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End-Of-Life Cancer Patients' Dignity Perception Before and During COVID-19 Pandemic.
Bovero, Andrea; Cotardo, Francesca; Tuberosa, Erika; Carletto, Sara; Oliva, Francesco.
Afiliación
  • Bovero A; Clinical Psychology Unit, "Città della Salute e della Scienza di Torino" University Hospital, Torino, Italy.
  • Cotardo F; Clinical Psychology Unit, "Città della Salute e della Scienza di Torino" University Hospital, Torino, Italy.
  • Tuberosa E; Department of Clinical and Biological Sciences, University of Torino, Torino, Italy.
  • Carletto S; Clinical Psychology Unit, "Città della Salute e della Scienza di Torino" University Hospital, Torino, Italy.
  • Oliva F; Clinical Psychology Unit, "Città della Salute e della Scienza di Torino" University Hospital, Torino, Italy.
Am J Hosp Palliat Care ; : 10499091241267878, 2024 Jul 24.
Article en En | MEDLINE | ID: mdl-39045782
ABSTRACT

Background:

The safety and restriction regulations implemented to contain the COVID-19 pandemic significantly impacted people's quality of life compromising the perception of dignity. Preserving dignity for end-of-life patients remains a paramount objective in palliative care. This study aimed to compare dignity levels in terminal cancer patients between pre- and during-pandemic periods.

Methods:

Dignity was assessed by the Italian version of the Patient Dignity Inventory (PDI-IT) in both pre- and during-pandemic groups of terminal cancer inpatients (hospitalized or admitted in hospice). The 2 groups were compared using non-parametric tests and a multivariate logistic regression analysis to estimate the association of the different dimensions of dignity with COVID-19 period, adjusting for other confounders. The study involved 2 groups of end-of-life cancer patients with a Karnofsky Performance Status (KPS) index less than 50. The first group included 506 patients before COVID-19, and the second group consisted of 156 patients enrolled during pandemic.

Results:

Existential Distress, Loss of Purpose and Meaning, Physical Symptoms and Dependency, Social Support PDI subscales and PDI Total score were higher in the during-pandemic group. The multivariate regression model partially supported the previous results as Loss of Purpose and Meaning, Social Support, and Existential Distress PDI subscales were associated with during-pandemic period, whereas PDI Physical Symptoms and Dependency and PDI Psychological Distress were not.

Conclusion:

Social isolation and other restrictions put in place to contain the COVID-19 pandemic may have had a negative impact on the perception of dignity in cancer patients at the end of life.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Am J Hosp Palliat Care Asunto de la revista: ENFERMAGEM Año: 2024 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Am J Hosp Palliat Care Asunto de la revista: ENFERMAGEM Año: 2024 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Estados Unidos