Spiritual assessment in palliative care: multicentre study.

IF 2 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES BMJ Supportive & Palliative Care Pub Date : 2024-09-19 DOI:10.1136/spcare-2024-004997

Jheelam Biswas, Wai Wai Mroy, Nashid Islam, Nahid Afsar, Mastura Kashmeeri, Palash Chandra Banik

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Abstract

Objectives: This study aims to provide an in-depth exploration of everyday spiritual concerns of patients with advanced cancer seeking palliative care in Bangladesh, and assess their spiritual well-being (SWB).

Methods: This study was conducted among 163 patients with advanced cancer from three tertiary care hospitals in Bangladesh. It was divided into two parts: a quantitative segment that assessed the SWB of the participants using the EORTC QLQ SWB32, and a qualitative segment that explored their spiritual history.

Result: Spirituality was commonly interpreted and understood synonymously with religion by all participants, and their sense of life's meaning centred on their families and friends. The lack of support from religious organisations led to feelings of isolation and disconnection from spiritual communities. Highest scores in SWB were observed in Relationships with God and Someone/Something Greater Scales. The lowest score was observed for Existential fulfilment. Patients expressed a desire for their palliative care team to address their spiritual concerns, regardless of their training in this area.

Conclusion: Spirituality is a deeply personal aspect of the human experience. Understanding and respecting these beliefs can empower palliative care professionals to deliver culturally sensitive care to their patients, irrespective of their level of training.

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姑息关怀中的精神评估：多中心研究。

研究目的本研究旨在深入探讨孟加拉国寻求姑息治疗的晚期癌症患者的日常精神问题，并评估他们的精神健康状况（SWB）：本研究对孟加拉国三家三级医院的 163 名晚期癌症患者进行了调查。研究分为两部分：一部分是定量研究，使用 EORTC QLQ SWB32 评估参与者的精神幸福感；另一部分是定性研究，探讨他们的精神史：结果：所有参与者都将精神与宗教作为同义词来解释和理解，他们对生命意义的感知主要集中在家人和朋友身上。由于缺乏宗教组织的支持，他们感到孤立无援，与精神社区脱节。在 SWB 中，得分最高的是 "与上帝的关系 "和 "某人/更伟大的事物 "量表。存在满足感得分最低。患者表示希望他们的姑息关怀团队能够解决他们的灵性问题，无论他们是否接受过这方面的培训：结论：灵性是人类经历中一个深刻的个人方面。理解和尊重这些信仰可以增强姑息关怀专业人员的能力，使他们能够为患者提供文化敏感性关怀，无论他们的培训水平如何。

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来源期刊

BMJ Supportive & Palliative Care Medicine-Medicine (miscellaneous)

CiteScore

4.60

自引率

7.40%

发文量

170

期刊介绍： Published quarterly in print and continuously online, BMJ Supportive & Palliative Care aims to connect many disciplines and specialties throughout the world by providing high quality, clinically relevant research, reviews, comment, information and news of international importance. We hold an inclusive view of supportive and palliative care research and we are able to call on expertise to critique the whole range of methodologies within the subject, including those working in transitional research, clinical trials, epidemiology, behavioural sciences, ethics and health service research. Articles with relevance to clinical practice and clinical service development will be considered for publication. In an international context, many different categories of clinician and healthcare workers do clinical work associated with palliative medicine, specialist or generalist palliative care, supportive care, psychosocial-oncology and end of life care. We wish to engage many specialties, not only those traditionally associated with supportive and palliative care. We hope to extend the readership to doctors, nurses, other healthcare workers and researchers in medical and surgical specialties, including but not limited to cardiology, gastroenterology, geriatrics, neurology, oncology, paediatrics, primary care, psychiatry, psychology, renal medicine, respiratory medicine.