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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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
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spelling Spiritual Complexity in Palliative Home Care in SpainA Multi-center Prospective StudyBusquet-Duran, Xavier|||0000-0003-2441-2651Moreno Gabriel, Eduard|||0000-0001-8184-6232Verdaguer, Maria|||0009-0009-0950-8373Jiménez-Zafra, Eva MariaManresa, J.M.|||0000-0001-8306-5798Torán-Monserrat, Pere|||0000-0002-9865-7427Spiritual careExistential suferingPalliative careHome-careComplexityThis 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. 22025-01-0120252025-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/311290https://dx.doi.org/urn:doi:10.1007/s10943-025-02300-yreponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengopen accesshttp://purl.org/coar/access_right/c_abf2Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:3112902026-06-06T12:50:31Z
dc.title.none.fl_str_mv Spiritual Complexity in Palliative Home Care in Spain
A Multi-center Prospective Study
title Spiritual Complexity in Palliative Home Care in Spain
spellingShingle Spiritual Complexity in Palliative Home Care in Spain
Busquet-Duran, Xavier|||0000-0003-2441-2651
Spiritual care
Existential sufering
Palliative care
Home-care
Complexity
title_short Spiritual Complexity in Palliative Home Care in Spain
title_full Spiritual Complexity in Palliative Home Care in Spain
title_fullStr Spiritual Complexity in Palliative Home Care in Spain
title_full_unstemmed Spiritual Complexity in Palliative Home Care in Spain
title_sort Spiritual Complexity in Palliative Home Care in Spain
dc.creator.none.fl_str_mv 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
author Busquet-Duran, Xavier|||0000-0003-2441-2651
author_facet 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
author_role author
author2 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
author2_role author
author
author
author
author
dc.subject.none.fl_str_mv Spiritual care
Existential sufering
Palliative care
Home-care
Complexity
topic Spiritual care
Existential sufering
Palliative care
Home-care
Complexity
description 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.
publishDate 2025
dc.date.none.fl_str_mv 2
2025-01-01
2025
2025-01-01
dc.type.none.fl_str_mv Article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://ddd.uab.cat/record/311290
https://dx.doi.org/urn:doi:10.1007/s10943-025-02300-y
url https://ddd.uab.cat/record/311290
https://dx.doi.org/urn:doi:10.1007/s10943-025-02300-y
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Dipòsit Digital de Documents de la UAB
instname:Universitat Autònoma de Barcelona
instname_str Universitat Autònoma de Barcelona
reponame_str Dipòsit Digital de Documents de la UAB
collection Dipòsit Digital de Documents de la UAB
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