BackgroundDeath preparedness in patients with advanced cancer is an important prerequisite for improving the quality of death. However, there are insufficient studies on death preparedness in patients with advanced cancer, and the level of death preparedness needs to be further improved.AimTo develop a model of death preparedness in patients with advanced cancer.MethodsA qualitative approach with grounded theory was used. Data were collected between February 2024 and July 2024 in the oncology wards of the two general hospitals in Wuhan. We recruited 12 patients, 11 family members, 16 nurses and 4 doctors for semistructured interviews. Data analysis included open coding, axial coding and selective coding. The study is reported using the COREQ checklist.ResultsDeath preparedness in patients with advanced cancer is a spiralling process whose core components include death awareness, emotional response, hospice programme and reflexive care, and multiple personal, interpersonal and social factors influence it.ConclusionA model of death preparedness in advanced cancer patients was constructed through rooted theory, revealing its formation and change process. This model deepens the understanding of death preparedness and helps healthcare providers identify patients' preparedness status in advance to provide more targeted support and care. This personalised care enhances patients' quality of life and reduces the psychological burden on them and their families, achieving more comprehensive and humanised end‐of‐life care.ImpactTo better understand patients' death preparedness, healthcare providers should focus on patients' cognitive, emotional, behavioural and social needs in the process of death preparation from a multifactorial perspective, and provide targeted support and assistance.No Patient or Public Contributions were included in this paper.

中文翻译：

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晚期癌症患者死亡准备模型：一项扎根理论研究


背景晚期癌症患者的死亡准备是提高死亡质量的重要前提。然而，关于晚期癌症患者死亡准备的研究不足，死亡准备水平有待进一步提高。目的开发晚期癌症患者的死亡准备模型。方法采用扎根理论的定性方法。数据是在 2024 年 2 月至 2024 年 7 月期间在武汉两家综合医院的肿瘤病房收集的。我们招募了 12 名患者、11 名家庭成员、16 名护士和 4 名医生进行半结构化访谈。数据分析包括开放编码、轴向编码和选择性编码。该研究使用 COREQ 清单进行报告。结果晚期癌症患者的死亡准备是一个螺旋式的过程，其核心组成部分包括死亡意识、情绪反应、临终关怀计划和反射性护理，多种个人、人际和社会因素都会影响它。结论通过根理论构建晚期癌症患者死亡准备模型，揭示其形成和变化过程。该模型加深了对死亡准备的理解，并帮助医疗保健提供者提前识别患者的准备状态，以提供更有针对性的支持和护理。这种个性化的护理提高了患者的生活质量，减轻了他们及其家人的心理负担，实现了更全面和人性化的临终关怀。影响为了更好地了解患者的死亡准备情况，医护人员应从多因素角度关注患者在准备死亡过程中的认知、情感、行为和社会需求，并提供针对性的支持和帮助。本文未包含患者或公众贡献。