Need for additional professional psychosocial and spiritual support in patients with advanced diseases in the course of specialist palliative care – a longitudinal observational study

Abstract Background We investigated the need for additional professional support and associated factors in patients (pts) at initiation and in the course of in- and outpatient specialist palliative care (I-SPC/O-SPC). Methods Pts entering an urban SPC network consecutively completed questionnaires o...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Anneke Ullrich, Holger Schulz, Sven Goldbach, Wiebke Hollburg, Annette Rommel, Marten Müller, Denise Kirsch, Katrin Kopplin-Förtsch, Julia Messerer, Louise König, Frank Schulz-Kindermann, Carsten Bokemeyer, Karin Oechsle
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Palliative care Support needs Specialist palliative care Psychosocial needs Spiritual needs Special situations and conditions RC952-1245
Acceso en línea:	https://doaj.org/article/57601a1157554432aefbcbfb6b60cbb2
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:57601a1157554432aefbcbfb6b60cbb2
record_format	dspace
spelling	oai:doaj.org-article:57601a1157554432aefbcbfb6b60cbb22021-11-28T12:09:56ZNeed for additional professional psychosocial and spiritual support in patients with advanced diseases in the course of specialist palliative care – a longitudinal observational study10.1186/s12904-021-00880-61472-684Xhttps://doaj.org/article/57601a1157554432aefbcbfb6b60cbb22021-11-01T00:00:00Zhttps://doi.org/10.1186/s12904-021-00880-6https://doaj.org/toc/1472-684XAbstract Background We investigated the need for additional professional support and associated factors in patients (pts) at initiation and in the course of in- and outpatient specialist palliative care (I-SPC/O-SPC). Methods Pts entering an urban SPC network consecutively completed questionnaires on psychosocial/spiritual problems and support needs within 72 h (T0) as well as within the first 6 weeks (T1) of SPC. Hierarchical linear regression analysis was used to investigate the impact of sociodemographic / disease-related variables, psychological / physical burden, social support, and SPC setting on the extent of support needs. Results Four hundred twenty-five pts (70 years, 48% female, 91% cancer, 67% O-SPC) answered at T0, and 167 at T1. At T0, main problems related to transportation, usual activities, and dependency (83–89%). At T1, most prevalent problems also related to transportation and usual activities and additionally to light housework (82–86%). At T0, support needs were highest for transportation, light housework, and usual activities (35–41%). Cross-sectional comparisons of SPC settings revealed higher problem scores in O-SPC compared to I-SPC at T0 (p = .039), but not at T1. Support need scores were higher in O-SPC at T0 (p < .001), but lower at T1 (p = .039). Longitudinal analyses showed a decrease of support need scores over time, independent from the SPC setting. At T0, higher distress (p = .047), anxiety/depression (p < .001), physical symptom burden (p < .001) and I-SPC (p < .001) were associated with higher support need scores (at T1: only higher distress, p = .037). Conclusion Need for additional professional psychosocial/spiritual support was identified in up to 40% of pts. with higher need at the beginning of O-SPC than of I-SPC. During SPC, this need decreased in both settings, but got lower in O-SPC than in I-SPC over time. Support need scores were not only associated with psychological, but also physical burden.Anneke UllrichHolger SchulzSven GoldbachWiebke HollburgAnnette RommelMarten MüllerDenise KirschKatrin Kopplin-FörtschJulia MessererLouise KönigFrank Schulz-KindermannCarsten BokemeyerKarin OechsleBMCarticlePalliative careSupport needsSpecialist palliative carePsychosocial needsSpiritual needsSpecial situations and conditionsRC952-1245ENBMC Palliative Care, Vol 20, Iss 1, Pp 1-13 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Palliative care Support needs Specialist palliative care Psychosocial needs Spiritual needs Special situations and conditions RC952-1245
spellingShingle	Palliative care Support needs Specialist palliative care Psychosocial needs Spiritual needs Special situations and conditions RC952-1245 Anneke Ullrich Holger Schulz Sven Goldbach Wiebke Hollburg Annette Rommel Marten Müller Denise Kirsch Katrin Kopplin-Förtsch Julia Messerer Louise König Frank Schulz-Kindermann Carsten Bokemeyer Karin Oechsle Need for additional professional psychosocial and spiritual support in patients with advanced diseases in the course of specialist palliative care – a longitudinal observational study
