Gender and observed complexity in palliative home care

This study analyses gender differences in the complexity observed in palliative home care through a multicentre longitudinal observational study of patients with advanced disease treated by palliative home care teams in Catalonia (Spain). We used the HexCom model, which includes six dimensions and m...

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Detalles Bibliográficos
Autores: Busquet-Duran, Xavier|||0000-0003-2441-2651, Moreno Gabriel, Eduard|||0000-0001-8184-6232, Jiménez-Zafra, Eva Maria, Tura-Poma, Magda, Bosch-de la Rosa, Olga, Moragas-Roca, Anna, Martin-Moreno, Susana, Martínez-Losada, Emilio, Crespo-Ramírez, Silvia, Lestón-Lado, Lola, Salamero-Tura, Nuria, Llobera-Estrany, Joana, Salvago-Leiracha, Ariadna, López-García, Ana Isabel, Manresa, J.M.|||0000-0001-8306-5798, Morandi-Garde, Teresa, Persentili-Viure, Eda Sara, Torán-Monserrat, Pere|||0000-0002-9865-7427
Tipo de recurso: artículo
Fecha de publicación:2021
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:271798
Acceso en línea:https://ddd.uab.cat/record/271798
https://dx.doi.org/urn:doi:10.3390/ijerph182312307
Access Level:acceso abierto
Palabra clave:End-of-life
Gender
Palliative care
Home care
Complexity
Descripción
Sumario:This study analyses gender differences in the complexity observed in palliative home care through a multicentre longitudinal observational study of patients with advanced disease treated by palliative home care teams in Catalonia (Spain). We used the HexCom model, which includes six dimensions and measures three levels of complexity: high (non-modifiable situation), medium (difficult) and low. Results: N = 1677 people, 44% women. In contrast with men, in women, cancer was less prevalent (64.4% vs. 73.9%) (p < 0.001), cognitive impairment was more prevalent (34.1% vs. 26.6%; p = 0.001) and professional caregivers were much more common (40.3% vs. 24.3%; p < 0.001). Women over 80 showed less complexity in the following subareas: symptom management (41.7% vs. 51,1%; p = 0.011), emotional distress (24.5% vs. 32.8%; p = 0.015), spiritual distress (16.4% vs. 26.4%; p = 0.001), socio-familial distress (62.7% vs. 70.1%; p = 0.036) and location of death (36.0% vs. 49.6%; p < 0.000). Men were more complex in the subareas of "practice" OR = 1.544 (1.25-1.90 p = 0.000) and "transcendence" OR = 1.52 (1.16-1.98 p = 0.002). Observed complexity is related to male gender in people over 80 years of age. Women over the age of 80 are remarkably different from their male counterparts, showing less complexity regarding care for their physical, psycho-emotional, spiritual and socio-familial needs.

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