Effectiveness of a Care Program Based on Watson's Theory of Human Caring on Death Anxiety and Hope for Life in Cancer Patients : A Randomized Clinical Trial

Articles in Press

Document Type : Original Quantitative and Qualitative Research Paper

Authors

1 Students Research Committee, Faculty of Nursing and Midwifery, Zabol University of Medical sciences, Zabol, Iran

2 Department of Nursing, School of Nursing and Midwifery , Zabol University of Medical Sciences, Zabol, Iran

3 Department of Public Health, School of Public Health, Zabol University of Medical Sciences, Zabol, Iran

10.22038/ebcj.2025.84840.3078

Abstract

Introduction: The cancers are the second leading cause of death worldwide, adversely affecting patients' well-being including hope for life, and cause death anxiety.
Aim of study: The present study aims to investigate the impact of a nursing care program based on Watson's Theory of Human Caring on death anxiety and hope for life in cancer patients.
Methods: This randomized, single-blind clinical trial was conducted on 64 cancer patients who met the inclusion criteria at IranMehr Oncology Hospital in Birjand in 2024. Participants were divided into intervention and control groups. The intervention group underwent an eight-week program based on Jean Watson's nursing theory including four stages of therapy, while the control group received routine nursing care. In both groups, data were collected using the validated and reliable Death Anxiety Scale and Adult Hope Scale, and demographic and clinical data collection form.
Results: results showed no significant difference between the mean scores of death anxiety and hope for life between the intervention and control groups prior to be enrolled in the study (P>0.05). however, after care based on Watson's Theory of Human Caring, an statistically significant reduction was observed in the mean score of death anxiety and also an elevation in hope for life in the intervention group compared to the control group (P<0.05).
Implications for Practice: Proper intervention in severely ill or poor prognosis patients provided healthcare professionals can have a positive impact on patients' outcome and improve their quality of life.

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Evidence Based Care

Articles in Press, Accepted Manuscript
Available Online from 11 May 2025

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