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Showing 5 results for Death
Relationship of Psychological Hardiness and Quality of Life with Death Anxiety in Nurses
Fahime Pourakbari, Dr Afsaneh Khajevand Khoshli , Dr Javanshir Asadi,
Volume 11, Issue 2 (11-2014)
Abstract
Background and Objective: Psychological hardiness has a relationship with various aspects of physical, psychological and social health of people, and it seems that high level of that may lead to a decrease in death anxiety and an increase in life quality in nurses. Hence, we aimed to determine the relationship of psychological hardiness and quality of life with death anxiety in nurses. 
Material and Methods: This correlational study was conducted on 273 nurses selected via simple random sampling in both state and private hospitals of Gorgan, Iran, in 2013. The instruments were psychological hardiness, quality of life and death anxiety questionnaires. To analyze data, we used Pierson correlation coefficient and multiple linear regressions. 
Results: There was significant relationship between psychological hardiness and death anxiety (r=-0.220, p<0.001) between quality of life and death anxiety (r=-0.227, p<0.001). Based on concurrent multiple linear regression, only psychological hardiness and social performance (one of the sub-scales of quality of life) had a meaningful relationship with the death anxiety. 
Conclusion: It seems that high psychological hardiness may lead to decreased death anxiety and increased quality of life in nurses.

Death Anxiety in Hemodialysis Patients Admitted to Panj-Azar Teaching Hospital, 2013
Mohsen Fathi, Dr Akram Sanagoo, Dr Leila Jouybari, Marzieh Yazarloo, Dr Hamid Sharif Nia ,
Volume 12, Issue 3 (2-2016)
Abstract

Background and Objective: Patients with  life threatening diseases have to deal with the death issue. One of the common psychological problem is anxiety esp. death anxiety . This study aimed to  determine the level of death anxiety in hemodialysis patients.

Material and Methods: This cross-sectional study  was conducted  on all 150 patients admitted to Panj-azar teaching hospital for hemodialysis, 2013. The data was collected by demographic checklist and Templer Death Anxiety questionnaire scoring 0 to 15 (0-6 for low, 7-9 for moderate and 10-15 for high anxiety).  We analyzed the data  by independent t-test, ANOVA and Pearson correlation coefficient (P<0.05).

Results: Twenty-four point seven percent of the patients had low , 10%  average  and 65.3% of them had high death anxiety. Average scores of death anxiety in men and in women were 8.21±4.82 and 11.95±3.81, respectively. The relationship of death anxiety with sex (P<0.001), employment status (P<0.001), and age (P<0.002) was significant.

Conclusion: Bases on the results, the death anxiety is high in more than half of the patients with hemodialysis.


Place of Death among Cancer Patients in Brunei: A Retrospective Study
Ogechukwu Emmanuel, Venkatasalu Munikumar, Ani Afiqah Tuah,
Volume 18, Issue 2 (7-2021)
Abstract
Background: End of life and palliative care remains less popular and underdeveloped in many countries. Palliative care services have been proven to facilitate preference towards good death. The present study aimed to determine patterns and factors associated with place of death in Brunei Darussalam.
Methods: This retrospective study was conducted in 2016 on all cancer deaths (n=801) recorded on the registry of death records in Brunei Darussalam. Data including sociodemographic characteristics and place of death were extracted from the medical records. Statistical analysis of data was done in SPSS 16 using binary logistic regression analysis at significance level of 0.05.
Results: The overall number of cancer deaths increased from 171 in 2013 to 320 in 2015. The highest number of cancer deaths was recorded among those aged 50-59 (31%), 60-69 (22.6%), and 50-59 years (24.7%) in 2013, 2014, and 2015, respectively. Age and living in Temburong district significantly associated with the place of death (P<0.05).
Conclusion: The location of specialized care settings associated with place of death among cancer patients. Our results may have important implication for development of specialized palliative and supportive care for end of life care.

