| 論文種別 | 原著(症例報告除く) |
| 言語種別 | 英語 |
| 査読の有無 | その他(不明) |
| 表題 | Exploring the underlying structural mechanisms and whole-person perspectives on the desire for hastened death in patients with terminal cancer: A qualitative study. |
| 掲載誌名 | 正式名：Palliative & supportive care 略 称：Palliat Support Care ISSNコード：14789523/14789515 |
| 掲載区分 | 国外 |
| 巻・号・頁 | 24,pp.e100 |
| 著者・共著者 | Yuko Matsumura, Hiroki Kato, Eiko Maetaki, Kengo Imai, Yusuke Hiratsuka, Hideyuki Kashiwagi, Koji Amano, Yutaka Hatano, Masanori Mori, Tatsuya Morita, Yuki Shirai, Keiko Tamura, Keiko Sato |
| 発行年月 | 2026/04 |
| 概要 | OBJECTIVES:In this study, we aimed to elucidate the underlying structural mechanisms that generate a desire for hastened death (DHD) in patients with terminal cancer from a whole-person perspective based on insights from palliative-care professionals (PCPs).METHODS:We conducted semi-structured interviews with 36 PCPs experienced in caring for patients with terminal cancer and DHD, followed by a thematic analysis based on Boyatzis' hybrid approach.RESULTS:We identified 6 themes that characterize the underlying structural mechanisms of DHD. DHD arises from feelings such as loss of self-control, inability to escape adverse circumstances, confronting death and letting go of life, pain of loneliness, being unable to accept living life as it is, and feeling unable to live with the thought of being an inconvenience to others, in addition to physical and psychological pain. In contrast, certain patients who had built good relationships with family members and/or PCPs found new meaning and value in their current lives, expressing a desire to live in the moment and choosing to continue living until the end.SIGNIFICANCE OF RESULTS:This study provides the first comprehensive analysis of the underlying structural mechanisms of DHD in patients with terminal cancer from a whole-person perspective. DHD with spiritual pain is linked to the loss of future orientation, autonomy, and meaningful relationships through interconnected structural pathways, leading to feelings of worthlessness and existential meaninglessness. The identified framework demonstrates that these underlying mechanisms operate through an interplay of existential, relational, and autonomy-related factors extending beyond physical and psychological symptoms, reflecting an interconnected human experience across physical, psychological, social, and spiritual dimensions. This study established an evidence-based framework enabling healthcare professionals to implement whole-person approaches to recognize the multidimensional nature of DHD and address existential distress across all dimensions of human experience in end-of-life care. |
| DOI | 10.1017/S1478951526102028 |
| PMID | 41943934 |