Spirituality and associated factors among cancer patients undergoing chemotherapy
Open Access
- 15 October 2019
- journal article
- research article
- Published by Wiley in Japan Journal of Nursing Science
- Vol. 17 (1), e12276
- https://doi.org/10.1111/jjns.12276
Abstract
Aim Patients' spirituality, the relationship between spirituality and physical pain, and the association between spirituality and quality of life (QOL) among patients undergoing cancer chemotherapy were examined. Spirituality was defined as a sense of meaning in one's existence and life, peace of mind, and the strength and comfort drawn from faith. Methods A cross‐sectional questionnaire survey was distributed to 176 adult cancer patients who received chemotherapy in May–September 2011 at an outpatient clinic in rural Japan. Spirituality was measured using the Functional Assessment of Chronic Illness Therapy‐Spiritual Well‐Being Scale (FACIT‐Sp‐12). Demographic data were collected for performance status, cancer stage, age, marital status, occupational status, persons in household, pain intensity, and other troubling symptoms. The relationship between the patients' spirituality subscale score and QOL was assessed in a structural equation model. Results Two FACIT‐Sp‐12 subscales, meaning/peace and faith, were moderately to strongly associated with age, appetite, and QOL scores. Although physical pain was significantly related to the QOL score (P = .002), it was not related to the FACIT‐Sp‐12 score (P = .427). These results indicated that the patients with higher spiritual scores and severe pain were enjoying life more than the patients with lower spiritual scores and severe pain. Moreover, two subscales of the FACIT‐Sp‐12 had a direct effect on QOL. Conclusions Spirituality was strongly associated with QOL. Younger patients (<50 years old) and stage I cancer patients need additional assistance to meet their spiritual needs. To maintain cancer patients' spiritual well‐being, nursing interventions should facilitate patients' nutrition support and appropriately address their spirituality.Keywords
Funding Information
- Ministry of Education, Culture, Sports, Science and Technology (JP23593226)
This publication has 40 references indexed in Scilit:
- Provision of Spiritual Support to Patients With Advanced Cancer by Religious Communities and Associations With Medical Care at the End of LifeJAMA Internal Medicine, 2013
- Spiritual Therapy to Improve the Spiritual Well-Being of Iranian Women with Breast Cancer: A Randomized Controlled TrialEvidence-Based Complementary and Alternative Medicine, 2013
- Instruments Measuring Spirituality in Clinical Research: A Systematic ReviewJournal of General Internal Medicine, 2011
- Spirituality, Religiosity, and Spiritual Pain in Advanced Cancer PatientsJournal of Pain and Symptom Management, 2011
- Requests for cancer treatment and palliative care: suggestions from 821 advanced cancer patients and bereaved familiesPalliative Care Research, 2011
- Efficacy of Short-Term Life-Review Interviews on the Spiritual Well-Being of Terminally Ill Cancer PatientsJournal of Pain and Symptom Management, 2010
- Provision of Spiritual Care to Patients With Advanced Cancer: Associations With Medical Care and Quality of Life Near DeathJournal of Clinical Oncology, 2010
- Effects of a Palliative Care Intervention on Clinical Outcomes in Patients With Advanced CancerJAMA, 2009
- A 3‐factor model for the FACIT‐SpPsycho‐Oncology, 2007
- Spiritual Pain among Patients with Advanced Cancer in Palliative CareJournal of Palliative Medicine, 2006