Kaori Ichihara1, Sayako Ouchi2, Sachiko Okayama3, Fukiko Kinoshita4, Mitsunori Miyashita5, Tatsuya Morita6, Keiko Tamura1. 1. Department of Human Health Sciences,Graduate School of Medicine Kyoto University,Kyoto,Japan. 2. Department of Nursing,Kyoto University Hospital,Kyoto,Japan. 3. Department of Nursing,Takarazuka Municipal Hospital,Hyogo,Japan. 4. Department of Nursing,Gratia Hospital,Osaka,Japan. 5. Division of Palliative Nursing,Health Sciences,Tohoku University Graduate School of Medicine,Sendai,Japan. 6. Department of Palliative and Supportive Care and Seirei Hospice,Seirei Mikatahara General Hospital,Hamamatsu,Japan.
Abstract
OBJECTIVE: To obtain preliminary knowledge to design a randomized controlled trial to clarify the effects of spiritual care using the Spiritual Pain Assessment Sheet (SpiPas). METHOD: The study was designed as a nonrandomized controlled trial. The study took place between January 2015 and July 2015 in a hematology and oncology ward and two palliative care units in Japan. Among 54 eligible patients with advanced cancer, 46 were recruited (24 in the control group vs. 22 in the intervention group). The intervention group received spiritual care using SpiPas and usual care; the control group received usual care. The primary outcome was the Functional Assessment of Chronic Illness Therapy-Spiritual (FACIT-Sp). The secondary outcomes were the Hospital Anxiety and Depression Scale (HADS) and Comprehensive Quality of Life Outcome (CoQoLo).ResultA total of 33 (72%) and 23 (50%) patients completed 2- and 3-week follow-up evaluations, respectively. The differences in the changes during 2 weeks in total scores of FACIT-Sp and HADS were significant (95% confidence intervals, 3.65, 14.4, p < 0.01; -11.2 to -1.09, p = .02, respectively). No significant changes were observed in the total score of CoQoLo.Significance of resultsSpiritual care using the SpiPas might be useful for improving patient spiritual well-being. This controlled clinical trial could be performed and a future clinical trial is promising if outcomes are obtained within 2 weeks.
RCT Entities:
OBJECTIVE: To obtain preliminary knowledge to design a randomized controlled trial to clarify the effects of spiritual care using the Spiritual Pain Assessment Sheet (SpiPas). METHOD: The study was designed as a nonrandomized controlled trial. The study took place between January 2015 and July 2015 in a hematology and oncology ward and two palliative care units in Japan. Among 54 eligible patients with advanced cancer, 46 were recruited (24 in the control group vs. 22 in the intervention group). The intervention group received spiritual care using SpiPas and usual care; the control group received usual care. The primary outcome was the Functional Assessment of Chronic Illness Therapy-Spiritual (FACIT-Sp). The secondary outcomes were the Hospital Anxiety and Depression Scale (HADS) and Comprehensive Quality of Life Outcome (CoQoLo).ResultA total of 33 (72%) and 23 (50%) patients completed 2- and 3-week follow-up evaluations, respectively. The differences in the changes during 2 weeks in total scores of FACIT-Sp and HADS were significant (95% confidence intervals, 3.65, 14.4, p &lt; 0.01; -11.2 to -1.09, p = .02, respectively). No significant changes were observed in the total score of CoQoLo.Significance of resultsSpiritual care using the SpiPas might be useful for improving patient spiritual well-being. This controlled clinical trial could be performed and a future clinical trial is promising if outcomes are obtained within 2 weeks.
Authors: Fabiana Cristina Dos Santos; Tamara G R Macieira; Yingwei Yao; Samantha Hunter; Olatunde O Madandola; Hwayoung Cho; Ragnhildur I Bjarnadottir; Karen Dunn Lopez; Diana J Wilkie; Gail M Keenan Journal: J Palliat Med Date: 2022-01-26 Impact factor: 2.947