TY - JOUR
T1 - Spiritual Well-Being and Associated Factors in Dutch Patients With Advanced Cancer
AU - Damen, Annelieke
AU - Raijmakers, Natasja J H
AU - van Roij, Janneke
AU - Visser, Anja
AU - Beuken-Everdingen, Marieke van den
AU - Kuip, Eveline
AU - van Laarhoven, Hanneke W M
AU - van Leeuwen-Snoeks, Lobke
AU - van der Padt-Pruijsten, Annemieke
AU - Smilde, Tineke J
AU - Leget, Carlo
AU - Fitchett, George
N1 - Copyright © 2021. Published by Elsevier Inc.
PY - 2022/3
Y1 - 2022/3
N2 - CONTEXT: Palliative care aims to support patients' spiritual needs with the intention of promoting their spiritual well-being (SWB), an important dimension of quality of life. SWB is one of the less-studied dimensions of QoL, particularly in a secular country such as the Netherlands.OBJECTIVES: In this study we aimed to get a better understanding of SWB in Dutch patients with advanced cancer. We therefore examined its prominence and associated factors.METHODS: We used the baseline data of a cohort study on experienced quality of care and quality of life (eQuiPe study), which included 1,103 patients with advanced cancer. In addition to sociodemographic and religious/spiritual characteristics, study measures comprised the SWB subscales Meaning, Peace, and Faith of the revised FACIT-Sp-12, spiritual problems and needs (PNPCsv), quality of life (EORTC-QLQ-C30) and satisfaction with healthcare professionals' interpersonal skills (INPATSAT-32).RESULTS: On average, patients experienced quite a bit of Meaning (8.9, SD 2.3), a little bit to somewhat Peace (6.8, SD 2.7), and very low levels of Faith (2.9, SD 3.7). Two-thirds (71%) of patients reported one or more spiritual problems, for which the majority (54%) wanted to receive attention. In the final multivariable models, only a few factors were associated with SWB, such as greater spiritual needs with lower levels of Meaning and Peace.CONCLUSION: Dutch patients with advanced cancer experience medium to low levels of Meaning, Peace, and Faith. More attention for their SWB is warranted.
AB - CONTEXT: Palliative care aims to support patients' spiritual needs with the intention of promoting their spiritual well-being (SWB), an important dimension of quality of life. SWB is one of the less-studied dimensions of QoL, particularly in a secular country such as the Netherlands.OBJECTIVES: In this study we aimed to get a better understanding of SWB in Dutch patients with advanced cancer. We therefore examined its prominence and associated factors.METHODS: We used the baseline data of a cohort study on experienced quality of care and quality of life (eQuiPe study), which included 1,103 patients with advanced cancer. In addition to sociodemographic and religious/spiritual characteristics, study measures comprised the SWB subscales Meaning, Peace, and Faith of the revised FACIT-Sp-12, spiritual problems and needs (PNPCsv), quality of life (EORTC-QLQ-C30) and satisfaction with healthcare professionals' interpersonal skills (INPATSAT-32).RESULTS: On average, patients experienced quite a bit of Meaning (8.9, SD 2.3), a little bit to somewhat Peace (6.8, SD 2.7), and very low levels of Faith (2.9, SD 3.7). Two-thirds (71%) of patients reported one or more spiritual problems, for which the majority (54%) wanted to receive attention. In the final multivariable models, only a few factors were associated with SWB, such as greater spiritual needs with lower levels of Meaning and Peace.CONCLUSION: Dutch patients with advanced cancer experience medium to low levels of Meaning, Peace, and Faith. More attention for their SWB is warranted.
KW - FUNCTIONAL ASSESSMENT
KW - INSTRUMENT
KW - OUTCOMES
KW - PALLIATIVE CARE
KW - QLQ-C30
KW - QUALITY-OF-LIFE
KW - SCALE
KW - Spiritual well-being
KW - cancer
KW - palliative care
KW - quality of life
KW - religion
KW - spirituality
U2 - 10.1016/j.jpainsymman.2021.10.004
DO - 10.1016/j.jpainsymman.2021.10.004
M3 - Article
C2 - 34656652
SN - 0885-3924
VL - 63
SP - 404
EP - 414
JO - Journal of Pain and Symptom Management
JF - Journal of Pain and Symptom Management
IS - 3
ER -