Abstract Background The significance of spiritual care needs among chronic diseases patients has been emphasized across countries and cultures in many studies. However, there were few studies on spiritual care needs among elderly patients with moderate-to-severe chronic heart failure (CHF) in China. Objective To investigate spiritual care needs and associated influencing factors among elderly patients with moderate-to-severe CHF, and to examine the relationships among spiritual care needs, self-perceived burden, symptom management self-efficacy, and perceived social support. Methods A cross-sectional design was implemented, and the STROBE Checklist was used to report the study. A convenience sample of 474 elderly patients with moderate-to-severe CHF were selected from seven hospitals in Tianjin, China. The sociodemographic characteristics questionnaire, the Spiritual Needs Questionnaire Scale, the Self-Perceived Burden Scale, the Self-efficacy for Symptom Management Scale, and the Perceived Social Support Scale were used. Descriptive statistics, univariate, multiple linear regression, and Pearson's correlation analysis were used to analyze data. Results The total score of spiritual care needs among 474 elderly patients with moderate-to-severe CHF was 37.95 ± 14.71, which was moderate. Religious belief, educational background, self-perceived burden, symptom management self-efficacy, and perceived social support were the main factors affecting spiritual care needs, and spiritual care needs were negatively correlated with self-perceived burden (r = −0.637, p < 0.01) and positively correlated with symptom management self-efficacy (r = 0.802, p < 0.01) and social support (r = 0.717, p < 0.01). Significance of results The spiritual care needs of elderly patients with moderate-to-severe CHF were moderate, which were influenced by five factors. It is suggested that clinical nurses, families, and society should take targeted spiritual care measures to improve patients’ symptom management self-efficacy and perceived social support from many aspects, and reduce self-perceived burden to meet their spiritual care needs and improve the quality and satisfaction of spiritual care in nursing practice.
背景在许多国家和文化的研究中，慢性病患者精神护理需求的重要性已经得到强调。然而，国内对老年中重度慢性心力衰竭(CHF)患者精神护理需求的研究较少。目的了解老年中重度心力衰竭患者的精神护理需求及其影响因素，探讨精神护理需求与自我感知负担、症状管理自我效能感、感知社会支持之间的关系。方法采用横断面设计，采用STROBE检查表进行研究报告。从中国天津的7家医院选取474例中重度慢性心力衰竭老年患者作为方便样本。采用社会人口学特征问卷、精神需求问卷、自我感知负担量表、症状管理自我效能感量表和感知社会支持量表。采用描述性统计、单变量、多元线性回归、Pearson相关分析等方法对数据进行分析。结果474例中重度老年CHF患者精神护理需求总分为37.95±14.71分，属中度;宗教信仰、学历、自我负担感、症状管理自我效能感、感知社会支持是影响精神护理需求的主要因素，其中精神护理需求与自我负担感呈负相关(r = - 0.637, p < 0.01)，与症状管理自我效能感(r = 0.802, p < 0.01)、社会支持呈正相关(r = 0.717, p < 0.01)。结果老年中重度心力衰竭患者的精神护理需求处于中等水平，受5个因素影响。建议临床护士、家庭和社会采取有针对性的精神护理措施，从多方面提高患者的症状管理自我效能感和感知社会支持，减轻自我感知负担，满足患者的精神护理需求，提高护理实践中精神护理的质量和满意度。
{"title":"Spiritual care needs and their associated influencing factors among elderly patients with moderate-to-severe chronic heart failure in China: A cross-sectional study","authors":"Zhangyi Wang, Zhao Wang, Yue Wang, Luwei Xiao, Haomei Zhao, Xuechun Li, Si-feng Zhang, Xiaoli Pang","doi":"10.1017/S1478951521001279","DOIUrl":"https://doi.org/10.1017/S1478951521001279","url":null,"abstract":"Abstract Background The significance of spiritual care needs among chronic diseases patients has been emphasized across countries and cultures in many studies. However, there were few studies on spiritual care needs among elderly patients with moderate-to-severe chronic heart failure (CHF) in China. Objective To investigate spiritual care needs and associated influencing factors among elderly patients with moderate-to-severe CHF, and to examine the relationships among spiritual care needs, self-perceived burden, symptom management self-efficacy, and perceived social support. Methods A cross-sectional design was implemented, and the STROBE Checklist was used to report the study. A convenience sample of 474 elderly patients with moderate-to-severe CHF were selected from seven hospitals in Tianjin, China. The sociodemographic characteristics questionnaire, the Spiritual Needs Questionnaire Scale, the Self-Perceived Burden Scale, the Self-efficacy for Symptom Management