Spiritual Well-being May Reduce the Negative Impacts of Cancer Symptoms on the Quality of Life and the Desire for Hastened Death in Terminally Ill Cancer Patients

2016 ◽  
Vol 39 (4) ◽  
pp. E43-E50 ◽  
Author(s):  
Yin-Chih Wang ◽  
Chia-Chin Lin
Keyword(s):  
Quality Of Life ◽  
Cancer Patients ◽  
Terminally Ill ◽  
Well Being ◽  
Cancer Symptoms ◽  
Terminally Ill Cancer Patients ◽  
Spiritual Well Being ◽  
Hastened Death ◽  
Negative Impacts

Psychometric testing of the Spiritual Well-Being Scale–Mandarin version in Taiwanese cancer patients

2016 ◽  
Vol 15 (3) ◽  
pp. 336-347 ◽  
Author(s):  
Woung-Ru Tang ◽  
Chen-Yi Kao
Keyword(s):  
Quality Of Life ◽  
Factor Analysis ◽  
Psychometric Properties ◽  
Cancer Patients ◽  
Terminally Ill ◽  
Well Being ◽  
Life Questionnaire ◽  
Terminally Ill Cancer Patients ◽  
Spiritual Well Being

AbstractObjective:The spiritual well-being of terminally ill cancer patients is an important indicator of the quality of their lives and of the quality of hospice care, but no validated tools are available for assessing this indicator in Taiwan.Method:The present cross-sectional study validated the Spiritual Well-Being Scale–Mandarin version (SWBS–M) by testing its psychometric properties in 243 cancer patients from five teaching hospitals throughout Taiwan. Construct validity was tested by factor analysis and hypothesis testing. Patients' spiritual well-being and quality of life were assessed using the SWBS–M and the McGill Quality of Life Questionnaire (MQoL), respectively.Results:Overall, the SWBS–M had an internal consistency/reliability of 0.89. Exploratory factor analysis showed that the SWBS–M had an underlying two-factor structure, explaining 46.94% of the variance. SWBS–M scores correlated moderately with MQoL scores (r = 0.48, p < 0.01). Terminally ill cancer patients' spiritual well-being was inversely related to their average pain level during the previous 24 hours (r = –0.183, p = 0.006). Cancer patients' spiritual well-being also differed significantly with their experience of pain (t = –3.67, p < 0.001); terminally ill cancer patients with pain during the previous 24 hours had a lower sense of spiritual well-being than those without pain.Significance of results:Our findings support a two-factor model for the SWBS–M in terminally ill Taiwanese cancer patients. We recommend testing the psychometric properties of the SWBS–M in different patient populations to verify its factorial structure in other Asian countries.

scholarly journals Inpatient Hospice Palliative Care Unit and Palliative Consultation Service Enhance Comprehensive Quality of Life Outcomes in Terminally Ill Cancer Patients: A Prospective Longitudinal Study

2021 ◽  
Vol 18 (17) ◽  
pp. 8992
Author(s):  
Li-Fang Chang ◽  
Li-Fen Wu ◽  
Chi-Kang Lin ◽  
Ching-Liang Ho ◽  
Yu-Chun Hung ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cancer Patients ◽  
Hospice Care ◽  
Terminally Ill ◽  
Consultation Service ◽  
Prospective Longitudinal Study ◽  
Terminally Ill Cancer Patients ◽  
Prospective Longitudinal ◽  
Hospice Palliative Care

