Social Determinants of Health Research Center (Dr Amini) and Department of Medical Surgical Nursing, Abhar School of Nursing (Mr Tahrekhani), Zanjan University of Medical Sciences, Zanjan, Iran.
Holist Nurs Pract. 2022;36(6):335-343. doi: 10.1097/HNP.0000000000000527.
This study aimed at assessing the effects of spiritual care (SC) on fatigue and pain among patients with cancer receiving chemotherapy. This randomized controlled trial was conducted in 2018. Participants were 145 patients with cancer consecutively recruited from a large-scale public hospital in Zanjan, Iran, and randomly allocated to an intervention (n = 72) group and a control (n = 73) group through block randomization. Participants in the intervention group received SC for 3 days. The Fatigue Severity Scale and a visual analog scale were, respectively, used for fatigue and pain assessments before and after the study intervention. Chi-square test and the independent t test as well as the analysis of covariance were employed to analyze the data. The pretest mean score of fatigue was 5.18 ± 1.36 in the intervention group and 5.03 ± 1.29 in the control group with no significant between-group difference (P = .529). The posttest mean score of fatigue was 3.75 ± 1.05 in the intervention group and 4.80 ± 1.16 in the control group and the between-group difference was significant (P < .001). The pretest mean score of cancer-related pain in these groups was 2.64 ± 0.98 and 2.46 ± 1.22, which changed to 1.51 ± 1.006 and 2.32 ± 1.70, respectively, at posttest. The between-group difference respecting the mean score of pain was insignificant at pretest (P = .389) and significant at posttest (P = .001). Spiritual care is effective in significantly reducing fatigue and pain among patients with cancer receiving chemotherapy. Nurses and other health care providers can use SC to manage fatigue and pain of patients with cancer.
本研究旨在评估精神关怀（SC）对接受化疗的癌症患者的疲劳和疼痛的影响。这是一项 2018 年进行的随机对照试验。参与者为伊朗赞詹市一家大型公立医院连续招募的 145 名癌症患者，通过区组随机化分为干预（n=72）组和对照组（n=73）。干预组患者接受 3 天的 SC。研究干预前后分别使用疲劳严重程度量表和视觉模拟量表评估疲劳和疼痛。采用卡方检验、独立 t 检验和协方差分析进行数据分析。干预组的疲劳预测试平均得分为 5.18±1.36，对照组为 5.03±1.29，组间差异无统计学意义（P=0.529）。干预组的疲劳后测试平均得分为 3.75±1.05，对照组为 4.80±1.16，组间差异有统计学意义（P<0.001）。这两组患者的癌症相关疼痛预测试平均得分为 2.64±0.98 和 2.46±1.22，后测试分别变为 1.51±1.006 和 2.32±1.70。预测试时疼痛平均得分的组间差异无统计学意义（P=0.389），后测试时差异有统计学意义（P=0.001）。精神关怀可显著减轻接受化疗的癌症患者的疲劳和疼痛。护士和其他医疗保健提供者可以使用 SC 来管理癌症患者的疲劳和疼痛。
