Hidden Resources for Cancer Patients: Interactions between Spirituality, Religiosity, and Selected Factors Influencing Patient's Self-Care.

IF 1.8 3区医学 Q3 ONCOLOGY

Oncology Pub Date : 2025-02-03 DOI:10.1159/000543312

Sebastian Ruhe, Helmut Orawa, Jutta Hübner, Jens Büntzel

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引用次数: 0

Abstract

Introduction: Religiosity and spirituality (SpR) can be vital in helping people face life's challenges. While spiritual care (SpC) is used in palliative care, this study explores effects for cancer patient's self-care (SC) in earlier stages.

Methods: Using validated instruments, we surveyed patients about SpR (SpNQ-20, GrAw-7, SpREUK), and factors of SC: well-being (WHO-5, L-1), self-efficacy (ASKU), ability to change (PIAC), as well as lay etiology and the use of complementary and alternative medicine (CAM). Data were analyzed using SPSS according to a three-step plan with descriptive methods, Spearman correlations, and mediation analysis.

Results: We included 108 patients (41 female, 63 males, four no data) with a median age of 66 years (range 30-89). Welch tests show a less well-being, self-efficacy and ability to change in our study population (p < 0.05) compared to non-cancer controls. The Mann-Whitney U test documented that patients who described themselves as spiritual and/or religious (S/R+) had a higher level of well-being and CAM use (p < 0.05) compared to those who did not. S/R self-categorization had no impact on PIAC and ASKU. Perceptual spirituality (GrAw-7) correlates with all factors of SC (p < 0.05): WHO-5 (rs = 0.25), PIAC (rs = 0.25), ASKU (rs = 0.30), L-1 (rs = 0.35), and CAM use (rs = 0.39, p < 0.001). Mediation analysis demonstrates that the impact of spirituality on SC (CAM use) is mediated by religiosity, GrAw-7, and spiritual needs.

Conclusion: Spirituality and hidden spiritual needs are a valuable resource. By integrating SpC early in the treatment, we can create support ways and improve SC, well-being, and coping.

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癌症患者的隐性资源-灵性、宗教信仰与影响患者自我护理的选定因素之间的相互作用。

简介：虔诚和灵性（SpR）在帮助人们面对生活的挑战方面是至关重要的。在姑息治疗中使用精神护理（SpC）的同时，本研究探讨了早期癌症患者自我护理（SC）的效果。方法：使用经过验证的工具，我们调查了患者的SpR (SpNQ-20, GrAw-7, SpREUK)， SC的因素：幸福感（who5, L-1），自我效能感（ASKU），改变能力（PIAC），以及病因和补充和替代医学（CAM）的使用。采用SPSS软件，采用描述性、Spearman相关和中介分析的三步计划对数据进行分析。结果：我们纳入108例患者（41例女性，63例男性，4例无资料），中位年龄66岁（范围30-89）。韦尔奇检验显示，与非癌症对照组相比，我们研究人群的幸福感、自我效能感和改变能力较低（p < 0.05）。Whitney-U-test显示，S/R+的患者幸福感增加，CAM使用增加（p < 0.05）。S/R自分类对PIAC和ASKU无影响。感知灵性（GrAw-7）与SC的所有因素均相关（p < 0.05）： WHO-5 （rs = 0.25）、PIAC （rs = 0.25）、ASKU （rs = 0.296）、L-1 （rs = 0.35）和CAM使用（rs = 0.39, p < 0.001）。中介分析表明，宗教信仰、GrAw-7和精神需求对自我照顾（CAM）使用的影响具有中介作用。结论：灵性和隐藏的灵性需求是宝贵的资源。通过在治疗早期整合SpC，我们可以创造支持方式，改善SC，幸福感和应对能力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Oncology 医学-肿瘤学

CiteScore

6.00

自引率

2.90%

发文量

审稿时长

6-12 weeks

期刊介绍： Although laboratory and clinical cancer research need to be closely linked, observations at the basic level often remain removed from medical applications. This journal works to accelerate the translation of experimental results into the clinic, and back again into the laboratory for further investigation. The fundamental purpose of this effort is to advance clinically-relevant knowledge of cancer, and improve the outcome of prevention, diagnosis and treatment of malignant disease. The journal publishes significant clinical studies from cancer programs around the world, along with important translational laboratory findings, mini-reviews (invited and submitted) and in-depth discussions of evolving and controversial topics in the oncology arena. A unique feature of the journal is a new section which focuses on rapid peer-review and subsequent publication of short reports of phase 1 and phase 2 clinical cancer trials, with a goal of insuring that high-quality clinical cancer research quickly enters the public domain, regardless of the trial’s ultimate conclusions regarding efficacy or toxicity.