Scale, and the Perceived Social Support Scale were used. Descriptive statistics, univariate, multiple linear regression, and Pearson's correlation analysis were used to analyze data. Results The total score of spiritual care needs among 474 elderly patients with moderate-to-severe CHF was 37.95 ± 14.71, which was moderate. Religious belief, educational background, self-perceived burden, symptom management self-efficacy, and perceived social support were the main factors affecting spiritual care needs, and spiritual care needs were negatively correlated with self-perceived burden (r = −0.637, p < 0.01) and positively correlated with symptom management self-efficacy (r = 0.802, p < 0.01) and social support (r = 0.717, p < 0.01). Significance of results The spiritual care needs of elderly patients with moderate-to-severe CHF were moderate, which were influenced by five factors. It is suggested that clinical nurses, families, and society should take targeted spiritual care measures to improve patients’ symptom management self-efficacy and perceived social support from many aspects, and reduce self-perceived burden to meet their spiritual care needs and improve the quality and satisfaction of spiritual care in nursing practice.","PeriodicalId":19953,"journal":{"name":"Palliative and Supportive Care","volume":"22 1","pages":"264 - 274"},"PeriodicalIF":0.0,"publicationDate":"2021-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87386628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-08-01DOI: 10.1017/s1478951521001280
ed and indexed in the following: CINAHL database; Cumulative Index to Nursing and Allied Health Liteature; MEDLINE Change of address: Allow six weeks for all changes to become effective. All communication should include both old and new addresses (with postal codes) and should be accompanied by a mailing label from a recent issue. Editorial Office: William Breitbart, Editor-in-Chief, Memorial Sloan Kettering Cancer Center, Department of Psychiatry and Behavioral Sciences, 641 Lexington Avenue, New York, NY 10022, USA. Telephone: (646) 888-0020. Fax: (212) 888-2356. E-mail: breitbaw@mskcc.org. Office of Publication: Cambridge University Press, One Liberty Plaza, New York, NY 10006, USA: Telephone: (212) 337-5000. Fax: (212) 337-5959. Printed in the United States of America on acid-free paper. Emeritus Lea Baider, Sharett Institute of Oncology, Israel Susan Block, Dana-Farber Cancer Institute, USA Irene Higginson, King’s College London, UK Paul Jacobsen, Ph.D., National Cancer Institute, USA Professor Uwe Koch, University Hospital at Hamburg-Eppendorf, Germany Neil MacDonald, McGill University, Canada Volume 19 August 2021 Number 4
{"title":"PAX volume 19 issue 4 Cover and Front matter","authors":"","doi":"10.1017/s1478951521001280","DOIUrl":"https://doi.org/10.1017/s1478951521001280","url":null,"abstract":"ed and indexed in the following: CINAHL database; Cumulative Index to Nursing and Allied Health Liteature; MEDLINE Change of address: Allow six weeks for all changes to become effective. All communication should include both old and new addresses (with postal codes) and should be accompanied by a mailing label from a recent issue. Editorial Office: William Breitbart, Editor-in-Chief, Memorial Sloan Kettering Cancer Center, Department of Psychiatry and Behavioral Sciences, 641 Lexington Avenue, New York, NY 10022, USA. Telephone: (646) 888-0020. Fax: (212) 888-2356. E-mail: breitbaw@mskcc.org. Office of Publication: Cambridge University Press, One Liberty Plaza, New York, NY 10006, USA: Telephone: (212) 337-5000. Fax: (212) 337-5959. Printed in the United States of America on acid-free paper. Emeritus Lea Baider, Sharett Institute of Oncology, Israel Susan Block, Dana-Farber Cancer Institute, USA Irene Higginson, King’s College London, UK Paul Jacobsen, Ph.D., National Cancer Institute, USA Professor Uwe Koch, University Hospital at Hamburg-Eppendorf, Germany Neil MacDonald, McGill University, Canada Volume 19 August 2021 Number 4","PeriodicalId":19953,"journal":{"name":"Palliative and Supportive Care","volume":"16 1","pages":"f1 - f4"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86188164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-07-26DOI: 10.1017/s1478951521001061
