Death Anxiety and Its Predictors Among Older Adults
Introduction: Death anxiety can negatively affect recovery among older patients. Objective: study aimed to assess death anxiety and its predictors among older adults during and after hospitalization. Materials and Methods: This cross-sectional study was conducted in 2017 on 241 hospitali...
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          | Main Authors: | , , , | 
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| Format: | Article | 
| Language: | English | 
| Published: | Guilan University of Medical Sciences
    
        2020-03-01 | 
| Series: | Journal of Holistic Nursing and Midwifery | 
| Subjects: | |
| Online Access: | http://hnmj.gums.ac.ir/article-1-1385-en.html | 
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| Summary: | Introduction: Death anxiety can negatively affect recovery among older patients.
			Objective: study aimed to assess death anxiety and its predictors among older adults during
			and after hospitalization.
			Materials and Methods: This cross-sectional study was conducted in 2017 on 241
			hospitalized patients aged ≥60 years. The study subjects were consecutively recruited from
			a hospital in Kashan City, Iran. The required data were collected in the first and the third
			hospitalization days (T1 and T2) and the seventh day after hospital discharge (T3) using
			the Mini-Mental State Examination, a Death Anxiety Contributing Factors questionnaire,
			the Templer Death Anxiety Scale, the Life Satisfaction Index-Z Scale, and the Spiritual
			Well-Being Scale. For the statistical evaluation, repeated measures Analysis of Variance
			(ANOVA), the stepwise multiple linear regression, and the rank regression analyses were
			used.
			Results: The Mean±SD score of death anxiety at T1–T3 was 6.74±3.81, 7.38±3.64, and
			6.18±3.60, respectively. Death anxiety at T2 was significantly greater than T1 and T3
			(P=0.0001). Approximately 17.7% of the total variance of death anxiety at T1 was explained
			by the number of hospitalizations, satisfaction with hospital staff’s performance, and spiritual
			well-being. The significant predictors of death anxiety at T2 were marital status, satisfaction
			with hospital staff’s performance, children’s gender, satisfaction with bed arrangement, age,
			and the number of hospitalizations, which explained 32.1% of the total variance. Moreover,
			15.4% of the variance at T3 was explained by satisfaction with bed arrangement and receiving
			education at hospital discharge.
			Conclusion: Older adults suffer from moderate death anxiety during and after their
			hospitalization due to various factors. Managing death anxiety contributing factors is
			necessary to alleviate it among older adults | 
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| ISSN: | 2588-3712 2588-3720 | 
 
       