This study aimed to explore the effectiveness of an inpatient hospice palliative care unit (PCU) and palliative consultation service (PCS) on comprehensive quality of life outcome (CoQoLo) among terminally ill cancer patients. This was a prospective longitudinal study. Terminally ill cancer patients who met the inclusion criteria and received PCU or PCS in a northern Taiwanese medical center were recruited. The CoQoLo Inventory was used to measure CoQoLo level pre- and seven days following hospice care between August 2018 and October 2019. A total of 90 patients completed the study. No significant differences were found in CoQoLo levels between the PCU and PCS groups pre- and seven days following care. However, the CoQoLo level of patients significantly improved seven days following care in both PCU and PCS groups, compared with pre-hospice care. Patients’ age, religious belief, marital status, closeness with family, palliative prognostic index (PPI), and symptom severity were significant concerning CoQoLo levels after adjusting for patients’ baseline characteristics. PCU and PCS showed no difference in CoQoLo levels, but both of them can improve CoQoLo among terminally ill cancer patients. These patients could receive PCU or PCS to achieve a good CoQoLo at the end-of-life stage.

scholarly journals Characteristics of Breakthrough Pain and Its Impact on Quality of Life in Terminally Ill Cancer Patients

2019 ◽  
Vol 18 ◽  
pp. 153473541985909 ◽  
Author(s):  
Silvia Gonella ◽  
Riccardo Sperlinga ◽  
Veronica Sciannameo ◽  
Valerio Dimonte ◽  
Sara Campagna
Keyword(s):  
Quality Of Life ◽  
Cancer Patients ◽  
Negative Impact ◽  
Breakthrough Pain ◽  
Short Form ◽  
Terminally Ill ◽  
Severe Problem ◽  
Terminally Ill Cancer Patients ◽  
Time To Peak

Purpose. This study aimed to characterize breakthrough pain (BTP) and investigate its impact on quality-of-life (QoL) in terminally-ill cancer patients. Similarities and differences between high and low predictable BTP were also tested. Methods. Secondary analysis of a multicenter longitudinal observational study included 92 patients at their end-of-life. BTP was assessed with a short form of the Italian version of the Alberta Breakthrough Pain Assessment Tool. QoL was assessed with the Palliative Outcome Scale (0-40). Patients were stratified by self-reported BTP predictability into unpredictable BTP (never or rarely able to predict BTP) and predictable BTP (sometimes to always able to predict BTP). Results. In all, 665 BTP episodes were recorded (median 0.86 episodes/day). A median duration of 30 minutes and a median peak intensity score of 7 out of 10 were reported. Time to peak was <10 minutes, 10 to 30 minutes, and ≥30 minutes in 267 (41.1%), 259 (39.9%), and 30 (4.6%) of the episodes, respectively. Onset of relief occurred after a median of 30 minutes. Time to peak ( P < .001) and duration ( P = .046) of BTP was shorter in patients with predictable pain ( n = 31), who usually were younger than those with unpredictable pain ( P = .03). The mean (SD) QoL score was 14.6 (4.6). No difference in QoL between patients with predictable and unpredictable BTP was found ( P = .49). Conclusions. In terminally-ill cancer patients, BTP is a severe problem with a negative impact on QoL and has different characteristics according to its predictability.

A pilot study of transformation, attributed meanings to the illness, and spiritual well-being for terminally ill cancer patients

2008 ◽  
Vol 6 (4) ◽  
pp. 335-340 ◽  
Author(s):  
Michiyo Ando ◽  
Tatsuya Morita ◽  
Virginia Lee ◽  
Takuya Okamoto
Keyword(s):  
Cancer Patients ◽  
Terminally Ill ◽  
Well Being ◽  
Clinical Psychologist ◽  
Semistructured Interview ◽  
Search For Meaning ◽  
Terminally Ill Cancer Patients ◽  
Spiritual Well Being ◽  
Positive Meaning ◽  
High Level

