The mediating role of family cohesion in the relationship between death anxiety and readiness toward advance care planning among Chinese community-dwelling older adults: A cross-sectional study
Document Type
Article
Publication Date
1-1-2025
Abstract
Objective: To determine the mediating role of family cohesion in the relationship between death anxiety and readiness toward advance care planning (ACP). Methods: This study included 965 Chinese community-dwelling older adults. Pearson correlation coefficient was conducted to assess the relationship between readiness toward ACP, death anxiety, and family cohesion. Structural equation model was used to examine the study hypothetical model. Results: 965 valid questionnaires were collected. Death anxiety is significantly related to the readiness toward ACP (r = -0.437, P < 0.01) and family cohesion (r = -0.444, P < 0.01), and family cohesion exhibited a positive correlation with readiness toward ACP (r = 0.499, P < 0.01). Family cohesion partially mediated the effect of death anxiety on readiness toward ACP, accounting for 35.94 % of the total effect. Conclusions: Family cohesion mediates the relationship between death anxiety and readiness toward ACP. Healthcare professionals should implement measures to alleviate death anxiety and promote family cohesion in older adults, thereby enhancing their readiness toward ACP. (c) 2024 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.
Keywords
Advance care planning, Death anxiety, Family cohesion, Older adults, Readiness
Divisions
nursing
Funders
Sichuan Society for Healthcare and Health Promotion Research Program (KY2023QN0228)
Publication Title
Geriatric Nursing
Volume
61
Publisher
Elsevier
Publisher Location
360 PARK AVENUE SOUTH, NEW YORK, NY 10010-1710 USA