scholarly journals The Multiple Mediating Effects of Perceived Social Support and Spiritual Well-being on the Relationship Between Spiritual Needs and Quality of Life Among Patients With Advanced Cancer

Author(s):  
Quying Wen ◽  
Miaorui Jiao ◽  
Huailin Wang ◽  
Yanli Hu

Abstract Aims: The purpose of this study was to test the associations between spiritual needs, perceived social support, spiritual well-being, and quality of life (QoL) and examine the multiple mediating effects of perceived social support and spiritual well-being on the relationship between spiritual needs and QoL among patients with advanced cancer.Methods: Spiritual needs, perceived social support, spiritual well-being and QoL were assessed using self-report questionnaires among 286 cancer patients in a tertiary oncology hospital. The mediation model was analysed using the SPSS PROCESS procedure, and indirect effects were evaluated with bootstrapping.Results: QoL was positively correlated with spiritual needs (r=0.315, p<0.01), perceived social support (r=0.451, p<0.01) and spiritual well-being (r=0.636, p<0.01). The relationship between spiritual needs and QoL was mediated by perceived social support (indirect effect: 0.063, confidence interval (CI) (0.018, 0.118)) and spiritual well-being (indirect effect: 0.068, CI (0.001, 0.155)) and serially mediated by spiritual needs and QoL (indirect effect: 0.072, CI (0.041, 0.113)).Conclusions: The results emphasize the importance of spiritual well-being and social support for cancer patients, especially those with more spiritual needs. They suggest that healthcare providers should develop strategies to enhance perceived social support and spiritual well-being when caring for cancer patients to improve patients’ QoL.

2021 ◽  
Author(s):  
Fatemeh nazari ◽  
Vahid Shaygannejad

Abstract Background: Multiple sclerosis (MS) is the most common neurological disease with disabling consequences. Social support is an important aspect of performance among patients and attention to perceived social support as a factor influencing health promotion is essential. Therefore, this study was performed with the aim to determine the relationship between spiritual well-being and perceived social support in patients with MS.Methods: This cross-sectional and correlational study was conducted on 120 patients with MS. The participants were over 18 years of age and referred to the MS Clinic of Kashani Hospital, Isfahan‎, Iran. The subjects were selected using convenience sampling. Data were collected using questionnaires and analyzed using descriptive and inferential statistics in SPSS software. P-values of less than 0.05 were considered significant.Results: The mean (SD) disease duration and age of participants were 8.1 (5.9) and 33.67 (8.7) years, respectively. Moreover, 75.9% of the participants were women and 76.1% were married. The mean score of spiritual well-being was 87.08. The mean score of perceived social support was 61.52 (14.9). Pearson correlation test indicated a direct relationship between spiritual well-being and the total score of perceived social support (r = 0.415, P < 0.001) and the emotional (r = 0.328, P = 0.004) and informational (r = 0.311, P = 0.006) dimensions, but not the instrumental dimension (r = 0.197, P = 0.081). Multiple linear regression analysis showed a significant correlation between spiritual health and social support in the emotional dimension (P < 0.05)Conclusion: This study confirmed the relation between perceived social support and spiritual well-being of people with MS. Thus, it is necessary that perceived social support, as a strong predictor of spiritual health status, is considered in the designing of health promotion interventions for patients with MS.


2020 ◽  
Vol 30 (4) ◽  
pp. 217-223
Author(s):  
Ismail Toygar ◽  
Öznur Usta Yeşilbalkan ◽  
Merve Kürkütlü ◽  
Tuğba Akgün

Introduction: Improving the Quality of Life (QoL) is considered one of the main objectives in the care of cancer patients. Achieving this objective, it is essential to determine the factors affecting QoL in cancer patients. The studies in the literature have determined the effects of various factors on QoL but social support from family has remained to be studied.  Objective: The present study aimed to determine the relationship between perceived social support from family and QoL in cancer patients. Materials and Methods: This cross-sectional study was conducted in an oncology unit of a university hospital in İzmir City, Turkey, from March to October 2019. A convenience sample of 276 cancer patients participated in the study. A patient identification form, the Perceived Social Support from family scale (PSS-Family), and the Quality of Life index-cancer version (QLI-C) were used for data collection. The scores of PSS-Family and QLI-C range from 0 to 20 and from 66 to 396, respectively. Regression analysis was used to estimate the effect of perceived social support from family on QoL. Results: Of the participants, 65.2% were female. The Mean±SD age of the study sample was 47.5±14.4 years. Also, the Mean±SD scores of PSS-Family and QLI-C were 16.43±3.01 and 307.77±27.48, respectively. Regression analysis revealed that perceived social support from family was associated with a relative increase in QoL index (B=3.44, P=0.001, R2=0.141). Conclusion: Perceived social support from family is positively associated with QoL in cancer patients. Nurses should consider this relationship when they plan to improve the QoL of cancer patients.


