Factors influencing spiritual well-being in terminally ill cancer inpatients in Japan
- PDF / 261,988 Bytes
- 8 Pages / 595.276 x 790.866 pts Page_size
- 16 Downloads / 147 Views
ORIGINAL ARTICLE
Factors influencing spiritual well-being in terminally ill cancer inpatients in Japan Yusuke Hiratsuka 1 & Sang-Yeon Suh 2,3 & Isseki Maeda 4 & Tatsuya Morita 5 & Masanori Mori 5 & Satoko Ito 6 & Tomohiro Nishi 7 & Takayuki Hisanaga 8 & Tetsuji Iriyama 9 & Keisuke Kaneishi 10 & Tomoo Ikari 1 & Keita Tagami 1 & Akira Inoue 1 Received: 26 June 2020 / Accepted: 24 September 2020 # Springer-Verlag GmbH Germany, part of Springer Nature 2020
Abstract Purpose Spiritual well-being is very important in patients undergoing palliative care. Although psychosocial factors have been suggested to be associated with spiritual well-being, the relationship between physical signs and spiritual well-being has not been fully elucidated. The aim of this study was to explore diverse factors associated with spiritual well-being among palliative care patients in Japan. Methods This study is a secondary analysis of a multicenter prospective cohort study involving patients admitted to palliative care units in Japan. Physicians recorded all data prospectively on a structured sheet designed for the study. The spiritual wellbeing score was measured using the Integrated Palliative Outcome Scale after patients’ death in regard to symptoms over the previous 3 days. We classified each patient into “better” score (0–1) and “worse” score (2–4) groups and examined diverse factors associated with spiritual well-being. Results Among the 1896 patients enrolled, 1313 were evaluated. In the multivariate analysis, seven variables were significantly associated with “worse” score: worse spiritual well-being on admission (2–4) (p < 0.0001), younger age (< 80) (p = 0.0001), hyperactive delirium over 3 days before death (mild/moderate/severe) (p = 0.0001), expressed wish for hastened death (yes) (p = 0.0006), worse communication among patients and families (Support Team Assessment Schedule score 2–4) (p = 0.0008), pleural effusion (present) (p = 0.037), and marital status (unmarried) (p = 0.0408). Conclusion Recognizing factors associated with spiritual well-being is potentially useful for identifying high-risk groups with lower spiritual well-being at the end of life. Further study is required to investigate factors associated with patient-reported spiritual well-being. Keywords Spirituality . End of life . Advanced cancer . Palliative care . Palliative care unit
* Yusuke Hiratsuka [email protected] 1
2
Department of Palliative Medicine, Tohoku University School of Medicine, 2-1 Seiryomachi, Sendai, Miyagi 980-8575, Japan Hospice & Palliative Care Center, Department of Family Medicine, Dongguk University Ilsan Hospital, Goyang-si, Gyeonggi-do, South Korea
3
Department of Medicine, Dongguk University Medical School, Seoul, South Korea
4
Department of Palliative Care, Senri-Chuo Hospital, Toyonaka, Japan
5
Division of Palliative and Supportive Care, Seirei Mikatahara General Hospital, Hamamatsu, Japan
6
Hospice, The Japan Baptist Hospital, Kyoto, Japan
7
Kawasaki Municipal Ida Hospital, Kawasaki Comprehensive Care Center, K
Data Loading...
