“Compassionate City” in Patients with Advanced Illnesses and at the End of Life: A Pilot Study

Silvia Librada-Flores, María Jesús Pérez-Solano Vázquez, Miguel Ángel Lucas-Díaz, Zacarías Rodríguez Álvarez-Ossorio, Emilio Herrera-Molina, María Nabal-Vicuña and María Dolores Guerra-Martín ()
Additional contact information
Silvia Librada-Flores: New Health Foundation, 41004 Sevilla, Spain
María Jesús Pérez-Solano Vázquez: New Health Foundation, 41004 Sevilla, Spain
Miguel Ángel Lucas-Díaz: New Health Foundation, 41004 Sevilla, Spain
Zacarías Rodríguez Álvarez-Ossorio: New Health Foundation, 41004 Sevilla, Spain
Emilio Herrera-Molina: New Health Foundation, 41004 Sevilla, Spain
María Nabal-Vicuña: Palliative Care Team, Arnau de Villanova Hospital, 25198 Lleida, Spain
María Dolores Guerra-Martín: Department of Nursing, University of Sevilla, 41009 Sevilla, Spain

IJERPH, 2023, vol. 20, issue 3, 1-18

Abstract: Objectives: To evaluate, in a Compassionate City pilot experience (Sevilla), the impact results on health in a population of people with advanced illness and at the end of life. Methods: The project was undertaken in Sevilla, Spain, between January 2019 and June 2020. A longitudinal, descriptive study was conducted using a longitudinal cohort design with two cross-sectional measurements, pre and post intervention. All patients who entered the program on the start date were included. The networks of care around people with advanced illness and at the end of life, palliative care needs, quality of life, loneliness, anxiety, depression, caregivers’ burden and family satisfaction were evaluated. The interventions were conducted by community promoters assigned to the “Sevilla Contigo, Compassionate City” program. Results: A total of 83 people were included in the program. The average number of people involved in care at the beginning of the evaluations was 3.6, increasing to 6.1 at the end of the interventions. The average number of needs detected at the beginning was 15.58, and at the end of interventions, it was 16.56 out of 25. The unmet needs were those related to last wishes (40.7%), emotional relief (18.5%), entertainment (16%), help to walk up and down stairs (8.6%) and help to walk (6.2%). A total of 54.2% showed improved loneliness in the final evaluation. Out of 26 people evaluated for pre and post quality of life, 7 (26.9%) improved their quality of life in the general evaluation and 5 (19.2%) displayed improved anxiety/depression. A total of 6 people (28.6%) improved their quality-of-life thermometer scores. A total of 57.7% of caregivers improved their burden with a mean score of 17.8.

Keywords: community networks; palliative care; quality of life; public health needs assessment (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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