Influence of attitudes toward death, vulnerability to abuse, and family functioning on suicide Riskin Mexican older adults
Isaí Medina-Fernández , Donovan Casas-Patiño , Alejandra Rodríguez-Torres , Josué Medina-Fernández , Karla Patricia Valdés-García , Ana Laura Carrillo-Cervantes ,
Volume 23, Issue 1 (5-2026)
Abstract
Background: Aging is a complex and multidimensional process characterized by biological, psychological, and social changes that may increase vulnerability among older adults. Suicide in later life is recognized as a multifactorial public health issue influenced by several psychosocial factors, including attitudes toward death, vulnerability to abuse, and family functioning. Therefore, this study aimed to investigate the extent to which attitudes toward death, vulnerability to abuse, and family functioning predict suicide risk among older adults.
Methods: An analytical cross-sectional study was conducted in 2025 comprising 260 older adults from Coahuila State. Participants were selected via non-probability convenience sampling. Data were collected using a sociodemographic questionnaire, the Plutchik Suicide Risk Scale, the Revised Profile of Attitudes toward Death (PAM-R), the Vulnerability to Abuse Screening Scale (VASS), and the Family APGAR. Statistical analysis included descriptive statistics, Spearman’s correlation analysis, and multiple linear regression using SPSS version 25.
Results: A total of 260 older adults with a mean age of [69.25±6.80 years] years participated in the study. The majority of the cohort were female, married, and had completed secondary education. The prevalence of suicide risk was 13.8%, and vulnerability to abuse was identified in 10% of participants. An ambivalent attitude toward death was observed, and 33.9% of the sample exhibited moderate to severe family dysfunction. The regression model explained 17.4% of the variance in suicide risk (Adjusted R² = 0.174, F = 13.457, p < 0.001), with family functioning (β = - 0.350, p < 0.001) identified as the strongest and only significant predictor.
Conclusion: The risk of suicide in older adults is a multifactorial phenomenon in which family functioning plays a central protective role. These findings highlight the importance of preventive strategies in collective health, focused on strengthening families and early detection of psychosocial risk factors.

Pediatric intensive care nurses' perspectives on the quality of dying and death among hospitalized children: A cross-sectional study
Nafiseh Ebrahimi, Robert Truog, Mahnaz Shoghi,
Volume 23, Issue 1 (5-2026)
Abstract
Background: Nurses are continuously present at the bedside and work closely with both children and families; therefore, their perspectives can provide a detailed understanding of end-of-life care. This study examined the quality of dying and death among hospitalized children from the perspective of PICU nurses and explored nurse-related factors associated with their evaluations.
Methods: In this cross-sectional study, 176 nurses working in the PICUs of four teaching hospitals (6 PICU wards) in Tehran participated. Inclusion criteria were at least a bachelor's degree in nursing, at least 12 months of PICU experience, experience caring for terminally ill children, and no personal history of losing a child. A census sampling method was used. Data were collected by self-report using the PICU-QODD (Quality of Dying and Death) questionnaire. Independent t-tests, one-way ANOVA, Pearson correlations, and multiple linear regression were used.
Results: Most nurses were female (81.8%). The overall QODD score was 68.44 ±15.6, suggesting a moderate to favorable perceived quality. The highest domain scores were observed for continuity and coordination of care (84.4), fulfillment of the parental role (77.04), emotional support for the family (76.91), and pain and symptom management (76.81), whereas the physical and instrumental needs of the family (49.1) and spirituality and religious-cultural issues (33.46) had the lowest scores. In the multivariable analysis, only fixed work shift remained independently associated with higher QODD scores (B = 7.01, 95% CI (0.343,13.688)).
Conclusion: PICU nurses rated children's quality of dying and death as generally acceptable but identified shortcomings in spiritual and practical support for families. Promoting continuity of care and providing targeted education on holistic, family-centered end-of-life care may be beneficial.

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