生命末期癌症患者在COVID-19大流行之前和期间的尊严感知
Andrea Bovero1, Francesca Cotardo1,2, Erika Tuberosa1
1Clinical Psychology Unit, "Città della Salute e della Scienza di Torino" University Hospital, Torino, Italy.
The American journal of hospice & palliative care
|July 24, 2024
概括
随着COVID-19的流行,癌症终端患者的尊严受到负面影响,增加了生存困境和失去目的. 社会隔离和限制加剧了对终身护理的看法.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 在瘤学瘤学.
- 公共卫生 公共卫生
背景情况:
- 由于COVID-19流行病的限制,影响了人们的生活质量和尊严.
- 在终身息治疗中,维护尊严至关重要.
- 之前的研究还没有广泛地比较癌症患者在疫情前和疫情期间的尊严.
研究的目的:
- 为了比较COVID-19大流行之前和期间的末期癌症患者的尊严水平.
- 确定受大流行相关限制影响的尊严的具体维度.
- 为改善公共卫生危机期间的终身护理提供见解.
主要方法:
- 在两个末期癌症患者组 (卡诺夫斯基绩效状态<50) 中,使用患者尊严清单 (PDI-IT) 评估尊严.
- 使用非参数测试,比较了506名大流行前患者和156名大流行期间的患者.
- 采用多变量逻辑回归来分析尊严维度与流行病时期之间的关联,控制混因素.
主要成果:
- 疫情期间的患者报告存在的痛苦,失去目的和意义,身体症状和依赖以及社会支持的得分更高.
- 多变量分析证实了大流行期间与失去目的和意义,社会支持和生存困境的更高得分之间的关联.
- 疫情期间与PDI身体症状和依赖性或PDI心理痛苦子表之间没有发现显著的关联.
结论:
- 在COVID-19大流行期间的社会隔离和限制对终身癌症患者的尊严产生了负面影响.
- 这些发现凸显了癌症末期患者在公共卫生危机中尊严的脆弱性.
- 息治疗策略可能需要调整,以减轻隔离对患者尊严的不利影响.
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