Kashmeeri Mastura, Islam A N M Shamsul, Banik Palash Chandra
Department of Public Health & Hospital Administration NIPSOM Dhaka Bangladesh.
Department of Noncommunicable Diseases Bangladesh University of Health Sciences (BUHS) Dhaka Bangladesh.
Health Sci Rep. 2025 Mar 18;8(3):e70574. doi: 10.1002/hsr2.70574. eCollection 2025 Mar.
Palliative care providers play a crucial role in supporting patients with life-limiting illnesses by emphasizing the alleviation of suffering and enhancing quality of life. The intrinsic nature of palliative care, which often involves confronting death and dying, places considerable emotional and spiritual demands on caregivers. Psycho-spirituality, an integration of psychological well-being and spiritual dimensions, is vital for these providers to maintain their mental health and provide holistic care to their patients. Despite its importance, empirical studies focusing on the psycho-spiritual experiences of palliative care providers are limited.
This multicenter-based, descriptive cross-sectional study aims to explore the psycho-spiritual challenges faced by palliative care providers. Data was collected from 160 licensed healthcare providers, through face-to-face semi-structured interviews conducted from August to September 2022.
The results indicate that younger healthcare providers (aged 20-39) report higher psychological stress compared to their older counterparts ( = 0.029). Males exhibited slightly higher stress levels than females ( = 0.036), and divorced individuals reported the highest stress levels ( = 0.01). Educational qualification ( = 0.017), and income levels ( = 0.001) showed significant correlations with spiritual status with higher educational attainment and income associated with better spiritual well-being. Doctors experienced higher psychological stress ( = 0.004) but also reported higher spiritual status compared to nurses and other healthcare workers.
The findings depict significant associations between sociodemographic factors and the psychospiritual well-being of healthcare providers. Understanding these associations is crucial for developing targeted interventions to support the well-being of palliative care providers, ultimately leading to better patient care outcomes. Future research should focus on expanding the scope.
姑息治疗提供者在支持患有危及生命疾病的患者方面发挥着关键作用，他们强调减轻痛苦并提高生活质量。姑息治疗的内在性质通常涉及面对死亡，这对护理人员提出了相当大的情感和精神要求。心理精神性，即心理健康与精神层面的融合，对于这些提供者维持其心理健康并为患者提供全面护理至关重要。尽管其重要性，但专注于姑息治疗提供者心理精神体验的实证研究有限。
这项基于多中心的描述性横断面研究旨在探索姑息治疗提供者面临的心理精神挑战。数据收集自160名持牌医疗保健提供者，通过2022年8月至9月进行的面对面半结构化访谈。
结果表明，年轻的医疗保健提供者（20 - 39岁）报告的心理压力高于年长的同行（p = 0.029）。男性的压力水平略高于女性（p = 0.036），离婚者报告的压力水平最高（p = 0.01）。教育程度（p = 0.017）和收入水平（p = 0.001）与精神状态显示出显著相关性，较高的教育程度和收入与更好的精神健康相关。与护士和其他医护人员相比，医生经历的心理压力更高（p = 0.004），但也报告了更高的精神状态。
研究结果描绘了社会人口学因素与医护人员心理精神健康之间的显著关联。理解这些关联对于制定有针对性的干预措施以支持姑息治疗提供者的健康至关重要，最终可带来更好地患者护理结果。未来研究应专注于扩大范围。
