M M H G Hendrickx, L G Kos, A H N Cillessen, T Mainhard
Reciprocal associations between teacher-student relations and students' externalizing behavior in elementary education? A within-dyad analysis
Journal of school psychology
suffering experienced terminallyill patients encompasses physiological psychosocial spiritual dimensions previous studies investigated symptom burden intensity specific disease groups cancer heart failure patients research gap exists understanding major distressing symptoms among diverse terminallyill patients study assessed symptom burden intensity explored influential factors among diverse patient disease groups crosssectional study utilized baseline integrated palliative care outcome scale ipos assessment data study participants terminallyill patients enrolled endoflife care eolc intervention hong kong statistical methods including relative importance index rii oneway analysis variance anova generalized linear regression glr employed final sample consisted 1549 terminallyill patients mean age 774 years sd 116 five toprated distressing symptoms among patients revealed rii analysis poor mobility rii 644 family anxiety rii 635 sharing feelings familyfriends rii 614 weakness lack energy rii 581 hardly feeling peace rii 507 oneway anova showed significant differences among eight disease groups perceived physical emotional symptom burden intensity p005 analysis rii symptom scores disease group revealed poor mobility rated distressing symptom rii 851629 patients motor neurone disease parkinsons disease heart failure dementia endstage renal disease serious diseases including stroke hematological disease multiple sclerosis liver diseases perceived family anxiety rii 661 shortness breath rii 638 distressing symptoms cancer patients chronic obstructive pulmonary disease respectively glr analysis showed illness type significant factor influencing perceived burden intensity terms ipos total subscale scores physical symptoms emotional symptoms communicationpractical issues demographic characteristics age gender marital status coresiding status also identified influential factors various symptom categories however patients educational level relationship primary caregiver significantly influence perceived symptom burden study provides valuable insights symptom burdens experienced diverse patient disease groups endstage life findings highlight major distressing symptoms poor mobility family anxiety shortness breath addressing symptoms crucial improving quality care terminallyill patients furthermore study identifies influential factors affect perceived intensity symptom burden primarily main type terminal illness patients age tailored care support improved clinical care implemented particularly highrisk groups patients noncancer terminal illnesses older aged patients findings contribute existing literature emphasize need comprehensive individualized care eolc