Spiritual Well-Being in Women with Breast Cancer Receiving Palliative Care
Advances in Nursing & Midwifery,
Vol. 29 No. 2 (2020),
15 April 2020
Abstract Introduction: Breast cancer is the most common cancer in women with significant undesirable complications. Due to its life-threatening nature, the diagnosis of this disease increases spiritual needs and the need for palliative care. Palliative care has emerged as care that addresses explicitly gaps inherent in disease-centered approaches to enhance care quality in serious illness, both for patients and families and health care systems. Methods: This descriptive-comparative study was conducted on 200 women with breast cancer selected by convenience sampling from those visiting chosen hospitals of Tehran in 2018. Data were collected using a demographic-histopathologic form and Paloutzian-Ellison’s Spiritual Well-Being Scale, which was filled out in palliative care (n = 100) and routine care (n = 100) groups four weeks after the completion of therapy through interviews. The data obtained were analyzed in SPSS-21 using descriptive and inferential statistics. Results: Compared to those receiving routine care, the women with breast cancer who were receiving palliative care had higher scores in religious well-being (P < 0.509) and total spiritual well-being (P < 0.167), although not in a statistically significant way. Meanwhile, the palliative care group obtained significantly higher scores in existential well-being compared to the routine care group (P < 0.007). Conclusions: Developing programs to improve spiritual well-being in patients with breast cancer by incorporating palliative care into medical interventions can be beneficial.
- Spiritual well-being
- breast cancer
- palliative care
How to Cite
2. Siegel RL, Miller KD, Jemal A. Cancer statistics, 2019. CA: a cancer journal for clinicians. 2019;69(1):7-34.
3. Ferlay J, Soerjomataram I, Dikshit R, Eser S, Mathers C, Rebelo M, et al. Cancer incidence and mortality worldwide: sources, methods and major patterns in GLOBOCAN 2012. International journal of cancer. 2015;136(5).
4. Askarzade E, Adel A, Ebrahimipour H, Badiee Aval S, Pourahmadi E, Javan Biparva A. Epidemiology and Cost of Patients with Cancer in Iran: 2018. Middle East Journal of Cancer. 2019;10(4):362-71.
5. Ecclestone C, Chow R, Pulenzas N, Zhang L, Leahey A, Hamer J, et al. Quality of life and symptom burden in patients with metastatic breast cancer. Supportive Care in Cancer. 2016;24(9):4035-43.
6. Shields CG, Rousseau SJ. A pilot study of an intervention for breast cancer survivors and their spouses. Family process. 2004;43(1):95-107.
7. Ghaempanah Z, Rafieinia P, Sabahi P, Makvand Hosseini S, Memaryan N. Spiritual Problems of Women with Breast Cancer in Iran: A Qualitative Study. Health, Spirituality and Medical Ethics. 2020;7(1):9-15.
8. Ross L, McSherry W, Giske T, van Leeuwen R, Schep-Akkerman A, Koslander T, et al. Nursing and midwifery students' perceptions of spirituality, spiritual care, and spiritual care competency: A prospective, longitudinal, correlational European study. Nurse education today. 2018;67:64-71.
9. Akbari M, Hossaini SM. The relationship of spiritual health with quality of life, mental health, and burnout: The mediating role of emotional regulation. Iranian journal of psychiatry. 2018;13(1):22.
10. Zare A, Namavar Jahromi Bahia FE, Adib N, Sedighe F. The relationship between spiritual well-being, mental health, and quality of life in cancer patients receiving chemotherapy. Journal of Family Medicine and Primary Care. 2019;8(5):1701.
11. Heydari H. Home-based palliative care: A missing link to patients’ care in Iran. Journal of hayat. 2018;24(2):97-101.
12. Özveren H, Kırca K. Influence of Palliative Care Training on Last-Year Nursing Department Students’ Perception on Regarding Spirituality and Spiritual Care: A Single-Group Pretest–Posttest Intervention Study. Journal of religion and health. 2019;58(3):860-9.
13. Khalili SM, Ataei PJ, Hazini A, Nasiri M, Kariman N, Doulabi MA. Comparing the quality of life of women suffering from breast cancer receiving palliative care and ordinary care. Immunopathol Persa. 2020;6(2):22e
14. Ellison CW. Spiritual well-being: Conceptualization and measurement. Journal of psychology and theology. 1983;11(4):330-8.