description	Abstract Background We investigated the need for additional professional support and associated factors in patients (pts) at initiation and in the course of in- and outpatient specialist palliative care (I-SPC/O-SPC). Methods Pts entering an urban SPC network consecutively completed questionnaires on psychosocial/spiritual problems and support needs within 72 h (T0) as well as within the first 6 weeks (T1) of SPC. Hierarchical linear regression analysis was used to investigate the impact of sociodemographic / disease-related variables, psychological / physical burden, social support, and SPC setting on the extent of support needs. Results Four hundred twenty-five pts (70 years, 48% female, 91% cancer, 67% O-SPC) answered at T0, and 167 at T1. At T0, main problems related to transportation, usual activities, and dependency (83–89%). At T1, most prevalent problems also related to transportation and usual activities and additionally to light housework (82–86%). At T0, support needs were highest for transportation, light housework, and usual activities (35–41%). Cross-sectional comparisons of SPC settings revealed higher problem scores in O-SPC compared to I-SPC at T0 (p = .039), but not at T1. Support need scores were higher in O-SPC at T0 (p < .001), but lower at T1 (p = .039). Longitudinal analyses showed a decrease of support need scores over time, independent from the SPC setting. At T0, higher distress (p = .047), anxiety/depression (p < .001), physical symptom burden (p < .001) and I-SPC (p < .001) were associated with higher support need scores (at T1: only higher distress, p = .037). Conclusion Need for additional professional psychosocial/spiritual support was identified in up to 40% of pts. with higher need at the beginning of O-SPC than of I-SPC. During SPC, this need decreased in both settings, but got lower in O-SPC than in I-SPC over time. Support need scores were not only associated with psychological, but also physical burden.
format	article
author	Anneke Ullrich Holger Schulz Sven Goldbach Wiebke Hollburg Annette Rommel Marten Müller Denise Kirsch Katrin Kopplin-Förtsch Julia Messerer Louise König Frank Schulz-Kindermann Carsten Bokemeyer Karin Oechsle
author_facet	Anneke Ullrich Holger Schulz Sven Goldbach Wiebke Hollburg Annette Rommel Marten Müller Denise Kirsch Katrin Kopplin-Förtsch Julia Messerer Louise König Frank Schulz-Kindermann Carsten Bokemeyer Karin Oechsle
author_sort	Anneke Ullrich
title	Need for additional professional psychosocial and spiritual support in patients with advanced diseases in the course of specialist palliative care – a longitudinal observational study
title_short	Need for additional professional psychosocial and spiritual support in patients with advanced diseases in the course of specialist palliative care – a longitudinal observational study
title_full	Need for additional professional psychosocial and spiritual support in patients with advanced diseases in the course of specialist palliative care – a longitudinal observational study
title_fullStr	Need for additional professional psychosocial and spiritual support in patients with advanced diseases in the course of specialist palliative care – a longitudinal observational study
title_full_unstemmed	Need for additional professional psychosocial and spiritual support in patients with advanced diseases in the course of specialist palliative care – a longitudinal observational study
title_sort	need for additional professional psychosocial and spiritual support in patients with advanced diseases in the course of specialist palliative care – a longitudinal observational study
publisher	BMC
publishDate	2021
url	https://doaj.org/article/57601a1157554432aefbcbfb6b60cbb2
work_keys_str_mv	AT annekeullrich needforadditionalprofessionalpsychosocialandspiritualsupportinpatientswithadvanceddiseasesinthecourseofspecialistpalliativecarealongitudinalobservationalstudy AT holgerschulz needforadditionalprofessionalpsychosocialandspiritualsupportinpatientswithadvanceddiseasesinthecourseofspecialistpalliativecarealongitudinalobservationalstudy AT svengoldbach needforadditionalprofessionalpsychosocialandspiritualsupportinpatientswithadvanceddiseasesinthecourseofspecialistpalliativecarealongitudinalobservationalstudy AT wiebkehollburg needforadditionalprofessionalpsychosocialandspiritualsupportinpatientswithadvanceddiseasesinthecourseofspecialistpalliativecarealongitudinalobservationalstudy AT annetterommel needforadditionalprofessionalpsychosocialandspiritualsupportinpatientswithadvanceddiseasesinthecourseofspecialistpalliativecarealongitudinalobservationalstudy AT martenmuller needforadditionalprofessionalpsychosocialandspiritualsupportinpatientswithadvanceddiseasesinthecourseofspecialistpalliativecarealongitudinalobservationalstudy AT denisekirsch needforadditionalprofessionalpsychosocialandspiritualsupportinpatientswithadvanceddiseasesinthecourseofspecialistpalliativecarealongitudinalobservationalstudy AT katrinkopplinfortsch needforadditionalprofessionalpsychosocialandspiritualsupportinpatientswithadvanceddiseasesinthecourseofspecialistpalliativecarealongitudinalobservationalstudy AT juliamesserer needforadditionalprofessionalpsychosocialandspiritualsupportinpatientswithadvanceddiseasesinthecourseofspecialistpalliativecarealongitudinalobservationalstudy AT louisekonig needforadditionalprofessionalpsychosocialandspiritualsupportinpatientswithadvanceddiseasesinthecourseofspecialistpalliativecarealongitudinalobservationalstudy AT frankschulzkindermann needforadditionalprofessionalpsychosocialandspiritualsupportinpatientswithadvanceddiseasesinthecourseofspecialistpalliativecarealongitudinalobservationalstudy AT carstenbokemeyer needforadditionalprofessionalpsychosocialandspiritualsupportinpatientswithadvanceddiseasesinthecourseofspecialistpalliativecarealongitudinalobservationalstudy AT karinoechsle needforadditionalprofessionalpsychosocialandspiritualsupportinpatientswithadvanceddiseasesinthecourseofspecialistpalliativecarealongitudinalobservationalstudy
_version_	1718408140207161344

Need for additional professional psychosocial and spiritual support in patients with advanced diseases in the course of specialist palliative care – a longitudinal observational study

Ejemplares similares