Gioiella M E, Berkman B, Robinson M
Massachusetts General Hospital, Department of Social Service, Boston, USA.
Cancer Pract. 1998 Nov-Dec;6(6):333-8. doi: 10.1046/j.1523-5394.1998.006006333.x.
The inclusion of spiritual well-being in healthcare assessments can provide insight into patients' needs and coping resources. This study explored the relationship between spiritual well-being and quality of life (QOL) in gynecologic oncology patients in an attempt to clarify the significance of spiritual well-being in the assessment process.
Eighteen women with gynecologic cancer completed a self-administered questionnaire that obtained sociodemographic, medical, spiritual, and functional information. The Spiritual Well-being Scale was used to assess spiritual well-being, and the Functional Living Index: Cancer (FLIC) measured QOL. Data were analyzed using descriptive statistics, comparison of means, and analysis of variance.
Patients with gynecologic cancers other than ovarian reported a better QOL and a higher degree of spiritual, existential, and religious well-being. Older patients consistently reported higher degrees of spiritual well-being and QOL than did younger patients. Married patients consistently reported higher degrees of spiritual well-being than patients who were not married (never married or separated). Catholic patients scored higher in degrees of religious and spiritual well-being as well as in FLIC scores than other patients.
Health professionals do not generally assess spiritual well-being in their evaluations of patients' needs. The findings from this study support the inclusion of spirituality as part of routine patient assessment and intervention. Clinical intervention that would increase a patient's level of spiritual awareness and his or her level of comfort associated with a personal perspective on death could help decrease the patient's level of psychosocial distress. Despite the medical establishment's bias to the contrary, religion and spirituality are positively associated with both physical and mental health and may be particularly significant to terminally ill patients. The curricula of medical, nursing, and other health schools should be redesigned appropriately.
将精神健康纳入医疗评估能够深入了解患者的需求和应对资源。本研究探讨了妇科肿瘤患者精神健康与生活质量（QOL）之间的关系，旨在阐明精神健康在评估过程中的重要性。
18名妇科癌症女性完成了一份自填式问卷，该问卷获取了社会人口统计学、医学、精神和功能方面的信息。使用精神健康量表评估精神健康，并用癌症功能生活指数（FLIC）测量生活质量。数据采用描述性统计、均值比较和方差分析进行分析。
除卵巢癌外的其他妇科癌症患者报告的生活质量更好，精神、存在和宗教健康程度更高。老年患者始终比年轻患者报告的精神健康和生活质量程度更高。已婚患者始终比未婚（从未结婚或分居）患者报告的精神健康程度更高。天主教患者在宗教和精神健康程度以及FLIC评分方面比其他患者得分更高。
医疗专业人员在评估患者需求时通常不评估精神健康。本研究结果支持将精神性纳入常规患者评估和干预的一部分。能够提高患者精神意识水平以及与个人对死亡的看法相关的舒适度的临床干预措施，有助于降低患者的心理社会困扰程度。尽管医疗机构持相反的偏见，但宗教和精神性与身心健康呈正相关，对绝症患者可能尤为重要。医学、护理和其他健康专业学校的课程应进行适当重新设计。
