亲人相处的时间感到痛苦”（69％的家庭护理人员）。经历高度死亡焦虑的患者更有可能更年轻（标准化β=-0.1；p=.005），并且知道自己的诊断时间更短（标准化β=-0.10；p=.046）。女性会导致患者 (β=0.12; p=.041) 和家庭护理人员 (β=0.32; p=.002) 出现更高的死亡焦虑。结果表明，死亡焦虑是晚期癌症患者中常见的、具有临床意义的问题及其家庭照顾者，强调需要有针对性的心理支持。版权所有 © 2024。由 Elsevier Inc. 出版。

Death anxiety is associated with fears of suffering and uncertainty at the end of life. It is also relevant to patients' family caregivers, who can experience fears about the patients' death and dying.This study investigates the prevalence of death anxiety in advanced cancer patients and their family caregivers and its association with sociodemographic and medical characteristics.We recruited patients with UICC stage IV solid tumors from in- and outpatient oncology and palliative care settings. We administered the Death and Dying Distress Scale to assess clinically significant death anxiety. We analyzed its association with sociodemographic and medical characteristics using simultaneous multiple linear regression analyses.Death anxiety was prevalent in 37% of patients (N = 481) and 75% of family caregivers (N = 140). Most frequent death anxiety concerns were "feeling distressed about the impact of one's own death on loved ones" (52% patients) and "feeling distressed about running out of time with their loved one" (69% family caregivers). Patients who experienced high death anxiety were more likely to be younger (standardized β = -0.1; p = .005) and have known about their diagnosis for less time (standardized β = -0.10; p = .046). Being female predicted higher death anxiety in patients (β = 0.12; p = .041) and family caregivers (β = 0.32; p = .002).The results indicate that death anxiety is a common, clinically significant problem in patients with advanced cancer and their family caregivers, emphasizing the need for targeted psychological support.Copyright © 2024. Published by Elsevier Inc.