Gielen Joris, Bhatnagar Sushma, Chaturvedi Santosh K
Center for Healthcare Ethics, 301A Fisher Hall, 600 Forbes Avenue, Pittsburgh, PA, 15282, USA.
Anesthesiology, Pain and Palliative Care, Dr. B.R. Ambedkar Institute Rotary Cancer Hospital, All India Institute of Medical Sciences (AIIMS), New Delhi, India.
J Relig Health. 2017 Apr;56(2):530-544. doi: 10.1007/s10943-016-0252-5.
In palliative care research, little attention has been paid to the empirical study of spirituality in patients in non-Western countries. This study describes the prevalence and nature of spiritual distress among Indian palliative care patients. Data from 300 adult cancer patients who had completed a questionnaire with 36 spirituality items were analyzed. Spirituality was shaped by the Indian religious and economic context. A latent class analysis resulted in three clusters: trustful patients (46.4 %), spiritually distressed patients (17.4 %), and patients clinging to divine support (36.2 %). After regression, the clusters were found to be associated with pain scores (p < .001), gender (p = .034), and educational level (p < .006). More than half of the patients would benefit from spiritual counselling. More research and education on spirituality in Indian palliative care is urgently required.
在姑息治疗研究中，非西方国家患者的灵性实证研究很少受到关注。本研究描述了印度姑息治疗患者中精神困扰的患病率和性质。对300名成年癌症患者的数据进行了分析，这些患者完成了一份包含36个灵性项目的问卷。灵性受到印度宗教和经济背景的影响。潜在类别分析产生了三个集群：信任型患者（46.4%）、精神困扰型患者（17.4%）和依赖神圣支持型患者（36.2%）。回归分析后发现，这些集群与疼痛评分（p <.001）、性别（p =.034）和教育水平（p <.006）相关。超过一半的患者将从灵性咨询中受益。印度姑息治疗领域迫切需要更多关于灵性的研究和教育。
