Spiritual Complexity in Palliative Home Care in Spain

This study examined spiritual complexity in end-of-life patients cared for by palliative care teams in Catalonia, Spain, using the HexCom model. Among 1818 patients (55.9% men, average age 75.7), spiritual complexity remained stable (37.5% initially, 35.5% final), while high complexity increased fro...

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Detalles Bibliográficos
Autores: Busquet-Duran, Xavier|||0000-0003-2441-2651, Moreno Gabriel, Eduard|||0000-0001-8184-6232, Verdaguer, Maria|||0009-0009-0950-8373, Jiménez-Zafra, Eva Maria, Manresa, J.M.|||0000-0001-8306-5798, Torán-Monserrat, Pere|||0000-0002-9865-7427
Tipo de recurso: artículo
Fecha de publicación:2025
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:311290
Acceso en línea:https://ddd.uab.cat/record/311290
https://dx.doi.org/urn:doi:10.1007/s10943-025-02300-y
Access Level:acceso abierto
Palabra clave:Spiritual care
Existential sufering
Palliative care
Home-care
Complexity
Descripción
Sumario:This study examined spiritual complexity in end-of-life patients cared for by palliative care teams in Catalonia, Spain, using the HexCom model. Among 1818 patients (55.9% men, average age 75.7), spiritual complexity remained stable (37.5% initially, 35.5% final), while high complexity increased from 8.3 to 11.2%. Intrapersonal complexity was the most common (19.7%), followed by transpersonal (18.4%), and interpersonal (6.8%). Emotional complexity was strongly correlated with spiritual complexity. Key factors included cognitive impairment as a protector and how spiritual complexity sub-areas relate to desires to hasten death, family relationships, and end-of-life circumstances. The findings emphasize integrating spiritual care into routine interdisciplinary care.