Randomized Controlled Trial Study of the Impact of a Spiritual Intervention on Hope and Spiritual Well-Being of Persons with Cancer
DOI:
https://doi.org/10.17533/udea.iee.v39n3e08Keywords:
patiens, neoplasms, hope, spiritualityAbstract
Objective. To determine the impact of spiritual intervention on hope and spiritual well-being of persons with cancer
Methods. Randomized controlled trial in which 74 patients with cancer referring to a chemotherapy ward of Shahid Rajaie Hospital in Yasuj city, Iran, were participated. The eligible patients were randomly assigned to either intervention or control group. Spiritual-based intervention was performed based on the protocol in four main fields namely; religious, existence, emotional and social over 5 sessions before chemotherapy.The participants in the control group had received usual cares .Data were collected using Snyder's Hope Scale and Ellison's Scale Spiritual Well-Being Scale on a week before and after intervention.
Results. The total mean scores of the scales of hope and spiritual well-being in both groups did not present statistical differences in the pre-intervention assessment. In contrast, at the post assessment, significant differences (p<0.001) were found in the mean scores between the intervention and control groups on the hope scale (60.9 versus 39.8) and on the spiritual well-being scale (94.3 versus 71.6).
Conclusion. Spiritual intervention could promote hope and spiritual well-being of persons with cancer.
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1. Timmons A, Gooberman-Hill R, Sharp L. The multidimensional nature of the financial and economic burden of a cancer diagnosis on patients and their families: qualitative findings from a country with a mixed public–private healthcare system. Support Care Cancer. 2013; 21(1):107-17.
2. Büssing A, Koenig HG. Spiritual needs of patients with chronic diseases. Religions. 2010; 1(1):18-27.
3. Baade P D, Youlden D R, Andersson T M, Youl P H, Kimlin M G, Aitken J F, Biggar R J. Estimating the change in life expectancy after a diagnosis of cancer among the Australian population. BMJ Open 2015; 5:e006740.
4. Hassankhani H, Amin Soheili A, Hosseinpour I, Eivazi Ziaei J, Nahamin M. A comparative study on the meaning in life of patients with cancer and their family members. J. Caring Sci. 2017; 6(4): 325-33.
5 Puchalski CM, King SDW, Ferrell BR. Spiritual considerations. Hematol Oncol Clin North Am. 2018;32(3):505-17.
6. Balducci L. Geriatric Oncology, spirituality, and palliative care. J. Pain Symptom Manag. 2019; 57(1):171-75.
7. Javanmardifard S, Heidari S, Sanjari M, Yazdanmehr M, Shirazi F. The relationship between spiritual well-being and hope, and adherence to treatment regimen in patients with diabetes. J. Diabetes Metab. Disord.2020;19:941–50
8. Abbasian F, kia N, Mirmohammadkhani M, Ghahremanfard F, Ghods E. Self-esteem and spiritual health in cancer patients under chemotherapy in Semnan University of Medical Sciences in 2014. Health Spiritual Med. Ethics. 2016; 3(4):29-37
9. Nasution LA, Afiyanti Y, Kurniawati W. Effectiveness of spiritual intervention toward coping and spiritual well-being on patients with gynecological cancer. Asia Pac. J. Oncol. Nurs. 2020; 7(3):273-9.
10. Rogers M, Wattis J. Spirituality in nursing practice. Nurs. Stand. 2015; 29(39):51-7.
11. Hebert R, Zdaniuk B, Schulz R, Scheier M. Positive and negative religious coping and well-being in women with breast cancer. J. Palliat. Med. 2009; 12(6):537-45.
12. Grover S, Sarkar S, Bhalla A, Chakrabarti S, Avasthi A. Religious coping among self-harm attempters brought to emergency setting in India. Asian J. Psychiatr. 2016; 23:78-86.
13. Wolf S. Meaning in life and why it matters. Princeton University Press; 2010.
14. Ghahramanian A, Davoodi A, Khorrami Markani A, Bahrami A. Spiritual needs of patients with cancer referred to Alinasab and Shahid Ghazi Tabatabaie Hospitals of Tabriz, Iran. Asian Pac. J. Cancer Prev. 2016;17 (7):3105-9.
15. Ciarrochi J, Parker P, Kashdan TB, Heaven PC, Barkus E. Hope and emotional well-being: A six-year study to distinguish antecedents, correlates, and consequences. J. Posit. Psychol. 2015; 10(6):520-32.
16. Arndt V, Koch-Gallenkamp L, Jansen L, Bertram H, Eberle A, Holleczek B, Schmid-Höpfner S, Waldmann A, Zeissig SR, Brenner H.. Quality of life in long-term and very long-term cancer survivors versus population controls in Germany. Acta Oncol. 2017; 56(2):190-7.
17. Mardani Hamooleh M, Seyedfatemi N, Eslami A, Haghani S. The Spiritual Care Competency of the Nurses of the Teaching Hospitals Affiliated to Alborz University of Medical Sciences, Iran. Iran J. Nurs. 2020; 33 (124):58-69.
