Impact of spiritual care on the spiritual and mental health and quality of life of patients with advanced cancer

Xiang-Hong Sun; Xing Liu; Bo Zhang; Yu-Mei Wang; Ling Fan

doi:10.5498/wjp.v11.i8.449

Impact of spiritual care on the spiritual and mental health and quality of life of patients with advanced cancer

World J Psychiatry. 2021 Aug 19;11(8):449-462. doi: 10.5498/wjp.v11.i8.449.

Authors

Xiang-Hong Sun¹, Xing Liu², Bo Zhang³, Yu-Mei Wang⁴, Ling Fan⁵

Affiliations

¹ Intensive Care Unit, Shengjing Hospital of China Medical University, Shenyang 110004, Liaoning Province, China.
² Department of Urology, Shaanxi Provincial People's Hospital, Xi'an 710000, Shaanxi Province, China.
³ Department of Oncology, Shengjing Hospital of China Medical University, Shenyang 110004, Liaoning Province, China.
⁴ Hospice Care Unit, Shengjing Hospital of China Medical University, Shenyang 110004, Liaoning Province, China.
⁵ Nursing Department, Shengjing Hospital of China Medical University, Shenyang 110004, Liaoning Province, China. fanl@sj-hospital.org.

Abstract

Background: Cancer is a growing threat to human health. Due to the double torment of cancer and cancer treatment, patients with advanced cancer generally have a low quality of life. At present, there is a lack of systematic spiritual care plans for patients with advanced cancer as well as systematic guidance plans on the specific clinical application of spiritual care for advanced cancer patients. We hypothesized that our care plan would be effective in improving the spiritual and mental health and quality of life of patients with advanced cancer.

Aim: To construct a spiritual care plan suitable for Chinese patients with advanced cancer through literature analysis.

Methods: From February to December 2018, through purpose sampling, we selected 100 advanced cancer patients from the Oncology Department and Hospice Ward of a tertiary hospital in Liaoning Province who met the study standards. Patients were randomly divided into experimental and control groups, with 50 cases in each group. The control group received the current routine care, while the experimental group received the advanced cancer spiritual care intervention in addition to routine care.

Results: After the intervention, the overall spiritual health score for the experimental group was higher than that of the control group (4.68 ± 1.36 vs 3.63 ± 1.71). The difference between the groups was statistically significant (P < 0.05). The proportion of anxiety-free patients in the experimental group was 95.45%, which was significantly higher than the 60.98% in the control group. Moreover, the proportion of non-depressed patients in the experimental group was 97.73%, which was significantly higher than the 85.37% in the control group (P < 0.05). The overall quality of life score for the experimental group was significantly higher than that of the control group (5.36 ± 1.16 vs 4.39 ± 1.36, P < 0.05).

Conclusion: Our spiritual care plan for patients with advanced cancer could improve their spiritual health and quality of life and reduce negative mental health symptoms.

Keywords: Anxiety; Cancer; Depression; Quality of life; Spiritual care; Spiritual health.