| Objective:The aim of this study is to investigate the bio-psycho-social-spiritual level and the current situation of nurse spiritual therapeutics demand of cancer patients in Nanchang,to explore the relationship between spiritual level and quality of life,spiritual well-being and nurse spiritual therapeutics demand of cancer patients.To provide a theoretical basis for improving the spiritual level and quality of life of cancer patients.Methods:In this study,purposive sampling method was used and 156 patients that met the inclusion criteria were chosen from 3 Three A-level hospitals in Nanchang,between August 2017 and December 2017.General situation questionnaire,The Chinese version of the functional assessment of chronic illness therapy—spiritual well-being(FACIT-Sp)and The Chinese version of the nurse spiritual therapeutics scale(NSTS)were used in the research.SPSS(version 22.0)was used for statistical analysis which included statistical description,t test,one-way ANOVA,Pearson correlations and hierarchical multiple regressions.Results:1.Totally 156 patients who meeting the standard were investigated,145 effective questionnaires were recovered,the effective questionnaire recovery rate was 93%.2.The total score of FACIT-Sp of cancer patients was(92.59±19.12),including FACT-G(65.63±13.12)and FACIT-Sp-12(26.97±7.43).The total score of NSTS of cancer patients was(32.12±4.54).3.Except that the dimension of faith was not related to the dimension of physical well-being(r=0.156,P>0.05),there was a significant positive correlation between the total score of FACIT-Sp-12,the scores of all dimensions and the total scores of FACT-G and the dimensions of cancer patients(r=0.231~0.755,P<0.01).4.There was a significant positive correlation between the total score of FACIT-Sp-12,the scores of all dimensions and the total score of NSTS in cancer patients(r=0.298 ~ 0.384,P < 0.01),positive correlation with some dimensions(r=0.167~0.412,P<0.05).5.Hierarchical multiple regressions revealed that quality of life as a dependent variable,demographic and diagnosis characteristics variables(age,average monthly income of family,post diagnosis time,clinicopathologic stage,recrudescence)were held constant in the first step,added 3 variables(faith,meaning,peace)one after another,the explanatory power of independent variable to the variation of dependent variable increased by 3.5%,9.5% and 12.9%,respectively.6.Hierarchical multiple regressions revealed that cancer patients,needs for nurse spiritual therapeutics as a dependent variable,demographic and diagnosis characteristics variables(post diagnosis time,gender,religious belief)were held constant in the first step,added 2 variables(faith,meaning)one after another,the explanatory power of independent variable to the variation of dependent variable increased by5.1 % and 4.6 %,respectively.Conclusions:1.The total score of FACIT-Sp including FACT-G and FACIT-Sp-12 in cancer patients was medium level,as well as the total score of NSTS.2.There was a significant positive correlation between spiritual well-being and quality of life in cancer patients as well as between spiritual well-being and cancer patients,needs for nurse spiritual therapeutics.3.Quality of life of cancer patients was influenced significantly by age,average monthly income of family,post diagnosis time,clinicopathologic stage,recrudescence,faith,meaning,peace,so spiritual well-being was a predictor of the quality of life.Cancer patients,needs for nurse spiritual therapeutics was affected significantly by gender,religious belief,post diagnosis time,faith,meaning,it is known that spiritual well-being was also an influencing factor.4.In the future,nurses should evaluate the spiritual well-being of cancer patients and provide targeted spiritual care,which improves their spiritual well-being and quality of life. |
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