Spiritual coping and psychological symptoms as the end approaches: a closer look on ambulatory palliative care patients

Gryschek, Guilherme; Machado, Danusa de Almeida; Otuyama, Leonardo Jun; Goodwin, Christian; Lima, Maria Cristina Pereira

doi:10.1080/13548506.2019.1640887

Cited by 11 publications

(5 citation statements)

References 30 publications

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“…Patients may keep a sensation of hope even when pain and other symptoms of cancer progress according to their affective-cognitive, psychosocial, and spiritual resources and their resilience. 23,24 The needs and social relationships are more important for patients than physiological needs, which supports the 'feeling of belonging' as a primary human need, the importance of which might increase closer to death. 20 In terms of social distress, a study carried out in Japan showed that there were differences between men and women; while women were more likely to suffer from psychosocial issues, such as changes in appearance, family problems, and sexual matters, men presented greater spiritual pain as a feeling of uselessness, loneliness, and hopelessness.…”

Section: Resultsmentioning

confidence: 96%

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Assessment of total pain in people in oncologic palliative care: integrative literature review

et al. 2022

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The promotion of comfort and quality of life of people with cancer in palliative care requires flawless evaluation and management of pain, understood in its multidimensionality and integrality. The objective of this study was to present an overview of the scientific production referring to evaluation of the pain and total pain of patients with advanced cancer in palliative care. The study involved an integrative literature review, searching the databases PubMed, Embase, Cinahl, Lilacs and Web of Science using the descriptors ‘Total Pain’, ‘Cancer Pain’, ‘Pain’, ‘Symptom Assessment’, ‘Pain Measurement’, ‘Pain Evaluation’, ‘Neoplasms’, ‘Cancer’, ‘Tumor’, ‘Palliative Care’, ‘Hospice Care’, and ‘Terminal Care’. To select the studies, the authors used the reference manager Mendeley and the application Rayyan™, as well as blind and independent peer review. Twenty-two articles were selected, published between 2002 and 2020 in different countries, and classified into two thematic units: ‘Physical, social, emotional, and spiritual factors related to pain in cancer’ ( N = 13) and ‘Importance of the overall evaluation and multidisciplinary team in the management of pain’ ( N = 9). Advanced cancer is associated with high mortality, a decline in health status, the presence of pain, and complex psychosocial concerns. Pain and symptoms in patients in palliative care should be evaluated as a whole and controlled thorough the work of an interdisciplinary team. The qualitative synthesis of the results demonstrates that most of the evaluated studies have a mixed nature; there are significant methodological differences among them and a low level of evidence in studies relating to the subject of pain evaluation in palliative care.

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Section: Resultsmentioning

confidence: 96%

Section: Resultsmentioning

confidence: 99%

Assessment of total pain in people in oncologic palliative care: integrative literature review

et al. 2022

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“…A second possible explanation is that the typology of the patients observed in these settings can experience difficult pain conditions or may have concurrent symptoms that are perceived by the patient as a “total pain”, which includes physical, psychological, and spiritual pain. 21 In a previous analysis, it has been reported that variables associated with fast-onset BTcP are represented by day-hospital and in-hospital places of visit with higher level of interference in comparison with other settings. 22 This phenomenon is easily explained because Time to maximum BTP intensity has obvious clinical implications for a timely therapeutic intervention and possible psychological input in asking for a medication.…”

Section: Discussionmentioning

confidence: 97%

Patients’ Satisfaction with Breakthrough Cancer Pain Therapy: A Secondary Analysis of IOPS-MS Study

Mazzotta¹,

Filetti²,

Piras³

et al. 2022

CMAR

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“…O bien, cuentan con formación que no cubre las competencias básicas relacionadas con temas del final de la vida, los Cuidados Paliativos tempranos, la evaluación psicológica, psicoterapia, la supervisión y el apoyo al personal, y que además integre lo cultural, la ética, la autoconciencia y autorreflexión (6,7) . También es frecuente que desconozcan temas específicos como el dolor total, las necesidades espirituales, la capacidad para afrontar el sufrimiento (8) y la adaptación de intervenciones psicológicas tomando en cuenta necesidades únicas de cada paciente y su familia, el respeto de experiencias vitales, aptitudes y vulnerabilidades (9) ; así como competencias en investigación, educación y capacitación (10) . Se ha demostrado que el hecho de que los profesionales en Psicología Paliativa carezcan de estas competencias, no sólo repercute de forma negativa en la calidad de los cuidados ofrecidos, sino que también afecta su bienestar, ya que pueden llegar a presentar sentimientos de frustración e incapacidad, estrés, desgaste ocupacional o desgaste por empatía (11)(12)(13) .…”

Section: Introductionunclassified

Instrumento de Detección de Necesidades de Capacitación en Psicología de Cuidados Paliativos: Diseño y validación

Huertas,

Sánchez Román,

Calleja

et al. 2023

Psicooncología

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Introducción. Los psicólogos tienen un papel relevante en el manejo integral en la atención de pacientes en cuidados paliativos y su familia, por lo que deben contar con competencias específicas para proporcionar la atención psicológica en los diferentes niveles de atención en salud. Objetivo: Diseñar un Instrumento de Detección de Necesidades de Capacitación en Psicología de Cuidados Paliativos (IDNCPsic-CP), analizar su validez y confiabilidad. Método: Se realizó un estudio prospectivo, transversal mediante una encuesta en línea para psicólogos que laboraran en Unidades/Servicios de Cuidados Paliativos en México. Se utilizó un muestreo por conveniencia. Resultados: La muestra total fue de 132 profesionales del Psicología. El IDNCPsic-CP en su versión final fue de 122 reactivos divididos en características generales del psicólogo y la institución, proceso de atención y la Detección de Necesidades de Capacitación se conformó por 3 subescalas: a) Relevancia donde en el Análisis Factorial Exploratorio (AFE) se agrupó en 7 factores (alpha de Cronbach de ,930), y en el Análisis Factorial Confirmatorio (AFC) se confirmaron sólo 4. b) Frecuencia donde el AFE identificó 4 factores, (alpha de cronbach de .977), y en el AFC los siguientes índices de ajuste: χ2/gl= 1,784; CFI=0,917; TLI=0,908, SRMR=0,054 y RMSEA =0,077; y c) Autopercepción de habilidades con un solo factor, (alfa de Cronbach=0.945), el AFC con índices de ajuste: χ2/gl= 1,519; CFI=0,994; TLI=0,987, SRMR=0,023 y RMSEA=0,063. Conclusiones: El IDCNPsic-CP cuenta con puntuaciones altas de validez, confiabilidad y ajuste, que confirman que el instrumento cuenta con las propiedades psicométricas para su uso.

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Spiritual coping and psychological symptoms as the end approaches: a closer look on ambulatory palliative care patients

Cited by 11 publications

References 30 publications

Assessment of total pain in people in oncologic palliative care: integrative literature review

Assessment of total pain in people in oncologic palliative care: integrative literature review

Patients’ Satisfaction with Breakthrough Cancer Pain Therapy: A Secondary Analysis of IOPS-MS Study

Instrumento de Detección de Necesidades de Capacitación en Psicología de Cuidados Paliativos: Diseño y validación

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