After the operation, death anxiety of patients is affected by many factors. This study aims to investigate the factors affecting death anxiety of patients undergoing open heart surgery. A descriptive, cross-sectional study. Data were collected using the ‘Introductory Information Form,’ the 'Templer’s Death Anxiety Scale,’ and the ‘Spiritual Well-being Scale.’ This study was conducted with 313 intensive care patients. The mean scores of the patients on the “Death Anxiety Scale” were moderate (7.96 (4.28)). According to the study findings, age, gender, length of stay in the intensive care unit, and spiritual well-being were found to be important predictors of death anxiety (F (4,308) = 16.149, p < .001). Considering gender differences in nursing care, it is thought that the intensive care period will be shortened, the level of spiritual well-being will increase and death anxiety will decrease.
AslanÖ.TosunB. (2015). Cardiovascular surgery patients: Intensive care experiences and associated factors. Asian Nursing Research, 9(4), 336–341. https://doi.org/10.1016/j.anr.2015.10.003
4.
AssariS.Moghani LankaraniM.(2016). Race and gender differences in correlates of death anxiety among elderly in the United States. Iranian journal of psychiatry and behavioral sciences, 10(2), Article e2024. https://doi.org/10.17795/ijpbs-2024
5.
CınarF.AslanF. E. (2017). Spiritualism and nursing: The importance of spiritual care in intensive care patients. JAREN, 3(1), 37–42. (in Turkish). https://doi.org/10.5222/jaren.2017.037
6.
CınarF.SirinT. (2019). Investigation of spiritual well-being palliative care of patients. Innovative Journal of Medical and Health Science, 9(7), 496–513. https://doi.org/10.15520/ijmhs.v9i7.2643
7.
DadfarM.Abdel-KhalekA. M.LesterD.Atef VahidM. K. (2017). The psychometric parameters of the farsi form of the Arabic scale of death anxiety. TheScientificWorldJOURNAL, 2017(3), 1–8. https://doi.org/10.1155/2017/7468217
DağcanN.OzdenD.Gurol ArslanG. (2021). Nursing care of individual undergoing open hearth surgery according to the ROY Adaptation Model, NANDA, NIC and NOC classification systems. Turkiye Klinikleri Journal of Nursing Sciences, 13(4), 1019–1028. https://doi.org/10.5336/nurses.2020-80569
10.
EdeerA. D.BilikÖ.KankayaE. A. (2020). Thoracic and cardiovascular surgery patients: Intensive care unit experiences. Nursing in Critical Care, 25(4), 206–213. https://doi.org/10.1111/nicc.12484
11.
EkşiH.KardaşS. (2017). Spiritual well-being: Scale development and validation. Spiritual Psychology and Counseling, 2(1), 73–88. https://doi.org/10.12738/spc.2017.1.0022
FathiM.HamzepourH.GammonJ.RoshaniD.ValieeS. (2018). Hope and spiritual well-being in Iranian patıents undergoing chemotherapy. Journal of Evolution of Medical and Dental Sciences, 7(27), 3106–3111. https://doi.org/10.14260/jemds/2018/698
14.
FrenchC.GreenauerN.MelloC. (2017). A multifactorial approach to predicting death anxiety: Assessing the role of religiosity, susceptibility to mortality cues, and individual differences. Journal of Social Work in End-of-Life and Palliative Care, 13(2-3), 151–172. https://doi.org/10.1080/15524256.2017.1331181
15.
GedikZ.BahadırG. (2014). Evaluation of death anxiety and effecting factors in a Turkish sample. International Journal of Human Sciences/Uluslararası İnsan Bilimleri Dergisi, 11(2), 388–400. https://doi.org/10.14687/ijhs.v11i2.3004
16.
HairJ. F.BlackW. C.BabinB. J.AndersonR. E. (2010). Multivariate data analysis (7th ed.). Pearson Prentice Hall.
17.
HassanO. A.HassanN. M.GaafarM. M. (2019). Relationship between purpose in life and death anxiety among Elderly Home Residents. IJNRHN, 6(2), 1217–1226. https://www.noveltyjournals.com
18.
