Department of Family Medicine, School of Medicine, Chungnam National University, Daejeon, South Korea.
Department of Family Medicine, Dongguk University Ilsan Hospital, Goyang, South Korea; Department of Medicine, School of Medicine, Dongguk University, Seoul, South Korea.
J Pain Symptom Manage. 2018 Dec;56(6):893-901. doi: 10.1016/j.jpainsymman.2018.09.001. Epub 2018 Sep 8.
Spiritual well-being (SWB) is very important in palliative care patients.
The aim of this study was to investigate the SWB among palliative care patients in Korea with different religious affiliations and to identify the correlates of SWB.
This study is a cross-sectional, multicenter study involving hospitalized patients seen by palliative care teams. We collected data on basic clinicodemographic characteristics, factors related to religion (meaningful religious events, religious activities such as attending worship, individual spiritual activities such as prayer), overall quality of life, and SWB. SWB was measured using Functional Assessment of Chronic Illness Therapy-Spirituality 12. We examined the differences in SWB among patients who reported themselves as Protestants, Catholics, Buddhists, and having no religious affiliations.
Among the 202 patients enrolled, 69 (34.2%), 48 (23.8%), 43 (21.3%), and 42 (20.8%) persons were Protestants, were Catholics, were Buddhists, and had no religious affiliation, respectively. The Functional Assessment of Chronic Illness Therapy-Spirituality 12 was highest among Protestants, followed by Catholics, Buddhists, and those without religious affiliation (29.8 vs. 27.0 vs. 23.2 vs. 16.3, P < 0.001). The faith subscale (12.4 vs. 10.4 vs. 7.7 vs. 2.5, P < 0.001) showed similar distributions. Christians reported higher SWB in the meaning and the peace subscale than patients without a religious affiliation. In the multivariate analysis, religious affiliation (P < 0.001), individual spiritual activities (P < 0.001), and quality of life (P < 0.001) were significantly related to a greater SWB. Age was inversely associated with the meaning subscale (P = 0.002).
Although faith practices may be particularly helpful to improve spiritual well-being among Christians, further research is needed to determine what individual spiritual activities can support non-Christians.
精神幸福感（SWB）在姑息治疗患者中非常重要。
本研究旨在调查韩国不同宗教信仰的姑息治疗患者的 SWB，并确定其相关因素。
本研究为一项横断面、多中心研究，纳入了姑息治疗团队诊治的住院患者。我们收集了基本临床人口统计学特征、与宗教相关的因素（有意义的宗教事件、参加礼拜等宗教活动、祈祷等个人精神活动）、总体生活质量和 SWB 的数据。SWB 采用慢性病患者的功能性评估-精神量表 12 进行测量。我们比较了自认为是新教徒、天主教徒、佛教徒和无宗教信仰者的患者之间 SWB 的差异。
在纳入的 202 名患者中，69 名（34.2%）、48 名（23.8%）、43 名（21.3%）和 42 名（20.8%）分别为新教徒、天主教徒、佛教徒和无宗教信仰者。新教徒的慢性病患者的功能性评估-精神量表 12 得分最高，其次是天主教徒、佛教徒和无宗教信仰者（29.8 分 vs. 27.0 分 vs. 23.2 分 vs. 16.3 分，P<0.001）。信仰子量表（12.4 分 vs. 10.4 分 vs. 7.7 分 vs. 2.5 分，P<0.001）也呈现出类似的分布。与无宗教信仰者相比，基督教徒在意义和和平子量表中报告的 SWB 更高。在多变量分析中，宗教信仰（P<0.001）、个人精神活动（P<0.001）和生活质量（P<0.001）与更高的 SWB 显著相关。年龄与意义子量表呈负相关（P=0.002）。
尽管信仰实践可能对改善基督教徒的精神幸福感特别有帮助，但仍需要进一步研究确定哪些个人精神活动可以支持非基督教徒。
