Laboratoire de Psychopathologie et Processus de Santé, Université Paris Cité, Boulogne Billancourt, France.
Universite Paul Valéry Montpellier 3-Epsylon, Montpellier, France.
Am J Hosp Palliat Care. 2024 Jun;41(7):754-761. doi: 10.1177/10499091231194036. Epub 2023 Aug 4.
Faced with rising needs for patient support, palliative care is shifting towards a more community-based approach. Yet the profile of volunteers in this field is poorly known.
To explore psychosocial characteristics of palliative care volunteers, by comparing them to two groups, volunteers from the health and social sector without contact with palliative patients, and people from the general population without volunteer activity.
Observational comparative study. Data were analyzed using descriptive statistics and logistic regression analysis.
The 3 groups of participants were recruited in France between September 2020 and June 2021. They completed an online survey assessing sociodemographic characteristics and psychological resources (self-efficacy, hope, optimism, resilience, mindfulness, self-compassion, empathy, forgivingness, and gratitude).
Data from 559 participants were analyzed. Palliative care volunteers had overall significantly higher levels of psychological resources than control groups. Multivariate analysis revealed, among sociodemographic and psychological characteristics that showed differences between groups at the univariate level, the most efficient predictors of group status. The best criteria to distinguish palliative care volunteers from health and social sector volunteers were older age, having received training, and lower levels of self-compassion. To distinguish palliative care volunteers from people with no volunteer activity, older age and non-active professional status were the best criteria.
Palliative care volunteers displayed more psychological resources than controls. However, older age and being trained for volunteering, emerged as stronger factors for distinguishing palliative care volunteers from controls. Pursuing research about these volunteers should facilitate recruitment, training, and retention.
面对患者支持需求的不断增长,缓和医疗正在向以社区为基础的方法转变。然而,该领域志愿者的概况知之甚少。
通过将缓和医疗志愿者与两组人群进行比较,探索缓和医疗志愿者的社会心理特征,一组是没有接触过缓和医疗患者的卫生和社会部门的志愿者,另一组是没有志愿者活动的普通人群。
观察性比较研究。使用描述性统计和逻辑回归分析对数据进行分析。
2020 年 9 月至 2021 年 6 月期间,法国招募了这三组参与者。他们完成了一项在线调查,评估社会人口统计学特征和心理资源(自我效能感、希望、乐观、韧性、正念、自我同情、同理心、宽恕和感恩)。
分析了 559 名参与者的数据。与对照组相比,缓和医疗志愿者的整体心理资源水平显著更高。多变量分析显示,在单变量分析显示组间存在差异的社会人口统计学和心理特征中,是区分组间状态的最有效预测指标。区分缓和医疗志愿者和卫生与社会部门志愿者的最佳标准是年龄较大、接受过培训以及自我同情程度较低。区分缓和医疗志愿者和没有志愿者活动的人,年龄较大和非活跃的职业状态是最佳标准。
缓和医疗志愿者表现出更多的心理资源,但年龄较大和接受过志愿者培训是将缓和医疗志愿者与对照组区分开来的更强因素。对这些志愿者进行研究应该有助于招募、培训和保留。