Nasution Lina Anisa, Afiyanti Yati, Kurniawati Wiwit
Department of Maternity and Women's Health Nursing, Faculty of Nursing, Universitas Indonesia, Depok, Indonesia.
Asia Pac J Oncol Nurs. 2020 Jun 26;7(3):273-279. doi: 10.4103/apjon.apjon_4_20. eCollection 2020 Jul-Sep.
Coping and spiritual well-being are two important things in improving quality of life of patients with gynecological cancer. However, both of them are still neglected. Spiritual interventions are one of the alternatives in improving coping and spiritual well-being of patients with gynecological cancer. Right now, this intervention is not developed yet in Indonesia, especially about the effect on coping and spiritual well-being. This study aims at determining the effectiveness of spiritual intervention toward coping and spiritual well-being on patients with gynecological cancer.
This was a quantitative research with quasi-experimental method and used a pre- and posttest with control design. The number of respondents in this study was 108 patients (54 patients in each group) and used consecutive sampling. The intervention group received spiritual intervention and the control group received usual care. Spiritual intervention was provided by certified oncology nurses of spiritual training. The instrument used for measuring coping is Brief COPE Scale and Functional Assessment of Chronic Illness Therapy-Spiritual Therapy (FACIT-Sp-12) for measuring spiritual well-being.
There was a positive change in the average scores of coping ( = 0.001) and spiritual well-being in the intervention group after receiving spiritual intervention ( = 0.006). The result of this research also shows that there was a significant difference in the average score of coping ( = 0.004) and spiritual well-being ( = 0.001) after spiritual intervention between intervention and control groups.
This study shows that coping and spiritual well-being in the intervention group increased significantly after receiving spiritual intervention.
应对方式和精神健康是改善妇科癌症患者生活质量的两个重要方面。然而，这两方面仍被忽视。精神干预是改善妇科癌症患者应对方式和精神健康的一种选择。目前，印度尼西亚尚未开展这种干预措施，尤其是关于其对应对方式和精神健康的影响。本研究旨在确定精神干预对妇科癌症患者应对方式和精神健康的有效性。
这是一项采用准实验方法的定量研究，采用前后测对照设计。本研究的受访者为108名患者（每组54名患者），采用连续抽样。干预组接受精神干预，对照组接受常规护理。精神干预由经过精神培训认证的肿瘤护士提供。用于测量应对方式的工具是简易应对方式问卷，用于测量精神健康的工具是慢性病治疗功能评估 - 精神疗法（FACIT - Sp - 12）。
干预组在接受精神干预后，应对方式（P = 0.001）和精神健康的平均得分有积极变化（P = 0.006）。本研究结果还表明，干预组和对照组在接受精神干预后，应对方式的平均得分（P = 0.004）和精神健康的平均得分（P = 0.001）存在显著差异。
本研究表明，干预组在接受精神干预后，应对方式和精神健康显著提高。