Christine L. Xu
{"title":"Unscripted","authors":"Christine L. Xu","doi":"10.1017/s1478951521001061","DOIUrl":"https://doi.org/10.1017/s1478951521001061","url":null,"abstract":"","PeriodicalId":19953,"journal":{"name":"Palliative and Supportive Care","volume":"108 1","pages":"146 - 147"},"PeriodicalIF":0.0,"publicationDate":"2021-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75913217","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-06-25DOI: 10.1017/S1478951521000742
Y. Hamama-Raz, Yael Cohen, M. Ben-Ezra
Abstract Objective Preferences for end-of-life (EoL) care settings is of considerable interest for developing public health policy and EoL care strategies. Culture, the cause of illness, and background characteristics may impact preferences. The present study aimed to explore preferences for EoL care settings: homes, hospitals, and inpatient hospice units among the general healthy population in Israel. Possible associations between the setting preferences and socio-demographic characteristics were also examined. Method A cross-sectional survey was conducted among 311 healthy adults who were recruited through a representative internet panel of the Israeli population using the Israeli census sampling method. The sex ratio was almost 1:1 with 158 women (50.8%) and 153 men (49.2%). All participants completed self-report measures using an online survey system. The questionnaires assessed sociodemographics and preferences for EoL care settings. Results This survey revealed that 52.1% of the participants expressed preference for being cared for at home rather than in an inpatient hospice unit, 40.8% expressed being cared for at home rather than in a hospital, while 36.7% had no preference regarding being cared for in hospital or in a hospice unit. Among the socio-demographic variables, only age and gender were found to be significantly associated with preferences for EoL care settings. Significance of results The present study highlights the need to be cautious when regarding home as the preferred EoL care setting, as some individuals declared that they would prefer EoL hospice/hospital care. Age and gender should be considered when discussing and tailoring strategies regarding EoL preferences.
{"title":"Preferences for end-of-life care settings among the healthy population in Israel—Related socio-demographic variables","authors":"Y. Hamama-Raz, Yael Cohen, M. Ben-Ezra","doi":"10.1017/S1478951521000742","DOIUrl":"https://doi.org/10.1017/S1478951521000742","url":null,"abstract":"Abstract Objective Preferences for end-of-life (EoL) care settings is of considerable interest for developing public health policy and EoL care strategies. Culture, the cause of illness, and background characteristics may impact preferences. The present study aimed to explore preferences for EoL care settings: homes, hospitals, and inpatient hospice units among the general healthy population in Israel. Possible associations between the setting preferences and socio-demographic characteristics were also examined. Method A cross-sectional survey was conducted among 311 healthy adults who were recruited through a representative internet panel of the Israeli population using the Israeli census sampling method. The sex ratio was almost 1:1 with 158 women (50.8%) and 153 men (49.2%). All participants completed self-report measures using an online survey system. The questionnaires assessed sociodemographics and preferences for EoL care settings. Results This survey revealed that 52.1% of the participants expressed preference for being cared for at home rather than in an inpatient hospice unit, 40.8% expressed being cared for at home rather than in a hospital, while 36.7% had no preference regarding being cared for in hospital or in a hospice unit. Among the socio-demographic variables, only age and gender were found to be significantly associated with preferences for EoL care settings. Significance of results The present study highlights the need to be cautious when regarding home as the preferred EoL care setting, as some individuals declared that they would prefer EoL hospice/hospital care. Age and gender should be considered when discussing and tailoring strategies regarding EoL preferences.","PeriodicalId":19953,"journal":{"name":"Palliative and Supportive Care","volume":"20 1","pages":"383 - 388"},"PeriodicalIF":0.0,"publicationDate":"2021-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74600649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-06-01DOI: 10.1017/s147895152100105x
