The Mutual Effects of Perceived Spiritual Needs on Quality of Life in Patients With Advanced Cancer and Family Caregivers.
The Mutual Effects of Perceived Spiritual Needs on Quality of Life in Patients With Advanced Cancer and Family Caregivers.
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DOI：
10.1097/njh.0000000000000758
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发表时间：
2021-08-01
期刊：
影响因子：
--
通讯作者：
McMillan SC
中科院分区：
文献类型：
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作者：
Huang LT;Tai CY;Longcoy J;McMillan SC
当晚期癌症患者及其家庭照顾者面临生理和心理困扰的挑战时，感知到的精神需求可能会增加。考虑到病人和家庭照顾者之间错综复杂的关系，他们之间的相互依赖应该被考虑，以理解感知到的精神需求如何影响他们自己和他们的伴侣的生活质量。本研究以行动者-伴侣相互依存模型为概念模型，探讨晚期癌症患者及其家人照护者入住安宁疗护后，感知精神需求对其生活品质的相互影响。这项横断面研究使用了一项大型临床试验的基线数据，并确定癌症患者及其家庭照顾者感知到与社区和前景需求相关的类似精神需求，并且未满足的精神需求较少。在控制伴侣效应后，患者的感知前景需求对自身功能幸福感和社会/精神幸福感有显著的预测作用。家庭照顾者感知到的前景和社区需求对其自身心理健康也有显著的预测作用。虽然伴侣效应并没有像预期的那样显示出来，但研究结果为精神的相互关系提供了见解，并证明了提供及时和持续的精神评估和护理的必要性。
Perceived spiritual needs may increase when patients with advanced cancer and their family caregivers are confronted with the challenges of physical and psychological distress. Given the intertwined relationships between patients and family caregivers, their interdependence should be considered to understand how perceived spiritual needs affect the quality of life of their own and of their partner. This study used the Actor-Partner Interdependence Model as the conceptual model to investigate the mutual effects of perceived spiritual needs on the quality of life in patients with advanced cancer and their family caregivers after being admitted to hospice. This cross-sectional study used the baseline data of a large clinical trial and identified that patients with cancer and their family caregivers perceived similar spiritual needs associated with the community and outlook needs and had fewer unmet spiritual needs. After controlling for partner effects, perceived outlook needs shown in patients significantly predicted their own functional well-being and social/spiritual well-being. Outlook and community needs perceived by family caregivers also significantly predicted their own mental health. Although partner effects were not shown as expected, the findings provide insight into the mutuality of spirituality and demonstrate the necessity of providing timely and ongoing spiritual assessment and care.