Factors influencing spiritual well-being in terminally ill cancer inpatients in Japan

Hiratsuka, Yusuke; Suh, Sang Yeon; Maeda, Isseki; Morita, Tatsuya; Mori, Masanori; Ito, Satoko; Nishi, Tomohiro; Hisanaga, Takayuki; Iriyama, Tetsuji; Kaneishi, Keisuke; Ikari, Tomofumi; Tagami, Keita; Inoue, Akira

doi:10.1007/s00520-020-05802-5

Cited by 13 publications

(14 citation statements)

References 21 publications

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“…We assume that high spiritual well-being may be maintained thanks to specialized palliative care, which provides respects to patients’ existence according to their wishes in palliative care units. 13,36 For GDS (acceptance/timeliness/comfort), a previous study suggested that fear, including spiritual distress, is related to all three dimensions of GDS as death approaches. 18 Thus, our findings are consistent with existing evidence.…”

Section: Discussionmentioning

confidence: 99%

“…Low spiritual well-being is reportedly associated with hopelessness, 7 depression, 8 deficits in social support, 9 poor quality of life, 10 anxiety, 11 long admission duration, 12 worse spiritual well-being on admission, 13 hyperactive delirium in the last 3 days in life and expressed wish for a hastened death. 13 High spiritual well-being, on the other hand, is related to less depression, stronger religious belief, 11,14 higher education level, 12 better self-reported physical health, 12,15 and less anxiety. 11,16,17 However, relatively few studies have been done on spiritual well-being.…”

Section: Introductionmentioning

confidence: 99%

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Factors related to spiritual well-being in the last days of life in three East Asian countries: An international multicenter prospective cohort study

et al. 2021

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Background: Some factors associated with spiritual well-being in dying patients have previously been reported. However, there has been no cross-cultural study comparing factors related to spiritual well-being. The current investigation may shed light on this under-investigated area through a comparison of diverse factors. Aim: We aimed to (1) examine factors associated with spiritual well-being in the last days and (2) compare those factors across three East Asian countries. Design: This is an international multicenter prospective cohort study. Setting/participants: Newly admitted inpatients with far advanced cancer in palliative care units in Japan, Korea and Taiwan were enrolled. Each patient was classified into one of two groups based on spiritual well-being score in the last days of life. Univariate and multivariate analyses were performed to identify the factors related to better spiritual well-being score in each country. Results: A total of 1761 patients treated at 37 palliative care units from January 2017 to September 2018 were analyzed. Seven variables were significant in Japan, three in Korea, and five in Taiwan. “Good death scale [acceptance],” “fatigue” and “expressed wish for hastened death” were unique in Japan. “Visit from a pastoral care worker within 48 h of death” was unique in Korea. “Patient’s preferences for place of death,” “dyspnea” and “continuous deep sedation” were unique in Taiwan. Conclusions: This study found novel factors related to spiritual well-being in the last days of life, several of which differed according to country. Recognition of factors associated with spiritual well-being can improve the quality of palliative care.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Factors related to spiritual well-being in the last days of life in three East Asian countries: An international multicenter prospective cohort study

et al. 2021

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“…First, we collected variables, which were associated with survival time [25]: oral intake, dyspnea, and Karnofsky Performance Scale (KPS). Second, we collected the variables, which are potential confounders related to both SWB and survival time [11][12][13]26]: age, highest level of education, living with family, religion, preferred place of death and marital status.…”

Section: Data Collectionmentioning

confidence: 99%

“…Generally, it is de ned as a multidimensional concept including peace of mind, faith and meaning of life [7]. Low SWB is associated with hopelessness [8], depression [9], poor QOL [10], anxiety [11] and even expressed wish for hastened death [12]. High SWB is related to less depression, stronger religious belief [11,13], better self-reported physical health of patients [14,15] and less anxiety [11,16,17].…”

Section: Introductionmentioning

confidence: 99%

Is spiritual well-being related to survival time of inpatients with advanced cancer? An East Asian cohort study

Hiratsuka

Suh

Won

et al. 2021

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Purpose: It has been suggested that psychosocial factors are related to survival time in patients with cancer. However, there is no cross-cultural study examining the relationship between spiritual well-being (SWB) and survival time among countries. This study investigated the relationship between SWB and survival time among three East Asian countries. Methods: This international multicenter cohort study is a secondary analysis involving newly admitted inpatients with advanced cancer in palliative care units in Japan, South Korea and Taiwan. SWB was measured at admission. We performed multivariate analysis using the Cox proportional hazards model to identify independent prognostic factors. Results: A total of 2638 patients treated at 37 palliative care units from January 2017 to September 2018 were analyzed. The median survival time was 18.0 days (95% confidence interval [CI] 16.5 to 19.5) in Japan, 23.0 days (95% CI 19.9 to 26.1) in Korea and 15.0 days (95% CI 13.0 to 17.0) in Taiwan. Four variables were significant in Japan, Korea and Taiwan. SWB was a significant factor correlated with survival in Taiwan (hazard ratio [HR] 1.27; 95% CI 1.01 to 1.59; p = 0.04), while it was insignificant in Japan (HR 1.10; 95% CI 1.00 to 1.22; p = 0.06), and Korea (HR 1.02; 95% CI 0.77 to 1.35; p = 0.89). Conclusion: SWB of patients with advanced cancer was related to survival time in Taiwan but not in Japan or Korea. The findings suggest that spiritual care may contribute to prolonged survival in patients with far advanced cancer.

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Section: Introductionmentioning

confidence: 99%

Is spiritual well-being related to survival time of inpatients with advanced cancer? An East Asian cohort study

et al. 2022

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Objectives It has been suggested that psychosocial factors are related to survival time of inpatients with cancer. However, there are not many studies examining the relationship between spiritual well-being (SWB) and survival time among countries. This study investigated the relationship between SWB and survival time among three East Asian countries. Methods This international multicenter cohort study is a secondary analysis involving newly admitted inpatients with advanced cancer in palliative care units in Japan, South Korea, and Taiwan. SWB was measured using the Integrated Palliative Outcome Scale (IPOS) at admission. We performed multivariate analysis using the Cox proportional hazards model to identify independent prognostic factors. Results A total of 2,638 patients treated at 37 palliative care units from January 2017 to September 2018 were analyzed. The median survival time was 18.0 days (95% confidence interval [CI] 16.5–19.5) in Japan, 23.0 days (95% CI 19.9–26.1) in Korea, and 15.0 days (95% CI 13.0–17.0) in Taiwan. SWB was a significant factor correlated with survival in Taiwan (hazard ratio [HR] 1.27; 95% CI 1.01–1.59; p = 0.04), while it was insignificant in Japan (HR 1.10; 95% CI 1.00–1.22; p = 0.06), and Korea (HR 1.02; 95% CI 0.77–1.35; p = 0.89). Significance of results SWB on admission was associated with survival in patients with advanced cancer in Taiwan but not Japan or Korea. The findings suggest the possibility of a positive relationship between spiritual care and survival time in patients with far advanced cancer.

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Factors influencing spiritual well-being in terminally ill cancer inpatients in Japan

Cited by 13 publications

References 21 publications

Factors related to spiritual well-being in the last days of life in three East Asian countries: An international multicenter prospective cohort study

Factors related to spiritual well-being in the last days of life in three East Asian countries: An international multicenter prospective cohort study

Is spiritual well-being related to survival time of inpatients with advanced cancer? An East Asian cohort study

Is spiritual well-being related to survival time of inpatients with advanced cancer? An East Asian cohort study

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