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Spiritual Well-Being and Correlated Factors in Subjects With Advanced COPD or Lung Cancer
Takaaki Hasegawa1,2,3, Momoko Kawai4, Nanori Kuzuya2,4
1Department of Respiratory Medicine and Medical Oncology takaaki_hase@bird.ocn.ne.jp.
Background:
Spiritual care for patients with COPD has rarely been discussed, and thus much remains unknown about their needs. The aims of this study were to identify the factors associated with spiritual well-being and to compare the levels of spiritual well-being between subjects with advanced COPD and those with inoperable lung cancer.
Methods:
A total of 96 subjects with COPD or lung cancer participated in this study, which was conducted between December 2014 and April 2016. Measures included the Japanese version of the 12-item Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being (FACIT-Sp-12) scale, the McGill Quality of Life Questionnaire (MQOL), the modified Medical Research Council (mMRC) dyspnea scale, and various other medico-social factors.
Results:
No significant differences were found between subjects with COPD and those with lung cancer in median FACIT-Sp-12 scores (COPD, 27; lung cancer, 26; P = .81). However, significant differences were found in the 2 MQOL domains, suggesting that subjects with COPD had a better psychological state (P = .01) and that subjects with lung cancer had a better support state (P = .002). Multiple regression analysis revealed that mMRC was significantly associated with FACIT-Sp-12 scores in subjects with COPD.
Conclusions:
These results suggest that subjects with advanced COPD experience spiritual well-being similar to that of subjects with inoperable lung cancer.
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