18. Jim HS, Pustejovsky JE, Park CL, Danhauer SC, Sherman AC, Fitchett G, Merluzzi TV, Munoz AR, George L, Snyder MA, Salsman JM. Religion, spirituality, and physical health in cancer patients: A meta‐analysis. Cancer. 2015; 121(21):3760-8.
19. Yailagh MS, Ghahfarokhi FK, Maktabi GH, Neasi A, Samavi A. Reliability and validity of the Hope Scale in the Iranian students. J. Life Sci. Biomed. 2012; 2(4):125-8.
20. Biglari Abhari M, Fisher JW, Kheiltash A, Nojomi M. Validation of the persian version of spiritual well-being questionnaires. Iran. J. Med. Sci. 2018; 43(3):276-85.
21. Ahmadi Z, Darabzadeh F, Nasiri M, Askari M. The effects of spirituality and religiosity on well-being of people with cancer: A literature review on current evidences. Jundishapur. J. Chronic Dis. Care. 2015; 4(2):e28386.
22. Rocha ACALd, Ciosak SI. Chronic disease in the elderly: spirituality and coping. Rev. Esc. Enferm. USP. 2014; 48(SPE2):87-93.
23. Counted V, Possamai A, Meade T. Relational spirituality and quality of life 2007 to 2017: an integrative research review. Health Qual. Life Outcomes. 2018; 16(1):1-18
24. Battey BW. Perspectives of spiritual care for nurse managers. J. Nurs. Manag. 2012 ;20(8):1012-20.
25. Ripamonti CI, Giuntoli F, Gonella S, Miccinesi G. Spiritual care in cancer patients: a need or an option? Curr. Opin. Oncol. 2018; 30(4):212-218.
26. Zumstein-Shaha M, Ferrell B, Economou D. Nurses' response to spiritual needs of cancer patients. Eur J Oncol Nurs. 2020; 48:101792.
27. Costa DT, Silva DMR, Cavalcanti IDL, Gomes ET, Vasconcelos JLA, Carvalho MVG. Religious/spiritual coping and level of hope in patients with cancer in chemotherapy. Rev. Bras. Enferm. 2019; 72(3):640-5.
28. Mansurifard F, Ghaljaei F, Navidian A. The effect of spiritual care on the spiritual health of adolescents with cancer: a pre-experimental study. Med. Surg. Nurs J. 2020; 8(4):e100567.
29. Kang K, Im J, Kim H, Kim S, Song M, Sim S. The effect of logotherapy on the suffering, finding meaning, and spiritual well-being of adolescents with terminal cancer. J. Korean Acad. Child Health Nurs. 2009; 15(2):136-44.
30. Delavari H, Nasirian M. Logo therapy effect on anxiety and depression in mothers of children with cancer. Iran. J. Ped. Hematol. Oncol. 2014; 4(2):42.
31. Caldeira S, Carvalho EC, Vieira M. Spiritual distress- proposing a new definition and defining characteristics. Int. J. Nurs. Knowl. 2013; 24:77–84.
32. Niedzwiedz C L, Knifton L, Robb K A, et al. Depression and anxiety among people living with and beyond cancer: a growing clinical and research priority. BMC Cancer. 2019; 19(1):1-8.
33. Highfield ME. Providing spiritual care to patients with cancer. Clin. J. Oncol. Nurs. 2000; 4(3):115-20.
34. Martins H, Caldeira S. Spiritual distress in cancer patients: a synthesis of qualitative studies. Religions. 2018; 9(10):285.
35. Martins H, Dias Domingues T, Caldeira S. Spiritual well-being in cancer patients undergoing chemotherapy in an outpatient setting: a cross-sectional study. J. Holist. Nurs. 2020; 38(1):68-77.
36. Legg, M. J. What is psychosocial care and how can nurses better provide it to adult oncology patients. The Australian J. Adva. Nurs. 2011; 28(3):61–7.
37. MazanecnS, Daly B, Douglas S, Lipson A. The relationship between optimism and quality of life in newly diagnosed cancer patients. Cancer Nurs. 2010; 33(3):235‑43.
38. Bernard M, Strasser F, Gamondi C, Braunschweig G, Forster M, Kaspers-Elekes K, Walther Veri S, Borasio GD. Relationship between spirituality, meaning in life, psychological distress, wish for hastened death, and their influence on quality of life in palliative care patients. J. Pain Symptom Manage. 2017; 54(4):514-22.
39. Salsman J M, Fitchett G, Merluzzi TV, Sherman AC, Park CL. Religion, spirituality, and health outcomes in cancer: A case for a meta-analytic investigation. Cancer. 2015; 121:3754-9.
40. Almuhtaseb MIA, Alby F, Zucchermaglio C, Fatigante M. Religiosity as a cultural resource for arab-palestinian women’s coping with cancer. SAGE Open. 2020; 10(1):1-7.
41. Tsai T, Chung U, Chang C, Wang H. Influence of Religious Beliefs on the Health of Cancer Patients. Asian Pac J Cancer Prev. 2016; 17(4): 2315-20.
42. Sadati AK, Lankarani KB, Gharibi V, Fard ME, Ebrahimzadeh N. Religion as an Empowerment Context in the Narrative of Women with Breast Cancer. J. Relig. Health. 2015; 54:1068–79.
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