Fang Ting, Zeng Xiaoying, Zhang Yiying, Li Ping, Li Qin, Zhong Xiaoying, Yuan Ping, Wang Meng, Chen Ting, Zhang Limei
School of Nursing, Chengdu Medical College, No.783, Xindu Avenue, Xindu District, Chengdu, Sichuan Province, China.
The First People's Hospital of Ziyang, Ziyang, Sichuan, China.
J Relig Health. 2025 May 27. doi: 10.1007/s10943-025-02326-2.
This study investigated the current status of palliative care needs among maintenance hemodialysis individuals and their correlation with spiritual well-being. In this cross-sectional study, 363 maintenance hemodialysis individuals at five hospital hemodialysis centers in Chengdu, Sichuan Province, China, were surveyed using the General Information Questionnaire, the Disease-Related Information Questionnaire, the Palliative Care Outcome Scale (POS), and the Assessment of Chronic Disease Therapeutic Function-Mental Health Scale (FACIT-Sp-12). While the FACIT-Sp-12 scale has certain limitations-particularly that its "peace" and "meaning" subscales predominantly reflect mental health rather than spiritual well-being, with only the "faith" subscale truly measuring spiritual well-being (thus requiring cautious interpretation)-it has demonstrated satisfactory reliability and validity in Chinese patients undergoing maintenance hemodialysis. Hemodialysis individuals exhibited a moderate level of palliative care needs, and these needs were negatively correlated with their spiritual well-being. The dimensions of peace and faith in the FACIT-Sp-12 were part of the predictors of palliative care needs. Clinical healthcare professionals can enhance the spiritual well-being of individuals undergoing MHD by promoting inner peace and firm faith within them, reduce the need for palliative care, improve the quality of nursing services, and ultimately improve overall quality of life.
本研究调查了维持性血液透析患者的姑息治疗需求现状及其与精神健康的相关性。在这项横断面研究中，使用一般信息问卷、疾病相关信息问卷、姑息治疗结果量表（POS）和慢性病治疗功能-心理健康量表（FACIT-Sp-12），对中国四川省成都市五个医院血液透析中心的363名维持性血液透析患者进行了调查。虽然FACIT-Sp-12量表有一定局限性，尤其是其“安宁”和“意义”子量表主要反映心理健康而非精神健康，只有“信念”子量表真正测量精神健康（因此需要谨慎解读），但它在中国维持性血液透析患者中已显示出令人满意的信度和效度。血液透析患者的姑息治疗需求处于中等水平，且这些需求与他们的精神健康呈负相关。FACIT-Sp-12中的安宁和信念维度是姑息治疗需求的预测因素的一部分。临床医护人员可通过促进维持性血液透析患者内心的安宁和坚定信念来提高其精神健康水平，减少姑息治疗需求，改善护理服务质量，并最终提高整体生活质量。