15. Dehshiri GR, SOHRABI F, Jafari I, NAJAFI M. Asurvey of psychometric properties of spiritual well-being scale among university students. 2008.
16. ASGARI P, ROUSHANI K, MOHRI AM. The Relationship between religious belief, optimism and spiritual well being among college students of Islamic Azad University. 2009.
17. Samiee Rad F, Kalhor M. An overview of Spiritual health in cancer patients. Iranian Journal of Psychiatric Nursing. 2019;6(6):82-8.
18. Seyedrasooli A, Rahmani A, Howard F, Zamanzadeh V, Mohammadpoorasl A, Aliashrafi R, et al. Iranian cancer patient perceptions of prognosis and the relationship to hope. Asian Pac J Cancer Prev. 2014;15(15):6205-10.
19. Habibi A, Savadpour MT. Spiritual well-being in cancer patients under chemotherapy. Journal of Health and Care. 2011;13(3):0-.
20. Yusefi F, Mobaraki R. The Comparison of Spiritual Health in Cancer and Non-Cancer Patients in Sanandaj, Tohid Hospital in 2018. Tabib Scientific and Cultural Journal. 2019;1(1):0-.
21. Chuengsatiansup K. Spirituality and health: an initial proposal to incorporate spiritual health in health impact assessment. Environmental Impact Assessment Review. 2003;23(1):3-15.
22. Rezaei M, Seyedfatemi N, Hosseini F. Spiritual Well-being in Cancer Patients who Undergo Chemotherapy. Hayat. 2008;14.
23. Malay F BF, Abbaszadeh A, Khabazkhob M. Correlation between spiritual health and care burden in family caregivers Cancer patients. HAYAT. 2019;24(4):296-309. 14p.
24. Khezri L, Bahreyni M, Ravanipour M, Mirzaee K. The Relationship between spiritual wellbeing and depression or death anxiety in cancer patients in Bushehr 2015. Nursing of the Vulnerables. 2015;2(2):15-28.
25. Rezaie Shahsavarloo Z, Lotfi M, Taghadosi M, Mousavi M, Yousefi Z, Amirkhosravi N. Relationship between components of Spiritual well-being with hope and life satisfaction in elderly cancer patients in Kashan, 2013. Journal of Geriatric Nursing. 2015;1(2):43-54.
26. Allahbakhshian M, Jaffarpour M, Parvizy S, Haghani H. A survey on relationship between spiritual wellbeing and quality of life in multiple sclerosis patients. Zahedan Journal of Research in Medical Sciences. 2010;12(3).
27. Galizia D, Milani A, Geuna E, Martinello R, Cagnazzo C, Foresto M, et al. Self‐evaluation of duration of adjuvant chemotherapy side effects in breast cancer patients: A prospective study. Cancer medicine. 2018;7(9):4339-44.
28. Nsamenang SA, Hirsch JK, Topciu R, Goodman AD, Duberstein PR. The interrelations between spiritual well-being, pain interference and depressive symptoms in patients with multiple sclerosis. Journal of behavioral medicine. 2016;39(2):355-63.
29. Mills PJ, Wilson K, Iqbal N, Iqbal F, Alvarez M, Pung MA, et al. Depressive symptoms and spiritual wellbeing in asymptomatic heart failure patients. Journal of behavioral medicine. 2015;38(3):407-15.
30. Lee Y. The relationship of spiritual well-being and involvement with depression and perceived stress in Korean nursing students. Global journal of health science. 2014;6(4):169.
31. Gijsberts M-JH, Liefbroer AI, Otten R, Olsman E. Spiritual care in palliative care: a systematic review of the recent European literature. Medical Sciences. 2019;7(2):25.
32. Chavoshian SA, Moeini B, Bashirian S, Feradmal J. The role of spiritual health and social support in predicting nurses’ quality of life. J Educ Community Health. 2015;2(1):19-28.
33. Seyed Fatemi N RM, GIivari A., Hosseini F. Prayer and spiritual well-being in cancer patients. PAYESH 2006;5(4):295_303.
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