Bovero A, Leombruni P, Miniotti M, Rocca G, Torta R
Clinical Psychology and Psycho-Oncology Unit, Department of Neurosciences, University of Turin, Torino, Italy.
Psychiatric Section, Department of Neurosciences, University of Turin, Torino, Italy.
Eur J Cancer Care (Engl). 2016 Nov;25(6):961-969. doi: 10.1111/ecc.12360. Epub 2015 Jul 27.
The purpose of this study was to show the different components of spirituality in the last few weeks of life for advanced cancer patients admitted to hospice and to evaluate quality of life (QoL), pain, anxiety, depression and psychological adjustment to cancer. One hundred and fifteen patients were interviewed with a series of rating scales: the Functional Assessment of Chronic Illness Therapy - Spiritual Well-Being Scale, the Hospital Anxiety and Depression Scale, the Visual Analogue Scale for pain, the Brief Coping Orientation to Problem Experienced and the Functional Assessment of Cancer Therapy Scale - General Measure. Workers and single patients with higher education level showed a worse QoL. Moreover, anxiety and pain were negatively associated with QoL, while spirituality and 'Instrumental Support' coping style were positively associated with QoL. In the Italian sample, it was observed that when patients are close to death, faith is a more important component of spirituality than meaning/peace. This study confirms that QoL could be related to physical and psychological symptoms, and this reiterates the importance of faith in end-of-life care.
本研究的目的是揭示临终关怀机构收治的晚期癌症患者生命最后几周精神性的不同组成部分，并评估其生活质量（QoL）、疼痛、焦虑、抑郁以及对癌症的心理调适情况。对115名患者使用一系列评定量表进行了访谈：慢性病治疗功能评估-精神健康量表、医院焦虑抑郁量表、疼痛视觉模拟量表、问题应对简短定向量表以及癌症治疗功能评估量表-通用版。工作人员以及受过高等教育的单身患者生活质量较差。此外，焦虑和疼痛与生活质量呈负相关，而精神性和“工具性支持”应对方式与生活质量呈正相关。在意大利样本中，观察到当患者临近死亡时，信仰比意义/安宁更是精神性的一个重要组成部分。本研究证实生活质量可能与身体和心理症状相关，这再次强调了信仰在临终关怀中的重要性。
