The effects of spiritual care on quality of life and spiritual well-being among patients with terminal illness: A systematic review

Chen, Jingyi; Lin, Yazhu; Yan, Jie; Wu, Yong; Hu, Rong

doi:10.1177/0269216318772267

Cited by 96 publications

(87 citation statements)

References 51 publications

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“…There is a growing incidence of cancer worldwide [6], and meeting the spiritual needs of patients is a vital aspect of care [1]. Patients with serious illness and end-oflife issues have the desire to include spirituality in their care [18].…”

Section: Discussionmentioning

confidence: 99%

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The assessment of spiritual well-being in cancer patients with advanced disease: which are its meaningful dimensions?

et al. 2020

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Background: Spirituality is particularly important for patients suffering from life-threatening illness. Despite research showing the benefits of spiritual assessment and care for terminally ill patients, their spiritual needs are rarely addressed in clinical practice. This study examined the factor structure and reliability of the Functional Assessment of Chronic Illness Therapy-Spiritual (FACIT-Sp) in patients with advanced cancer. It also examined the clinical meaning and reference intervals of FACIT-Sp scores in cancer patients subgroups through a literature review.Methods: A forward-backward translation procedure was adopted to develop the Italian version of the FACIT-Sp, which was administered to 150 terminally ill cancer patients. Exploratory factor analysis was used for construct validity, while Cronbach's α was used to assess the reliability of the scale. Results: This study replicates previous findings indicating that the FACIT-Sp distinguish well between features of meaning, peace, and faith. In addition, the internal consistency of the FACIT-Sp was acceptable. The literature review also showed that terminal cancer patients have the lowest scores on the Faith and Meaning subscales, whereas cancer survivors have the highest scores on Faith. Conclusions:The Italian version of the FACIT-Sp has good construct validity and acceptable reliability. Therefore, it can be used as a tool to assess spiritual well-being in Italian terminally ill cancer patients. This study provides reference intervals of FACIT-Sp scores in newly diagnosed cancer patients, cancer survivors, and terminally ill cancer patients and further highlights the clinical meaning of such detailed assessment.

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Section: Discussionmentioning

confidence: 99%

“…This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors. 1 Psycho-Oncology Unit, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy. 2 SC Infrastruttura Ricerca e Statistica, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.…”

Section: Acknowledgementsmentioning

confidence: 99%

The assessment of spiritual well-being in cancer patients with advanced disease: which are its meaningful dimensions?

et al. 2020

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“…Research has shown that the enhancement of nurses' spiritual health not only boosts their personal satisfaction with life [12,13] but also reduces job burnout [14] and assists them with providing spiritual care to patients in their clinical work. Nurses are the chief providers of spiritual care to patients [15][16][17], and a close relationship exists between nurses' attitude and ability to provide spiritual care to patients and their perceptions of spirituality and spiritual health [18][19][20][21].…”

Section: Introductionmentioning

confidence: 99%

“…Spiritual care encompasses an attitude and behaviour shaped by nurses' spiritual nursing values [22,23] (especially the affirmation of attributes such as human dignity, goodness, benevolence, peace of mind, warmth, self-care, and care for others) and consists of care that reflects individuals' cultures and beliefs provided after assessing their spiritual needs and challenges [24]. Spiritual care also consists of nursing methods or activities that rely on the provision of company or care, listening, or religious activities that correspond to patients' beliefs to help them to achieve better physical, mental, social, and spiritual health and comfort [17,25] The purpose of spiritual care is to ease patients' difficulties at the spiritual level and help them find the meaning of life, self-actualization, hope, creativity, faith, trust, peace, comfort, prayer, and the ability to love and forgive in the midst of suffering and disease [17,26]. Additionally, spiritual care seeks to help patients to face their fears of death, mitigate the uncertainty and discomfort of the treatment process, and regain their inner peace [27][28][29].…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of spiritual care training to enhance spiritual health and spiritual care competency among oncology nurses

Jiao

2019

Preprint

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Background: Although spiritual care is a basic element of holistic nursing, nurses' spiritual care knowledge and abilities are often unable to satisfy patients' spiritual care needs. Therefore, nurses are in urgent need of relevant training to enhance their abilities to provide patients with spiritual care. Design: A nonrandomized controlled trial. Objective: To establish a spiritual care training protocol and verify its effectiveness. Methods: This study recruited 92 nurses at a cancer treatment hospital in a single province via voluntary sign-up. The nurses were divided into two groups—the study group (45 people) and the control (wait-listed) group (47 people)—using a coin-toss method. The study group received one spiritual care group training session every six months based on their routine nursing education; this training chiefly consisted of lectures by experts, group interventions, clinical practice, and case sharing. The control group participated in monthly nursing education sessions organized by the hospital for 12 continuous months. Results: After 12 months of intervention, the nurses in the study group had significantly higher overall spiritual health and spiritual care competency scores as well as significantly higher scores on all individual dimensions compared with those in the control group (P<0.01). Conclusions: A spiritual care training protocol for nurses based on the concept of mutual growth with patients enhances nurses' spiritual well-being and spiritual care competencies.

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“…A systematic review showed that spiritual care including dignity therapy had a potentially beneficial effect on the quality of life and spiritual well-being of patients with terminal illness, suggesting that healthcare professionals should pay greater attention to patients' spiritual well-being (Chen, Lin, Yan, Wu, & Hu, 2018).…”

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confidence: 99%

The development of a family participatory dignity therapy programme for patients with haematologic neoplasms and their family caregivers in China: A feasibility study

et al. 2020

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Objective To develop a communication prompt based on dignity therapy to facilitate effective conversations between patients with haematologic neoplasms and their family caregivers and to improve the programme and preliminarily explore the benefits and challenges of family participatory dignity therapy (FPDT). Methods A mixed‐methods approach was applied to develop and revise the programme. The FPDT was developed and validated using the Delphi survey, and its further improvement was explored with a simple one‐group pre‐ and post‐trial and semi‐structured in‐depth interviews. Results Most of the FPDT items were endorsed by experts and patient–family dyads. The Content Validity Index was 93.6% in the first round of the Delphi survey and 100% in the second round. The “hope level,” “spiritual well‐being” and “general health” scores of pre‐ and post‐testing increased from 33.60 ± 4.30 to 37.70 ± 5.10 (t = 3.99, p = .003); from 30.30 ± 3.65 to 38.80 ± 7.29(t = 4.13, p = .003); and from 41.67 ± 8.78 to 53.33 ± 8.05 (t = 3.50, p = .007) respectively. The qualitative data also indicated that the project was meaningful and well received. Conclusions We showed that FPDT was a valuable and feasible means of improving communication between patients with haematologic neoplasms and their family caregivers in China by raising the hope level and spiritual well‐being and promoting general health.

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The effects of spiritual care on quality of life and spiritual well-being among patients with terminal illness: A systematic review

Cited by 96 publications

References 51 publications

The assessment of spiritual well-being in cancer patients with advanced disease: which are its meaningful dimensions?

The assessment of spiritual well-being in cancer patients with advanced disease: which are its meaningful dimensions?

Effectiveness of spiritual care training to enhance spiritual health and spiritual care competency among oncology nurses

The development of a family participatory dignity therapy programme for patients with haematologic neoplasms and their family caregivers in China: A feasibility study

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