The purposes of this study were (1) to clarify the acceptance process of death and dying for cancer patients and (2) to examine the relationship between the factors to promote acceptance and enhance care.
Subjects were 24 cancer patients. We analyzed 36 books written by these patients, their families, doctors, or writers.
The main results were as follows:
1. The following acceptance process of death and dying was found: “shock,”“resistance,” “anxiety / fear,” “depression,” “thanks,” “acceptance,” “sublimation,” and “hope.”
2. There were three levels of “acceptance,” which were: ① intellectual acceptance, ② coexistence and ③ acquired acceptance after deep consideration about life and death, and the experience of cancer.
3. Two levels of “acceptance,” “coexistence,” and “acquired acceptance after deep consideration about lifemd aeath, and the experience of cancer” were related to the guality of care which the patients received.
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