HenrieJ.PatrickJ. H. (2014). Religiousness, religious doubt, and death anxiety. International journal of aging and human development, 78(3), 203–227. https://doi.org/10.2190/AG.78.3.a
19.
HeshmatiR.JafariE.Salimi KandehT.CaltabianoM. L.Associations of spiritual well-being and hope with health anxiety severity in patients with advanced coronary artery disease. Medicina (Kaunas). 2021;57(10):1066. https://doi.org/10.3390/medicina57101066
20.
HongY.YuhanL.YouhuiG.ZhanyingW.ShiliZ.XiaotingH.WenhuaY. (2022). Death anxiety among advanced cancer patients: A cross-sectional survey. Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer, 30(4), 3531–3539. https://doi.org/10.1007/s00520-022-06795-z
21.
Kamyab MansoriY.DolatianM.ShamsJ.NasiriM. (2018). The relationship between death anxiety and spiritual well-being in patients with gynecologic cancer. Adv Nurs Midwifery, 27(3), 28–34. Available from: https://journals.sbmu.ac.ir/en-jnm/article/view/18155
22.
KhoshiA.NiaH. S.TorkmandiH. (2017). Investigation into the factors affecting death anxiety in Iranian students. Journal of Clinical and Diagnostic Research, 11(12), 24–27. https://doi.org/10.7860/JCDR/2017/27856.10996
23.
KlimasińskiM. W. (2021). Spiritual care in the intensive care unit. Anaesthesiology Intensive Therapy, 53(4), 350–357. https://doi.org/10.5114/ait.2021.109920
24.
LodhiM. K.CheemaU. I.StifterJ.WilkieD. J.KeenanG. M.YaoY.AnsariR.KhokharA. A. (2014). Death anxiety in hospitalized end-of-life patients as captured from a structured electronic health record: Differences by patient and nurse characteristics. Research in Gerontological Nursing, 7(5), 224–234. https://doi.org/10.3928/19404921-20140818-01
25.
MacLeodR.CrandallJ. M.WilsonD.AustinP. (2016). Death anxiety among New Zealanders: The predictive role of gender and marital status. Mental Health, Religion and Culture, 19(4), 339–349. https://doi.org/10.1080/13674676.2016.1187590
26.
MacLeodR.WilsonD. M.CrandallJ.AustinP. (2019). Death anxiety among New Zealanders: The predictive roles of religion, spirituality, and family connection. Omega, 80(1), 3–19. https://doi.org/10.1177/0030222817724307
27.
Navarro-GarcíaM. A.Marín-FernándezB.de Carlos-AlegreV.Martínez-OrozA.Martorell-GurucharriA.Ordoñez-OrtigosaE.Prieto-GuembeP.Sorbet-AmósteguiM. R.Induráin-FernándezS.Elizondo-SotroA.Irigoyen-AristorenaM. I.García-AizpúnY. (2011). Trastornos del ánimo preoperatorios en cirugía cardiaca: Factores de riesgo y morbilidad postoperatoria en la unidad de cuidados intensivos [preoperative mood disorders in patients undergoing cardiac surgery: Risk factors and postoperative morbidity in the intensive care unit]. Revista espanola de cardiologia, 64(11), 1005–1010. https://doi.org/10.1016/j.recesp.2011.06.009
28.
NezamiN.DashtiF.AliluL.HeidariS. (2020). Comparing relationship between spiritual well-being and death anxiety among women with breast and cervical cancers and women with gastric and colorectal cancers. Journal of Education and Health Promotion, 9(1), 263–268. https://doi.org/10.4103/jehp.jehp_287_20
29.
RababaM.HayajnehA. A.Bani-IssW. (2021). Association of death anxiety with spiritual well-being and religious coping in older adults during the COVID-19 pandemic. Journal of Religion and Health, 60(1), 50–63. https://doi.org/10.1007/s10943-020-01129-x
30.
RahmanS.ElbiH.Cakmakci CetinkayaA.AltanS.OzanE.PirincciE. (2021). Factors that predict the perception of spirituality and spiritual care of nurses working in high-risk units and the effect of death anxiety. Perspectives in Psychiatric Care, 57(2), 473–480. https://doi.org/10.1111/ppc.12651
31.
