{"title":"From Pain Interference to Hope: Exploring Spiritual Well-being as a Pathway for Patients With Cancer: A Cross-sectional Study.","authors":"Yağmur Artan, Gökhan Sezgin, Yasemin Yıldırım","doi":"10.1097/NCC.0000000000001523","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Pain interference is a significant factor affecting the emotional and psychological well-being of patients with cancer, often leading to decreased hope. Recent studies suggest that spiritual well-being may mediate this relationship, offering a potential pathway to improving patients' resilience and quality of life.</p><p><strong>Objective: </strong>This study investigates the impact of pain intensity, pain interference, spiritual well-being, and other factors on the hope of patients with cancer. Additionally, the study examined the mediating effect of spiritual well-being on the relationship between pain interference and hope of patients with cancer.</p><p><strong>Methods: </strong>A cross-sectional study was conducted with 288 patients with cancer receiving treatment at a chemotherapy center in Turkey. Data were collected using validated tools, including the Brief Pain Inventory, Herth Hope Index, and Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being Scale. Analytic tests included independent sample t tests, Mann-Whitney U, and Kruskal-Wallis tests and SPSS PROCESS Macro Model 4.</p><p><strong>Results: </strong>Pain interference negatively correlated with hope (r = -0.356, P < .001), whereas spiritual well-being positively correlated with hope (r = 0.483, P < .001). Mediation analysis confirmed that spiritual well-being partially mediated the relationship between pain interference and hope, explaining 33.8% of the total effect.</p><p><strong>Conclusions: </strong>Spiritual well-being plays a critical role in mitigating the adverse effects of pain interference on hope among patients with cancer.</p><p><strong>Implications for practice: </strong>Integrating spiritual care into oncology practice may enhance patients' psychological resilience. Holistic interventions addressing both physical and spiritual needs should be prioritized in cancer care to foster hope and improve overall well-being.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4000,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Cancer Nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/NCC.0000000000001523","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Pain interference is a significant factor affecting the emotional and psychological well-being of patients with cancer, often leading to decreased hope. Recent studies suggest that spiritual well-being may mediate this relationship, offering a potential pathway to improving patients' resilience and quality of life.
Objective: This study investigates the impact of pain intensity, pain interference, spiritual well-being, and other factors on the hope of patients with cancer. Additionally, the study examined the mediating effect of spiritual well-being on the relationship between pain interference and hope of patients with cancer.
Methods: A cross-sectional study was conducted with 288 patients with cancer receiving treatment at a chemotherapy center in Turkey. Data were collected using validated tools, including the Brief Pain Inventory, Herth Hope Index, and Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being Scale. Analytic tests included independent sample t tests, Mann-Whitney U, and Kruskal-Wallis tests and SPSS PROCESS Macro Model 4.
Results: Pain interference negatively correlated with hope (r = -0.356, P < .001), whereas spiritual well-being positively correlated with hope (r = 0.483, P < .001). Mediation analysis confirmed that spiritual well-being partially mediated the relationship between pain interference and hope, explaining 33.8% of the total effect.
Conclusions: Spiritual well-being plays a critical role in mitigating the adverse effects of pain interference on hope among patients with cancer.
Implications for practice: Integrating spiritual care into oncology practice may enhance patients' psychological resilience. Holistic interventions addressing both physical and spiritual needs should be prioritized in cancer care to foster hope and improve overall well-being.
背景：疼痛干扰是影响癌症患者情绪和心理健康的重要因素，往往导致希望降低。最近的研究表明，精神健康可能会调节这种关系，为提高患者的适应能力和生活质量提供了一条潜在的途径。目的：探讨疼痛强度、疼痛干扰、精神幸福感等因素对癌症患者生存希望的影响。此外，本研究还考察了精神幸福感在癌症患者疼痛干扰与希望之间的中介作用。方法：对在土耳其某化疗中心接受治疗的288例癌症患者进行横断面研究。数据收集使用有效的工具，包括简短疼痛量表、赫斯希望指数和慢性疾病治疗功能评估-精神健康量表。分析检验包括独立样本t检验、Mann-Whitney U检验和Kruskal-Wallis检验和SPSS PROCESS Macro Model 4。结果：疼痛干扰与希望呈负相关（r = -0.356, P < .001），精神幸福感与希望呈正相关（r = 0.483, P < .001）。中介分析证实，精神幸福感部分中介了痛苦干扰和希望之间的关系，解释了33.8%的总效应。结论：精神健康在缓解疼痛干扰对癌症患者希望的不良影响中起着关键作用。对实践的启示：将精神护理纳入肿瘤实践可能会增强患者的心理弹性。在癌症治疗中，应优先考虑解决身体和精神需求的整体干预措施，以培养希望并改善整体福祉。
期刊介绍：
Each bimonthly issue of Cancer Nursing™ addresses the whole spectrum of problems arising in the care and support of cancer patients--prevention and early detection, geriatric and pediatric cancer nursing, medical and surgical oncology, ambulatory care, nutritional support, psychosocial aspects of cancer, patient responses to all treatment modalities, and specific nursing interventions. The journal offers unparalleled coverage of cancer care delivery practices worldwide, as well as groundbreaking research findings and their practical applications.
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