Istituti Clinici Scientifici Maugeri IRCCS, Psychology Unit of Montescano Institute, Montescano (PV), Italy.
University of Milano-Bicocca, Department of Psychology, Milan, Italy.
Med Lav. 2021 Oct 28;112(5):387-400. doi: 10.23749/mdl.v112i5.11408.
In the healthcare landscape, various protective factors are identified, such as meaning in life (MiL), namely what gives sense to life events. However, little is known about this construct in the healthcare population.
To describe MiL among healthcare professionals employed in palliative care and neuro-rehabilitation medicine, unveiling possible differences related to medical specialty and socio-demographic characteristics.
In this cross-sectional and multicentre study, palliative care and neuro-rehabilitation professionals were recruited. MiL was evaluated with the Schedule for Meaning in Life Evaluation (SMiLE), which provides a list of meaningful areas, as well as related overall indexes of satisfaction (IoS), weighting (IoW), weighted satisfaction (IoWS). Descriptive statistics, t-test, chi-square, linear and binary logistic regressions were performed.
Overall, 297healthcare professionals (palliative care=89, neuro-rehabilitation medicine=208, 47% of participants ≤ 40 years old) completed the evaluation. The sample was intra- and inter-groups heterogeneous, in particular concerning age and professional role. Conversely, no significant group differences emerged in MiL indexes comparisons, nor in the number of MiL listed areas. As for MiL areas, the category "family" increased the IoWS index, while terms related to "finances" contributed to decrease it. Comparing specialties, palliative care professionals were more likely to report areas like "partnership", "social commitment", and "satisfaction". Nurses (n=116), nurse aides (n=47), and therapists (n=67) were more likely to mention health-related terms (e.g. health, physical wellbeing) than physicians and psychologists (n=65).
This study highlighted MiL areas among professionals employed in palliative care and neurorehabilitation specialties, providing informative suggestions for tailored health prevention programs which should pay particular attention to social and family relationships, socio-economic status, and health.
在医疗保健领域，人们确定了各种保护因素，例如生活意义（MiL），即赋予生活事件意义的事物。然而，人们对医疗保健人群中的这一概念知之甚少。
描述从事姑息治疗和神经康复医学的医疗保健专业人员的 MiL，并揭示与医学专业和社会人口统计学特征相关的可能差异。
在这项横断面和多中心研究中，招募了姑息治疗和神经康复专业人员。使用生活意义评估时间表（SMiLE）评估 MiL，该表提供了有意义的领域列表，以及相关的总体满意度指数（IoS）、加权指数（IoW）、加权满意度（IoWS）。进行了描述性统计、t 检验、卡方检验、线性和二元逻辑回归。
共有 297 名医疗保健专业人员（姑息治疗=89，神经康复医学=208，47%的参与者≤40 岁）完成了评估。该样本在组内和组间存在异质性，特别是在年龄和专业角色方面。然而，在 MiL 指数比较和列出的 MiL 领域数量方面，没有出现显著的组间差异。就 MiL 领域而言，“家庭”类别增加了 IoWS 指数，而与“财务”相关的术语则有助于降低它。比较专业时，姑息治疗专业人员更有可能报告“伙伴关系”、“社会承诺”和“满意度”等领域。护士（n=116）、护士助理（n=47）和治疗师（n=67）比医生和心理学家（n=65）更有可能提到与健康相关的术语（例如健康、身体健康）。
这项研究强调了从事姑息治疗和神经康复专业的专业人员的 MiL 领域，为量身定制的健康预防计划提供了有价值的建议，这些计划应特别关注社会和家庭关系、社会经济地位和健康。
