Étude sur l'anxiété de la mort chez les patients atteints de cancer : traduction et adaptation transculturelle d'un outil en français du Québec et exploration des interventions d'accompagnement des infirmières en oncologie

Authors: Amiri, Malek
Advisor: Desbiens, Jean-François
Abstract: When the doctors announce the diagnosis of cancer to a person suffering from the disease, this disturbing event leads to experience a series of thoughts concerning one’s existence, something that leads to death anxiety. Here where it comes the role of oncology nurses, who are in a key position to help reduce this difficult emotion. However, little is known about support interventions in nursing care for patients suffering from death anxiety. Moreover, there is, currently, no single instrument available in French to assess this painful emotion. Consequencely, the purpose of this correlational descriptive study is to explore associations between support interventions by oncology nurses and death anxiety among cancer patients. A preliminary phase is added in which three translators and five experts were involved in the Death and Dying Distress Scale (DADDS) translation and cross-cultural adaptation process. This process has produced the Death Distress Scale (DDS), which is pre-tested on five lung cancer patients. In the main phase of this study, 28 lung cancer patients were recruited from an outpatient clinic in a Quebec City hospital center. Nursing support interventions were measured by the Caring Nurse-Patient Interaction Scale – 70-item version – Patient (CNPI-70P). Correlation and polynomial regression analyzes were performed. The DDS has a good internal consistency (α = .86). The trust and support relationship is the main predictor of death anxiety (F (2, 23) = 5.31, p = .01). A second-degree polynomial model shows that the relationship between these two variables produces a convex parabola : these relationship support interventions lead to a decrease in death anxiety, but beyond a certain frequency they produce the opposite effect.
Document Type: Mémoire de maîtrise
Issue Date: 2019
Open Access Date: 15 August 2019
Permalink: http://hdl.handle.net/20.500.11794/36015
Grantor: Université Laval
Collection:Thèses et mémoires

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