在意大利医疗保健提供者中实施心理存在性症状应急查
Andrea Bovero1, Giorgia Feni1, Laura Valenti2
1Clinical Psychology Unit, A.O.U. Città della Salute e della Scienza, Turin, Italy.
Palliative & supportive care
|December 29, 2025
概括
意大利精神存在性症状评估尺度 (PeSAS) 是可行的息治疗,改善医疗保健提供者.
科学领域:
- 息治疗和精神瘤学
- 在终身护理中进行心理评估.
背景情况:
- 存在的痛苦显著影响生命末期的癌症患者.
- 心理存在症状评估量表 (PeSAS) 是一种查这些症状的工具,但其实施需要进一步的研究.
- 有限的研究已经探索了PeSAS在临床环境中的实用性和结构.
研究的目的:
- 在息护理服务中实施意大利版本的PeSAS.
- 评估体验培训对医疗保健提供者 (HCP) 在管理心理存在性痛苦方面的能力的影响.
- 通过网络分析来确定心理存在症状的频率,并分析PeSAS结构.
主要方法:
- 针对意大利5个息护理服务的101名临床医生进行了为期2小时的心理存在性痛苦的体验性研讨会.
- 评估医疗保健人员在评估各种症状和使用问卷进行培训前后应急管理方面的自我有效性.
- 通过使用描述性统计,t测试,千平方测试和探索性图形分析,分析了横截面患者数据 (n=194).
主要成果:
- 临床医生的自我有效性显著提高,特别是在评估自杀症状 (科恩d=0.54),管理痛苦 (d=0.47) 和评估精神存在症状 (d=0.40) 中.
- PeSAS得分显示,与绝望 (强度=1.30) 和抑郁 (1.18) 有着强烈的积极关联.
- 发现较弱的关联是被疾病困住 (-1.64) 和渴望死亡 (-1.12),这表明了需要进一步研究的潜在领域.
结论:
- 意大利的PeSAS是一个可行的和有价值的工具,用于融入息护理环境.
- 该尺度有效地识别了关键的精神存在症状,与绝望和抑郁症有很强的联系,指导干预目标.
- 这些发现强调了PeSAS在增强医疗保健人员解决生命终端护理中复杂心理存在性需求的能力方面的重要性.
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