Yin-Chih Wang1, Chia-Chin Lin. 1. Author Affiliations: Graduate Institute of Nursing (Ms Wang) and School of Nursing (Dr Lin), College of Nursing, Taipei Medical University, Taipei, Taiwan, Republic of China.
Abstract
BACKGROUND: Spirituality is a central component of the well-being of terminally ill cancer patients. OBJECTIVE: The aim of this study was to examine the mediating or moderating role of spiritual well-being in reducing the impact of cancer-related symptoms on quality of life and the desire for hastened death in terminally ill cancer patients. METHODS: Eighty-five terminally ill cancer patients were assessed using the Taiwanese version of the M. D. Anderson Symptom Inventory, the Functional Assessment of Cancer Therapy-General, the Functional Assessment of Chronic Illness Therapy-Spiritual Well-being, the Beck Hopelessness Scale, and the Schedule of Attitudes Toward Hastened Death. RESULTS: Spiritual well-being was significantly negatively correlated with symptom severity (r = -0.46, P < .01). Symptom severity negatively correlated with quality of life (r = -0.54) and positively correlated with hopelessness (r = 0.51, P < .01) and the desire for hastened death (r = 0.61, P < .01). Spiritual well-being was a partial mediator and moderator between symptom severity and quality of life. Spiritual well-being was a partial mediator between symptom severity and the desire for hastened death. The meaning subscale of spiritual well-being was a more significant predictor of the desire for hastened death and quality of life than the faith subscale was. CONCLUSION: Spiritual well-being may reduce the negative impacts of cancer on quality of life and the desire for hastened death. IMPLICATIONS FOR PRACTICE: Appropriate spiritual care may reduce the negative impact of severe cancer symptoms on quality of life and the desire for hastened death in terminally ill cancer patients.
BACKGROUND: Spirituality is a central component of the well-being of terminally ill cancerpatients. OBJECTIVE: The aim of this study was to examine the mediating or moderating role of spiritual well-being in reducing the impact of cancer-related symptoms on quality of life and the desire for hastened death in terminally ill cancerpatients. METHODS: Eighty-five terminally ill cancerpatients were assessed using the Taiwanese version of the M. D. Anderson Symptom Inventory, the Functional Assessment of Cancer Therapy-General, the Functional Assessment of Chronic Illness Therapy-Spiritual Well-being, the Beck Hopelessness Scale, and the Schedule of Attitudes Toward Hastened Death. RESULTS: Spiritual well-being was significantly negatively correlated with symptom severity (r = -0.46, P < .01). Symptom severity negatively correlated with quality of life (r = -0.54) and positively correlated with hopelessness (r = 0.51, P < .01) and the desire for hastened death (r = 0.61, P < .01). Spiritual well-being was a partial mediator and moderator between symptom severity and quality of life. Spiritual well-being was a partial mediator between symptom severity and the desire for hastened death. The meaning subscale of spiritual well-being was a more significant predictor of the desire for hastened death and quality of life than the faith subscale was. CONCLUSION: Spiritual well-being may reduce the negative impacts of cancer on quality of life and the desire for hastened death. IMPLICATIONS FOR PRACTICE: Appropriate spiritual care may reduce the negative impact of severe cancer symptoms on quality of life and the desire for hastened death in terminally ill cancerpatients.
Authors: Bożena Baczewska; Bogusław Block; Beata Kropornicka; Antoni Niedzielski; Maria Malm; Agnieszka Zwolak; Marta Makara-Studzińska Journal: Int J Environ Res Public Health Date: 2019-10-12 Impact factor: 3.390
Authors: Cristina Monforte-Royo; Luis González-de Paz; Joaquín Tomás-Sábado; Barry Rosenfeld; Julia Strupp; Raymond Voltz; Albert Balaguer Journal: Qual Life Res Date: 2016-09-26 Impact factor: 4.147