Current Status and Influencing Factors of Death Preparedness in Advanced Cancer Patients Based on the PRECEDE ‐ PROCEED Model: A Cross‐Sectional Study

作者：Xi Zhang, Xiaoli Wei, Ye Chen, Chenxi Zhou, Wenguo Wang, Yu Wang, Feng Li, Qifu Fan, Chenyi Lu, Meiliyang Wu, Tieying Zeng, 保宏 札場 · 发表于：Journal of Advanced Nursing · 年份：2025 · DOI：10.1111/jan.70042 · 被引用次数：3 · 研究领域：Death Anxiety and Social Exclusion、Palliative Care and End-of-Life Issues、Cancer survivorship and care

BACKGROUND: Death preparedness is an important prerequisite for improving the quality of life and the quality of death in advanced cancer patients. However, research on the level of death preparedness in patients is insufficient, and there is little understanding of the current status and influencing factors of death preparedness in advanced cancer patients. AIM: This study aims to assess the current status of death preparedness and its influencing factors in advanced cancer patients. METHODS: Based on the PRECEDE-PROCEED model, a structured survey questionnaire was designed to collect data on personal factors (such as gender, age and residence area), interpersonal factors (such as social support, caregiver readiness and healthcare worker readiness) and social factors (such as care resources, policy support and information supply). Through multiple linear regression and BP neural network analysis, the study explores the impact and significance of these influencing factors on death preparedness in advanced cancer patients. RESULTS: A total of 930 valid questionnaires were collected in this study. The death preparedness score in advanced cancer patients was 72.18 ± 22.82, indicating a moderate level, with the highest score being the 'reflexive care' dimension and the lowest score being the 'hospice programme' dimension. Multivariate analysis revealed that meaning in life and social support were the most significant predictors of death preparedness in advanced cancer patients. I...