Spirituality in Oncology: Relations between Spirituality, Its Facets, and Psychological and Demographic Factors in Cancer Patients in Germany.

IF 2 4区 医学 Q3 ONCOLOGY Oncology Research and Treatment Pub Date : 2024-01-01 Epub Date: 2024-02-07 DOI:10.1159/000535919
Gina Heuschkel, Ludwig Fischer von Weikersthal, Constanze Junghans, Bijan Zomorodbakhsch, Christoph Stoll, Franz-Josef Prott, Stefan Fuxius, Oliver Micke, Achim Richter, Doreen Sallmann, Jens Büntzel, Catalina Hoppe, Jutta Huebner
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Abstract

Introduction: Cancer diagnoses are constantly increasing in clinical practice. Therefore, more and more patients are interested in how they can actively participate in the process of treatment. Spirituality represents a hidden issue of the population, which counts as a branch of complementary and alternative treatment. Therefore, the aim of our study was to investigate whether there are associations between spirituality and demographic and psychosocial factors, as well as religious beliefs, in cancer patients.

Methods: We conducted a survey with 451 participants in 10 oncology centers between March and July 2021. A composition of the following 9 different questionnaires was used to collect data on spirituality, demographics, resilience, self-efficiency, life satisfaction, and sense of coherence: Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being (FACIT-Sp12), General Life Satisfaction Short Scale (L-1), Resilienzskala Kurzform (RS-13), Sense of Coherence Scale - Leipziger Kurzform (SOC-L9), Allgemeine Selbstwirksamkeit Kurzskala (AKSU), Adolescent Food Habits Checklist, Likert-Scale of daily activities, questionnaire of the Working group Prävention und Integrative Onkologie (PRiO), and personal opinion on the cause of the disease. Calculated data and analyzed group differences using ANOVA Bonferroni were used to test associations between spirituality and the variables studied. For more detailed examination of spirituality, we took a closer look at the different components of spirituality - peace, meaning, and faith - and their relation to each other (three-factor spirituality analyses).

Results: Higher spirituality scores in total as well as meaning, peace, and faith were each associated with higher levels of resilience and life satisfaction. Higher religious belief was found to be associated with higher spiritual attitudes. High personal self-efficiency was found in people with higher spiritual beliefs in general as well as higher meaning and peace. Meaning and peace emerge as essential components of spiritual well-being and show a stronger association with expressions of general spirituality than faith.

Conclusion: Spirituality takes a crucial role among the resources of life-threatening diseases. As such, further research is needed to expand and integrate patient options into a modernized concept of care. Our data indicate that higher spiritual well-being is associated with a more tolerant approach to illness. Thus, addressing spiritual needs in therapy is associated with better psychological adjustment to the individual situation and reduces negative distress. To promote spiritual needs in the future, cognitive as well as affective components of spirituality should be emphasized.

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肿瘤学中的灵性:德国癌症患者的灵性、灵性的各个方面与心理和人口因素之间的关系。
导言在临床实践中,癌症诊断率不断上升。因此,越来越多的患者对如何积极参与治疗过程感兴趣。精神是一个隐藏在人群中的问题,也是补充和替代治疗的一个分支。因此,我们的研究旨在调查癌症患者的灵性与人口和社会心理因素以及宗教信仰之间是否存在关联:我们在 2021 年 3 月至 7 月期间对 10 个肿瘤中心的 451 名参与者进行了调查。我们使用了由以下 9 种不同问卷组成的调查表,以收集有关灵性、人口统计学、复原力、自我效能感、生活满意度和连贯感的数据:慢性病治疗-精神健康功能评估(FACIT-Sp12)、一般生活满意度简易量表(L-1)、复原力量表(RS-13)、连贯感量表--莱比锡量表(SOC-L9)、全局自我意识量表(AKSU)、青少年饮食习惯检查表、日常活动李克特量表、预防和综合肿瘤学工作组问卷(PriO)以及个人对病因的看法。采用方差分析(ANOVA Bonferroni)计算数据并分析组间差异,以检验灵性与所研究变量之间的关联。为了对灵性进行更详细的研究,我们仔细研究了灵性的不同组成部分--和平、意义和信仰--及其相互关系(三因素灵性分析):结果:较高的灵性总分以及意义、和平和信仰均与较高的复原力和生活满意度相关。较高的宗教信仰与较高的精神态度相关。总体精神信仰较高以及意义与和平较高的人,其个人自我效能较高。意义与和平是精神幸福的重要组成部分,与信仰相比,它们与一般精神信仰的表现形式有着更密切的联系:结论:在威胁生命的疾病资源中,精神信仰起着至关重要的作用。因此,需要进一步开展研究,以扩大患者的选择范围,并将其纳入现代化的护理理念中。我们的数据表明,较高的精神幸福感与更宽容地对待疾病有关。因此,在治疗中满足精神需求与更好地适应个人情况并减少负面痛苦有关。为了在未来促进精神需求,应强调精神的认知和情感部分。
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来源期刊
CiteScore
3.20
自引率
0.00%
发文量
84
期刊介绍: With the first issue in 2014, the journal ''Onkologie'' has changed its title to ''Oncology Research and Treatment''. By this change, publisher and editor set the scene for the further development of this interdisciplinary journal. The English title makes it clear that the articles are published in English – a logical step for the journal, which is listed in all relevant international databases. For excellent manuscripts, a ''Fast Track'' was introduced: The review is carried out within 2 weeks; after acceptance the papers are published online within 14 days and immediately released as ''Editor’s Choice'' to provide the authors with maximum visibility of their results. Interesting case reports are published in the section ''Novel Insights from Clinical Practice'' which clearly highlights the scientific advances which the report presents.
期刊最新文献
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