Mohebbifar Rafat, Pakpour Amir H, Nahvijou Azin, Sadeghi Atefeh
Department of Health Management, School of Health, Qazvin University of Medical Sciences, Qazvin, Iran E-mail :
Asian Pac J Cancer Prev. 2015;16(16):7321-6. doi: 10.7314/apjcp.2015.16.16.7321.
As the essence of health in humans, spiritual health is a fundamental concept for discussing chronic diseases such as cancer and a major approach for improving quality of life in patients is through creating meaningfulness and purpose. The present descriptive analytical study was conducted to assess the relationship between spiritual health and quality of life in 210 patients with cancer admitted to the Cancer Institute of Iran, selected through convenience sampling in 2014. Data were collected using Spiritual Health Questionnaire and the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ). Patients' performance was assessed through the Karnofsky Performance Status Indicator and their cognitive status through the Mini-Mental State Examination (MMSE). Data were analyzed in SPSS-16 using descriptive statistics and stepwise linear regression. The results obtained reported the mean and standard deviation of the patients' spiritual health scoreas 78.4±16.1and the mean and standard deviation of their quality of life score as 58.1±18.7. The stepwise linear regression analysis confirmed a positive and significant relationship between spiritual health and quality of life in patients with cancer (β=0.688 and r=0.00). The results of the study show that spiritual health should be more emphasized and reinforced as a factor involved in improving quality of life in patients with cancer. Designing care therapies and spiritual interventions is a priority in the treatment of these patients.
作为人类健康的核心，精神健康是讨论诸如癌症等慢性病的一个基本概念，而改善患者生活质量的主要途径是创造意义和目标。本描述性分析研究旨在评估2014年通过便利抽样选取的210名伊朗癌症研究所收治的癌症患者的精神健康与生活质量之间的关系。使用精神健康问卷和欧洲癌症研究与治疗组织生活质量问卷（EORTC-QLQ）收集数据。通过卡诺夫斯基功能状态指标评估患者的表现，通过简易精神状态检查表（MMSE）评估其认知状态。在SPSS-16中使用描述性统计和逐步线性回归分析数据。所得结果报告患者精神健康得分的平均值和标准差为78.4±16.1，生活质量得分的平均值和标准差为58.1±18.7。逐步线性回归分析证实癌症患者的精神健康与生活质量之间存在积极且显著的关系（β=0.688，r=0.00）。研究结果表明，精神健康作为改善癌症患者生活质量的一个因素应得到更多强调和加强。设计护理疗法和精神干预措施是治疗这些患者的优先事项。