SahanE.ErogluM. Z.KaratasM. B.MutluerB.UğurpalaC.BerkolT. D. (2018). Death anxiety in patients with myocardial infarction or cancer. The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology, 70(3), 143–147. https://doi.org/10.1016/j.ehj.2018.04.003
32.
SebeaD.El-GeneidyM.Abd-ElsalamR.DawoodS. (2021). Factors associated with death anxiety among community dwelling older adults. Alexandria Scientific Nursing Journal, 23(1), 1–17. https://doi.org/10.21608/asalexu.2021.206044
33.
ShafipourV.ShoushiF.JanatiY.MousavinasabN.KamaliM. (2020). The impact of family support program on depression, anxiety, stress, and satisfaction in the family members of open-heart surgery patients. Journal of Nursing and Midwifery Sciences, 7(2), 69–77. https://doi.org/10.4103/jnms.jnms_21_19
34.
ShirdelZ.BehzadI.ManafiB.SahebiM. (2021). The effect of home care training on anxiety and vital signs levels in coronary artery Bypass grafting patients: A randomized clinical trial. Journal of PeriAnesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses, 36(4), 393–397. https://doi.org/10.1016/j.jopan.2020.09.018
35.
SoleimaniM. A.SharifS. P.YaghoobzadehA.YeohK. K.PanarelloB. (2018). Exploring the relationship between spiritual well-being and death anxiety in survivors of acute myocardial infarction: Moderating role of sex, marital status and social support. Journal of Religion and Health, 57(2), 683–703. https://doi.org/10.1007/s10943-017-0554-2
36.
SorianoG. P.CalongK. A. C. (2022). Religiosity, spirituality, and death anxiety among Filipino older adults: A correlational study. Omega, 85(2), 445–454. https://doi.org/10.1177/0030222820947315
37.
TadiA.GheibizadehM.Ghanbari Chah AnjiriS. (2022). Death anxiety and associated factors in the hospitalized and non-hospitalized elderly with chronic diseases in ahvaz. Jundishapur Journal of Chronic Disease Care, 11(4), Article e121525. https://doi.org/10.5812/jjcdc-121525
38.
TemplerD. I. (1970). The construction and validation of a death anxiety scale. The Journal of General Psychology, 82(2d Half), 165–177. https://doi.org/10.1080/00221309.1970.9920634
WeiningerG.MoriM.BrooksC.2ndShangM.Faggion VinholoT.ZhangY.AssiR.GeirssonA.VallabhajosyulaP. (2020). Association between cardiac surgeons' number of years in practice and surgical outcomes in New York cardiac centers. JAMA Network Open, 3(11), Article e2023671. https://doi.org/10.1001/jamanetworkopen.2020.23671
XieY.LiuB. (2022). Life satisfaction and death anxiety among Chinese rural elderly: Moderating effects of gender, age and spouse. International Journal of Arts and Social Science, 5(3), 29–37.
43.
XieY. T.ZhongM. Z.ZhuF. (2019). 老龄化背景下老 年人死亡焦虑及和中年人的比较 [The death anxiety of the elderly and the comparison with the middle-aged in the aging background]. Chinese Health Service Management, 36(3), 65–68.
44.
YaghoobzadehA.SoleimaniM. A.AllenK. A.ChanY. H.HerthK. A. (2018). Relationship between spiritual well-being and hope in patients with cardiovascular disease. Journal of Religion and Health, 57(3), 938–950. https://doi.org/10.1007/s10943-017-0467-0
45.
YinF.HeY.HeY.ShenH.IpK. (2022). A comparative study of death anxiety and death attitudes in Han and Tibetan ethnic groups. Death Studies, 46(5), 1196–1205. https://doi.org/10.1080/07481187.2020.1802791
46.
Zahedi BidgolZ.TagharrobiZ.SookiZ.SharifiK. .H. (2020). Death anxiety and its predictors among older adults. Journal of Holistic Nursing and Midwifery, 30(2), 101–110. https://doi.org/10.32598/jhnm.30.2.101