ABSTRACTObjective:The present study investigated what types of transformation terminally ill cancer patients experienced from diagnosis until the terminal stage, what meanings terminally ill cancer patients attributed to their illness, and whether or not those who attributed positive meaning to their illness achieved high levels of spiritual well-being as a preliminary study.Method:Ten terminally ill cancer patients in the hospice wards of two general hospitals participated. A clinical psychologist conducted a semistructured interview with the patients individually for about 60 min. Patients completed the FACIT-Sp and HADS before the interview and talked about the meanings of cancer experience. The contents of the interviews were analyzed qualitatively. Patients were separated into high and low levels of spiritual-well being by the median of FACIT-Sp scores.Results:Three types of transformation were extracted: “group with peaceful mind,” “group with both positive attitude and uneasy feeling,” and “groups with uneasy feeling.” As attributed meanings to the illness, five categories were extracted: “positive meaning,” “natural acceptance,” “negative acceptance,” “search for meaning,” and “regret and sorrow.” Patients in the high level spiritual well-being group attributed the meaning of illness to “positive meaning” and “natural acceptance,” and those in the low level spiritual well-being group attributed it to “regret and sorrow” and “search for meaning.”Significance of results:Some Japanese terminally ill cancer patients experienced positive transformation, and patients who attributed “positive meaning” and “natural acceptance” to their illness experience achieved high levels of spiritual well-being.

Spiritual well-being associated with personality traits and quality of life in family caregivers of cancer patients

2018 ◽  
Vol 26 (8) ◽  
pp. 2633-2640 ◽  
Author(s):  
Anna Vespa ◽  
Roberta Spatuzzi ◽  
Fabiana Merico ◽  
Marica Ottaviani ◽  
Paolo Fabbietti ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Personality Traits ◽  
Cancer Patients ◽  
Family Caregivers ◽  
Well Being ◽  
Spiritual Well Being

Spirituality and religion in terminally ill patients with cancer

2007 ◽  
Vol 25 (18_suppl) ◽  
pp. 19587-19587
Author(s):  
P. Heras ◽  
K. Kritikos ◽  
A. Georgopoulou ◽  
A. Hatzopoulos ◽  
N. Kritikos
Keyword(s):  
End Of Life ◽  
Cancer Patients ◽  
Terminally Ill ◽  
Well Being ◽  
Negative Association ◽  
Terminally Ill Cancer Patients ◽  
Patients With Cancer ◽  
Spirituality And Religion ◽  
Spiritual Well Being ◽  
Strong Negative Association

19587 Background: The importance of spirituality and religion in coping with a terminal illness is becoming increasingly recognised. We aimed to assess the relation between spiritual well-being, religiosity, depression, and end-of-life despair in terminally-ill cancer patients. Methods: One hundred forty three terminally ill cancer patients with a life expectancy of less than 6 months were interviewed with a series of standardised instruments, including the FACIT Spiritual Well-Being Scale, a religiosity index similar to those used in previous research, the Hamilton depression rating scale, the Memorial Symptom Assessment Scale and the Duke-UNC Functional Social Support Questionnaire. Results: A strong negative association was observed between the FACIT Spiritual Well-Being scale and the HDRS, but no such relationship was found for religiosity. Similar patterns were observed for the FACIT subscales, finding a strong negative association between the meaning and peace subscale (which corresponds to the more existential aspects of spirituality) and HDRS scores, whereas a positive, albeit nonsignificant, association was observed for the faith subscale (which corresponds more closely to religiosity). Conclusions: These results suggest that the beneficial aspects of religion may be primarily those that relate to spiritual well-being rather than to religious practices per se. Spiritual well-being offers some protection against end-of-life despair in those for whom death is imminent. The area of spiritual work is fertile ground for further investigation, especially interventions aimed at improving spiritual health and general quality of life among terminally ill patients with cancer. No significant financial relationships to disclose.

Effect of spiritual well-being on end-of-life despair in terminally-ill cancer patients

The Lancet ◽  
2003 ◽  
Vol 361 (9369) ◽  
pp. 1603-1607 ◽  
Author(s):  
Colleen S McClain ◽  
Barry Rosenfeld ◽  
William Breitbart
Keyword(s):  
End Of Life ◽  
Cancer Patients ◽  
Terminally Ill ◽  
Well Being ◽  
Terminally Ill Cancer Patients ◽  
Spiritual Well Being
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