Yaghoobi Beglar Narges, Rezaei Fateme, Izadipour Ehsan, TabaTabaei Seyyed Mahmood
Religion and Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Department of Islamic Studies, Faculty of Theology and Islamic Studies, Mashhad Ferdowsi University, Mashhad, Iran.
Iran J Psychiatry. 2024 Jan;19(1):107-118. doi: 10.18502/ijps.v19i1.14346.
Patients with leukemia suffer from significant psychological, spiritual, and social symptoms. Therefore, the current research aimed to study the impact of spiritual end-of-life support on the quality of life for leukemia patients. To this end, the present quasi-experimental research with a pre-test and post-test design was performed. The sample included 60 cancer patients randomly assigned to intervention and control groups through the method of permutation block. The experimental group received spiritual support intervention for eight sessions of 60 minutes, while the control group received no intervention. Patients filled out the questionnaire of World Health Organization Quality of Life. The World Health Organization conducts a three-phase assessment to measure the quality of life. These phases include a pre-test, which is conducted before any intervention takes place. Then comes the post-test, which occurs after the intervention. Finally, there is a follow-up assessment conducted two months after the post-test. The obtained results were analyzed by repeated-measures analysis and independent samples t-test using SPSS software. The findings from the repeated measures analysis revealed that there was a statistically significant interaction between time and group (P = 0.01). In other words, being compared to the control group, the spiritual support significantly increased the life quality of the patients in the experimental group. The experimental group witnessed a sustained enhancement in the quality of life for a period of two months following the intervention (follow-up, P = 0.01). Ultimately, the provision of spiritual support has the potential to enhance the overall well-being of individuals approaching the end of their lives, offering solace and aiding them in comprehending the true essence and purpose of their existence.
白血病患者存在显著的心理、精神和社会症状。因此,当前的研究旨在探讨临终精神支持对白血病患者生活质量的影响。为此,进行了本项采用前测和后测设计的准实验研究。样本包括60名癌症患者,通过排列分组法随机分为干预组和对照组。实验组接受了8次每次60分钟的精神支持干预,而对照组未接受任何干预。患者填写了世界卫生组织生活质量问卷。世界卫生组织进行三个阶段的评估来衡量生活质量。这些阶段包括在任何干预之前进行的前测。然后是干预后的后测。最后,在进行后测两个月后进行随访评估。使用SPSS软件通过重复测量分析和独立样本t检验对获得的结果进行分析。重复测量分析的结果显示,时间和组之间存在统计学上的显著交互作用(P = 0.01)。换句话说,与对照组相比,精神支持显著提高了实验组患者的生活质量。干预后两个月内,实验组的生活质量持续提高(随访,P = 0.01)。最终,提供精神支持有可能提高临终者的整体幸福感,给予慰藉并帮助他们理解自己存在的真正本质和目的。