Author Affiliations: College of Nursing, Sahmyook University, Seoul (Dr Kang); and School of Nursing, Hallym University, Chuncheon, Gangwon-do, Republic of Korea (Dr Kim).
Cancer Nurs. 2024;47(4):E269-E278. doi: 10.1097/NCC.0000000000001213. Epub 2023 Mar 3.
Spirituality is a core element in holistic nursing care. Therefore, it is necessary to understand the spiritual care expectations of cancer and noncancer patients with life-threatening illnesses.
The aim of this study was to identify the spiritual care expectations of vulnerable patients with life-threatening illnesses.
INTERVENTIONS/METHODS: This study uses both quantitative and qualitative approaches, and data were collected from 232 patients. For quantitative data, we used the Nurse Spiritual Therapeutics Scale (NSTS), which comprises 20 items. Qualitative data were collected using an open-ended question. Quantitative data were analyzed using descriptive statistics, independent t tests, 1-way analysis of variance, and item and factor analysis. Qualitative data were analyzed using content analysis.
The mean score of spiritual care expectations ranged from 2.27 to 3.07. There was a significant difference in NSTS mean score between cancer and noncancer patients. In exploratory factor analysis, NSTS was extracted into 3 factors and items belonging to the 3 factors showed similarity between cancer and noncancer patients. Qualitative data using content analysis revealed the following 3 themes: "treat with respect," "religious support," and "comfort with presence." The 3 factors corresponded with 3 themes: factor I versus "treat with respect," factor II versus "religious ritual," and factor III versus "comfort with presence."
Spiritual care expectations of cancer and non-cancer patients with life-threatening illnesses were identified and the findings provide valuable data regarding the expectations of patients' spiritual care.
Our findings emphasize integrating patient-reported outcomes with spiritual care to stimulate patient-centered care, thus promoting holistic palliative or end-of-life care.
灵性是整体护理关怀的核心要素。因此，有必要了解患有危及生命疾病的癌症和非癌症患者对灵性关怀的期望。
本研究旨在确定患有危及生命疾病的脆弱患者的灵性关怀期望。
干预措施/方法：本研究采用定量和定性方法，从 232 名患者中收集数据。对于定量数据，我们使用了包含 20 个项目的护士精神治疗量表（NSTS）。定性数据通过开放式问题收集。定量数据采用描述性统计、独立 t 检验、单因素方差分析和项目与因子分析进行分析。定性数据采用内容分析法进行分析。
灵性关怀期望的平均得分为 2.27 至 3.07。癌症患者和非癌症患者的 NSTS 平均得分存在显著差异。在探索性因子分析中，NSTS 被提取为 3 个因子，属于 3 个因子的项目在癌症患者和非癌症患者之间表现出相似性。使用内容分析法的定性数据揭示了以下 3 个主题：“尊重治疗”、“宗教支持”和“存在的安慰”。这 3 个因素与 3 个主题相对应：因素 I 对应“尊重治疗”，因素 II 对应“宗教仪式”，因素 III 对应“存在的安慰”。
确定了患有危及生命疾病的癌症和非癌症患者对灵性关怀的期望，研究结果为患者对灵性关怀的期望提供了有价值的数据。
我们的研究结果强调将患者报告的结果与灵性关怀相结合，以激发以患者为中心的护理，从而促进整体姑息治疗或临终关怀。
