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. 2019 Apr 4;18(1):33.
doi: 10.1186/s12904-019-0417-6.

How to come to terms with facing death: a qualitative study examining the experiences of patients with terminal Cancer

Ayumi Kyota  1 , Kiyoko Kanda  2
Affiliations

How to come to terms with facing death: a qualitative study examining the experiences of patients with terminal Cancer

Ayumi Kyota et al. BMC Palliat Care. .

Abstract

Background: Cancer patients who have reached the terminal stage despite attempts at treatment are likely to experience various problems, particularly as they encounter increasing difficulty in doing what they were able to do easily, and their physical symptoms increase as the disease advances. The purpose of this study is to explore how terminal cancer patients who have not clearly expressed a depressed mood or intense grief manage their feelings associated with anxiety and depression.

Methods: Eleven terminally ill patients with cancer who were receiving symptom-relieving treatment at home or in palliative care units were interviewed. Interviews were generally conducted weekly, two to five times for each participant. In total, 33 interviews were conducted, and the overall interview time was 2027 min. Data were analyzed via qualitative methods.

Results: The following five themes were extracted regarding the experience of managing feelings associated with anxiety and depression when facing death: "I have to accept that I have developed cancer," "I have to accept the undeniable approach of my own death," "I have to accept my need for assistance," "I have to accept this unsatisfactory circumstance" and "I have to accept this as my destiny and an outcome of my life."

Conclusion: The present study revealed key themes related to how patients come to terms with their impending death. Nurses are required to comprehend the patients' complicated mental patterns that are expressed in their daily languages. Furthermore, the findings clarify the necessity for nurses to help patients understand the acceptance of a terminal disease state during a patient's final days.

Keywords: Life and death; Mental stabilization; Palliative care units; Palliative home care; Qualitative study; Terminal cancer patients.

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Conflict of interest statement

Ethics approval and consent to participate

The study was conducted with the approval of the Ethical Review Board for Medical Research Involving Human Participants at the Gunma University (approval number: 9–30) and National Hospital Organization Shibukawa Medical Center (approval number: 15–09-01). The purpose of the study, voluntary nature of participation and the freedom to withdraw from the study at any time, and protection of personal information were explained verbally and in writing to participants, and their written consent for participation in the study was obtained.

Consent for publication

Not applicable.

Competing interests

The author declares no potential conflicts of interest with respect to the research, authorship, and/or publication of this editorial.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

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