Spiritual Complexity in Palliative Home Care in Spain: A Multi-center Prospective Study

被引：0

作者：

Busquet-Duran, Xavier ^{[1
,3
,4
]}

Moreno-Gabriel, Eduard ^{[2
,3
,4
]}

Verdaguer, Maria ^{[3
]}

Jimenez-Zafra, Eva Maria ^{[1
]}

Manresa-Dominguez, Josep Maria ^{[3
,4
]}

Toran-Monserrat, Pere ^{[3
,4
,5
]}

机构：

[1] Catalan Hlth Inst, Home Care Programme Support Team PADES Granollers, Granollers, Spain

[2] Univ Autonoma Barcelona, Dept Social Psychol, Bellaterra, Spain

[3] Primary Care Res Inst Jordi Gol IDIAPJGol, Res Support Unit North Metropolitan Area, Mataro, Spain

[4] Multidisciplinary Res Grp Hlth & Soc GREMSAS 2021, Mataro, Spain

[5] Univ Girona, Fac Med, Dept Med, Girona, Spain

来源：

JOURNAL OF RELIGION & HEALTH | 2025年

关键词：

Spiritual care; Existential suffering; Palliative care; Home-care; Complexity; ADVANCED CANCER; LIFE PHILOSOPHY; OF-LIFE; PAIN; RELIGION; PARENTS;

D O I：

10.1007/s10943-025-02300-y

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

This study examined spiritual complexity in end-of-life patients cared for by palliative care teams in Catalonia, Spain, using the HexCom model. Among 1818 patients (55.9% men, average age 75.7), spiritual complexity remained stable (37.5% initially, 35.5% final), while high complexity increased from 8.3 to 11.2%. Intrapersonal complexity was the most common (19.7%), followed by transpersonal (18.4%), and interpersonal (6.8%). Emotional complexity was strongly correlated with spiritual complexity. Key factors included cognitive impairment as a protector and how spiritual complexity sub-areas relate to desires to hasten death, family relationships, and end-of-life circumstances. The findings emphasize integrating spiritual care into routine interdisciplinary care.

引用

页码：2297 / 2320

页数：24

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