Musarezaie Amir, Naji-Esfahani Homayoon, Momeni-Ghale Ghasemi Tahere, Karimian Jahangir, Ebrahimi Amroallah
Department of Nursing, faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
J Educ Health Promot. 2013 Jul 31;2:42. doi: 10.4103/2277-9531.115844. eCollection 2013.
Spiritual well-being is well-recognized as a factor that affects cancer patients' quality of life, quality of care, and satisfaction. There is evidence that supports the fact that patients' spiritual needs are associated with better quality of care, higher hospice utilization, and less aggressive care at the end of life. However, few studies have examined the Spiritual well-being (SWB) in cancer patients. Less is known about spirituality; furthermore, no published research about SWB and its relationship with demographic parameters in breast cancer patients exists; this made us carry out this project.
This cross-sectional study was a descriptive - analytical one, conducted on 297 breast cancer patients, with a simple sampling methodology. The data collection instrument included a questionnaire containing two parts (demographic information and standard SWB Scale questionnaire). The data were analyzed with 95% confidence by SPSS18, using descriptive and analytic statistics.
According to the results of the present study, SWB of most of the study subjects (52.52%) was at a moderate level. Results showed that the average score for religious aspect of spiritual well-being (RWB) was 51.38 ± 8.17 for 60, average score for the existential aspect of spiritual well-being (EWB) was 42.47 ± 10.21 for 60, and the total score of SWB was 93.69 ± 10.04 for 120. Based on the study findings, there was a statistically significant correlation between the SWB and age (P = 0.03, r = 0.59), educational level (P = 0.04, r = -0.58), and marital status (P = 0.001), of breast cancer patients.
According to the results of the present study, the SWB of most study subjects was at a moderate level. Furthermore, according to the results there was a correlation between some important demographic parameters in women with breast cancer and SWB. Hence, it is necessary for the treatment team to assess and improve the SWB of patients; meanwhile the role of nurses is highlighted. In fact, the nurse is the first person who can recognize the spiritual needs of a patient and even his/her family, and can be effective in meeting the spiritual needs and improving their SWB. Therefore, it is strongly recommended that in patients with cancer, a holistic care plan, based on spiritual care, development, and education of patients be applied, as it is considered to improve their SWB.
精神健康作为影响癌症患者生活质量、护理质量及满意度的一个因素已得到广泛认可。有证据表明，患者的精神需求与更好的护理质量、更高的临终关怀利用率以及临终时较少的激进治疗相关。然而，很少有研究对癌症患者的精神健康（SWB）进行考察。人们对精神性了解较少；此外，尚无已发表的关于乳腺癌患者SWB及其与人口统计学参数关系的研究；这促使我们开展了本项目。
本横断面研究采用描述性分析方法，以简单抽样法对297例乳腺癌患者进行研究。数据收集工具包括一份问卷，问卷包含两部分（人口统计学信息和标准SWB量表问卷）。数据采用SPSS18进行分析，置信度为95%，运用描述性统计和分析性统计方法。
根据本研究结果，大多数研究对象（52.52%）的SWB处于中等水平。结果显示，精神健康宗教方面（RWB）的平均得分，60例患者为51.38±8.17；精神健康存在主义方面（EWB）的平均得分，60例患者为42.47±10.21；SWB总分，120例患者为93.69±10.04。基于研究结果，乳腺癌患者的SWB与年龄（P = 0.03，r = 0.59）、教育水平（P = 0.04，r = -0.58）及婚姻状况（P = 0.001）之间存在统计学显著相关性。
根据本研究结果，大多数研究对象的SWB处于中等水平。此外，根据结果，乳腺癌女性患者的一些重要人口统计学参数与SWB之间存在相关性。因此，治疗团队有必要评估并改善患者的SWB；同时护士的作用得到凸显。事实上，护士是第一个能够识别患者及其家人精神需求的人，并且能够有效满足精神需求并改善其SWB。因此，强烈建议在癌症患者中应用基于患者精神护理、发展及教育的整体护理计划，因为这被认为可改善他们的SWB。