2020 ◽  
Vol 9 (1) ◽  
pp. 174
Author(s):  
Zohre Khalajinia ◽  
Valiollah Akbari ◽  
Parvin Rahmatinejad ◽  
MohammadMahdi Shater ◽  
Mostafa Vahedian

2019 ◽  
Vol 8 (5) ◽  
pp. 1701 ◽  
Author(s):  
Forouhari Sedighe ◽  
Atefeh Zare ◽  
NamavarJahromi Bahia ◽  
Fereshteh Eidy ◽  
Neda Adib

2017 ◽  
Vol 3 (2) ◽  
pp. 54-64 ◽  
Author(s):  
Ayse Berivan BAKAN ◽  
Asuman GURAKSIN

Background: When people face health problems, their life satisfaction levels and social relations could be ruined. When it comes to an eerie, deadly and chronic disease like cancer, the individual is much more likely to be affected by it.Objective: This descriptive study aims to identify quality of life and level of social support and the affecting factors in cancer patients.Methods: The sample included 170 patients who applied to Internal Diseases, Radiation Oncology, Thorax diseases clinics and Chemotherapy polyclinic in a university hospital in Turkey between March and August, 2005, who met the research criteria, and who volunteered to participate in the study. The sample represented 20 % of the target population. Data were collected through SF-36 Quality of Life Scale and Multidimensional Scale of Perceived Social Support.Results: The patients’ Global Quality of Life mean score was found 38.67 ± 13.64, and mean score for the Perceived Social Support was found 59.19 ± 17.5. Global Quality of Life score was higher in those who underwent an operation and who received ambulatory health care. Although Global Quality of Life was not influenced by the gender variable, male patients’ level of well-being was found to be higher. Perceived Social Support total score was found to be higher in those who knew about their disease. Family support was found to be higher in those who were married and who lived in town; it was found to be low in those who had low socio-economic level and who received inpatient treatment. Friend support was found to be high in those who knew about their disease.Conclusion: There was a linear relationship between Perceived Social Support and Quality of Life. It is recommended that more studies with wider groups of participants would shed more light to the issue of identifying quality of life, social support level and the relationships between them in cancer patients.


2019 ◽  
Vol 24 (3) ◽  
Author(s):  
Rafał Gerymski ◽  

This study was conducted in order to verify the role of social support and coping strategies as moderators of the relationship between perceived stress and the subjective well-being of transgender people, which is lower than cisgenders’ people. 355 people took part in this study (124 transgender people and 231 cisgender people) between age of 18 and 53. Subjective well-being has been operationalized using the Satisfaction With life Scale SWLS. Measurement of the perceived stress was made using the Perceived Stress Scale PSS-10. Coping strategies were examined using the Mini-COPE inventory. Additionally, two subscales of the Berlin Social Support Scales BSSS were used to measure received and perceived social support. Transgender people scored on the SWB scale significantly lower than cisgender people. Received and perceived social support did not turn out to be a significant moderators of the relationship between perceived stress and the subjective well-being. Only one of the coping strategies turned out to be an significant moderator of this relationship – venting of emotions. Key words: transgenderism, perceived stress, quality of life, social support, coping strategies


2020 ◽  
Vol 48 (11) ◽  
pp. 1-11
Author(s):  
Dekuo Liang ◽  
Lei Wang ◽  
Liying Xia ◽  
Dawei Xu

Little is known regarding the life satisfaction of rural-to-urban migrants in China. In this study we assessed whether self-esteem and perceived social support mediated the association between rural-to-urban migrants' acculturative stress and life satisfaction. We use convenience sampling to recruit 712 migrants who were employed at construction sites in Nanjing for the study. Results reveal that acculturative stress was negatively related to self-esteem, perceived social support, and life satisfaction; self-esteem was positively associated with perceived social support and life satisfaction; and perceived social support was a significant and positive predictor of life satisfaction. In addition, we found that self-esteem and perceived social support partially mediated the relationship between acculturative stress and life satisfaction. Our findings provide a better understanding of life satisfaction over the course of migration, and add to knowledge of psychological well-being and mental health among rural-to-urban migrants in China.


2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Yue Feng ◽  
Xingcan Liu ◽  
Tangwei Lin ◽  
Biru Luo ◽  
Qianqian Mou ◽  
...  

Abstract Background In recent years, spiritual well-being has gradually gained the attention of health care providers in China, especially those in oncology departments, who have recognized the importance of improving spiritual well-being in cancer patients. Since most of the current research on spiritual well-being has been carried out in areas with religious beliefs, this study was conducted in the context of no development of formal religion. The purpose of this study was to explore the relationship between death anxiety and spiritual well-being and the related factors of spiritual well-being among gynecological cancer patients. Methods This cross-section study was conducted among 586 gynecological cancer patients. The European Organization for Research and Treatment for Cancer Quality of Life Questionnaire-spiritual well-being32 (EORTC QLQ-SWB32) and Templer's Death Anxiety Scale (T-DAS) were used to measure spiritual well-being and death anxiety. The Multiple Linear Regression Model was used to determine the relationship between spiritual well-being and death anxiety. Results For all participants, the highest QLQ-SWB32 centesimal score was 75.13 on the Relationship with Other scale, and the lowest was 60.33 on the Relationship with Someone or Something Greater Scale. The mean Death Anxiety score was 5.31 (SD 3.18). We found that Relationship with Someone or Something Greater was the only scale not associated with death anxiety. Overall, patients with lower death anxiety have a higher level of spiritual well-being. Besides, a high Relationship with Other score was associated with living with a partner (B = 2.471, P < 0.001) and married (B = -6.475, P = 0.001). Patients with higher Global-SWB were retired (B = 0.387, P = 0.019). Conclusions Our study found that the spiritual well-being of patients with gynecological cancer in China was no worse than in other countries with religious beliefs and patients with lower death anxiety have a higher level of spiritual well-being. Clinical staff should pay attention to the spiritual health of cancer patients, and spiritual care should be regarded as an essential element in cancer care.


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