D. Blum, C. Hertler, M. Schettle, C. Zipser, Samuel Gehrke
ed and indexed in the following: CINAHL database; Cumulative Index to Nursing and Allied Health Liteature; MEDLINE Change of address: Allow six weeks for all changes to become effective. All communication should include both old and new addresses (with postal codes) and should be accompanied by a mailing label from a recent issue. Editorial Office: William Breitbart, Editor-in-Chief, Memorial Sloan Kettering Cancer Center, Department of Psychiatry and Behavioral Sciences, 641 Lexington Avenue, New York, NY 10022, USA. Telephone: (646) 888-0020. Fax: (212) 888-2356. E-mail: breitbaw@mskcc.org. Office of Publication: Cambridge University Press, One Liberty Plaza, New York, NY 10006, USA: Telephone: (212) 337-5000. Fax: (212) 337-5959. Printed in the United States of America on acid-free paper. Emeritus Lea Baider, Sharett Institute of Oncology, Israel Susan Block, Dana-Farber Cancer Institute, USA Irene Higginson, King’s College London, UK Paul Jacobsen, Ph.D., National Cancer Institute, USA Professor Uwe Koch, University Hospital at Hamburg-Eppendorf, Germany Neil MacDonald, McGill University, Canada Volume 19 June 2021 Number 3
{"title":"PAX volume 19 issue 3 Cover and Front matter","authors":"D. Blum, C. Hertler, M. Schettle, C. Zipser, Samuel Gehrke","doi":"10.1017/s147895152100105x","DOIUrl":"https://doi.org/10.1017/s147895152100105x","url":null,"abstract":"ed and indexed in the following: CINAHL database; Cumulative Index to Nursing and Allied Health Liteature; MEDLINE Change of address: Allow six weeks for all changes to become effective. All communication should include both old and new addresses (with postal codes) and should be accompanied by a mailing label from a recent issue. Editorial Office: William Breitbart, Editor-in-Chief, Memorial Sloan Kettering Cancer Center, Department of Psychiatry and Behavioral Sciences, 641 Lexington Avenue, New York, NY 10022, USA. Telephone: (646) 888-0020. Fax: (212) 888-2356. E-mail: breitbaw@mskcc.org. Office of Publication: Cambridge University Press, One Liberty Plaza, New York, NY 10006, USA: Telephone: (212) 337-5000. Fax: (212) 337-5959. Printed in the United States of America on acid-free paper. Emeritus Lea Baider, Sharett Institute of Oncology, Israel Susan Block, Dana-Farber Cancer Institute, USA Irene Higginson, King’s College London, UK Paul Jacobsen, Ph.D., National Cancer Institute, USA Professor Uwe Koch, University Hospital at Hamburg-Eppendorf, Germany Neil MacDonald, McGill University, Canada Volume 19 June 2021 Number 3","PeriodicalId":19953,"journal":{"name":"Palliative and Supportive Care","volume":"83 1","pages":"f1 - f4"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76295916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-30DOI: 10.1017/s1478951521000511
Christine L. Xu
{"title":"Out of darkness","authors":"Christine L. Xu","doi":"10.1017/s1478951521000511","DOIUrl":"https://doi.org/10.1017/s1478951521000511","url":null,"abstract":"","PeriodicalId":19953,"journal":{"name":"Palliative and Supportive Care","volume":"60 1","pages":"509 - 510"},"PeriodicalIF":0.0,"publicationDate":"2021-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90873558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-29DOI: 10.1017/s1478951521000420
Christine L. Xu
{"title":"Awakening","authors":"Christine L. Xu","doi":"10.1017/s1478951521000420","DOIUrl":"https://doi.org/10.1017/s1478951521000420","url":null,"abstract":"","PeriodicalId":19953,"journal":{"name":"Palliative and Supportive Care","volume":"23 1","pages":"391 - 392"},"PeriodicalIF":0.0,"publicationDate":"2021-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90391005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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