ArticleCureus2025
Hope and Acceptance at the End of Life: Impact of Spirituality on Patients in Palliative Care.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- Exploring Hope in Patient-Caregiver Dyads Living with Advanced Chronic Disease in Portugal: A Phenomenological Study.Healthcare (Basel, Switzerland) · 2026Article
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionPalliative care aims to improve the quality of life of patients with serious illnesses. In this type of care, spirituality is placed alongside other dimensions: physical, psychological, and social. The end of life brings confrontation with dilemmas such as "none of this makes sense" or "was it worth it?" The acceptance or rejection of the journey presents spirituality as a dimension that accompanies the person in their existence. Interventions that allow for a review of life help facilitate reflection on regrets, unresolved issues, and an understanding of the legacy that generates comfort and dignity. The objective of this research was to evaluate the evolution of hope and acceptance among patients visited by the Palliative Care Community Support Team from Baixo Mondego (PCCST-BM) in Portugal. MATERIALS AND
methodsA prospective, controlled, non-blind, longitudinal research study with an intervention, featuring pre- and post-evaluation. The intervention group (IG) corresponded to patients referred to the PCCST-BM, and the control group (CG) corresponded to selected users registered at the Nautilus Family Health Unit (FHU-N) or the Coimbra Centro Family Health Unit (FHU-CC), with severe pathology, comorbidities, and a reserved prognosis. PCCST-BM patients could not have had previous contact with palliative care or have been the subject of prior home visits. In the IG, the questionnaire was administered twice: during the first home visit and the second time after 14 days. In the CG, the questionnaire was administered only once. The questionnaire included sociodemographic and clinical data, the Herth Hope Index scale - Portuguese version (HHI-PT), and open-ended questions. Descriptive and inferential quantitative and qualitative analyses were performed.
resultsEach group consisted of 10 patients, for a total of 20. The results showed a significant improvement in hope among patients in the IG (p = 0.03). The average hope between home visits also increased, reaching values similar to the CG on the second visit, despite functional decline. In the qualitative assessment, patients in the IG reported greater acceptance and positive feelings after fourteen days. DISCUSSION AND
conclusionThe follow-up carried out by the team showed improvement in hope and acceptance, with results similar to those of a specific home-based intervention study conducted in Portugal, suggesting that this approach is helpful in this context. The small sample size due to the exclusion of patients with clinical deterioration and the variable number of home visits were relevant biases. The existence of only a few studies in this area highlights the importance of further research with larger samples and other tools.
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