Hamidi Sajad, Seyedfatemi Naeimeh, Abbasi Zahra, Ebrahimpour Fatemeh
School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
School of Nursing and Midwifery Shahid Beheshti, University of Medical Sciences, Tehran, Iran.
Front Psychol. 2024 May 22;15:1378419. doi: 10.3389/fpsyg.2024.1378419. eCollection 2024.
The diagnosis and treatment of gastrointestinal cancer not only impose significant physical challenges but also deeply affect patients emotionally and psychologically, significantly influencing their overall quality of life. Among the various factors that can positively impact life satisfaction in individuals facing gastrointestinal cancer, spirituality emerges as a crucial aspect. This study aimed to determine the effect of a spiritual intervention on life satisfaction in patients with gastrointestinal cancer.
This quasi-experimental study was conducted with two groups of 85 gastrointestinal cancer patients from two major hospitals in Tehran. The intervention group received spiritual support through social media for six sessions over three weeks to learn how to effectively improve their spiritual state. The control group received routine medical visits and care. The Satisfaction with Life Scale (SWLS) was used before and after the spiritual support in both the intervention and control groups. The research was approved by the institutional ethics committee.
In the pre-test stage, there was no significant difference in average life satisfaction between the intervention and control groups ( = 1.887, = 0.30, > 0.05). However, positive changes occurred in the post-test stage. Notably, the disparity in average life satisfaction between the intervention and control groups was significant in the post-test stage ( = 13.118, = 0.95, < 0.01). Furthermore, the result showed that the changes in life satisfaction in the intervention group were statistically significant ( = 11.854, = 0.84, < 0.001). Changes in life satisfaction in the control group were not statistically significant in the pre-test stage compared to the post-test stage ( = 1.113, = 0.10, > 0.05).
The results can guide health care providers in dealing with the problems of cancer patients. Assessing patients' spiritual needs and empowering them to promote their spiritual recovery and find meaning in their suffering can lead to improved quality of life and satisfaction with holistic care.
胃肠道癌症的诊断和治疗不仅给患者带来巨大的身体挑战，还会在情感和心理上对患者产生深刻影响，显著影响其整体生活质量。在能够积极影响胃肠道癌症患者生活满意度的各种因素中，精神层面成为一个关键方面。本研究旨在确定一种精神干预对胃肠道癌症患者生活满意度的影响。
这项准实验研究选取了德黑兰两家主要医院的两组各85名胃肠道癌症患者。干预组通过社交媒体接受为期三周、共六次的精神支持，以学习如何有效改善其精神状态。对照组接受常规医疗问诊和护理。干预组和对照组在精神支持前后均使用生活满意度量表（SWLS）。该研究获得了机构伦理委员会的批准。
在预测试阶段，干预组和对照组的平均生活满意度无显著差异（=1.887，=0.30，>0.05）。然而，在测试后阶段出现了积极变化。值得注意的是，干预组和对照组在测试后阶段的平均生活满意度差异显著（=13.118，=0.95，<0.01）。此外，结果显示干预组生活满意度的变化具有统计学意义（=11.854，=0.84，<0.001）。与测试后阶段相比，对照组生活满意度在预测试阶段的变化无统计学意义（=1.113，=0.10，>0.05）。
研究结果可为医疗保健提供者应对癌症患者的问题提供指导。评估患者的精神需求并使他们有能力促进精神康复并在痛苦中找到意义，可提高生活质量和对整体护理的满意度。
