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Spiritual Distress in Patients With Cancer Initiating Chemotherapy: A Cross-Sectional Study.

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A significant portion of cancer patients initiating chemotherapy experience spiritual distress. Younger patients and those without religious affiliation reported higher distress, highlighting the need for spiritual assessment in cancer care.

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Area of Science:

  • Oncology Nursing
  • Psychosocial Oncology
  • Spiritual Care

Background:

  • Spiritual distress is a significant concern for cancer patients undergoing treatment.
  • Holistic patient care necessitates addressing the spiritual domain alongside physical and emotional needs.

Purpose of the Study:

  • To quantify the prevalence and identify predictors of spiritual distress in cancer patients starting chemotherapy.
  • To inform nursing practice regarding spiritual assessment and intervention.

Main Methods:

  • A quantitative, observational, cross-sectional study was conducted.
  • The Spiritual Distress Scale (SDS) was administered to 332 cancer patients.
  • Data were collected between February and June 2019.

Main Results:

  • The mean SDS score was 56.6, with 30% reporting moderate and 9.6% reporting high spiritual distress.
  • Younger age (β = -0.687, p = .008) and lack of religious affiliation (β = -8.322, p = .035) predicted higher spiritual distress.
  • The majority of participants (56.6%) were female, with a mean age of 60.3 years.

Conclusions:

  • The study underscores the substantial spiritual distress experienced by cancer patients initiating chemotherapy.
  • Findings support the integration of spiritual assessment into routine nursing care for cancer patients.
  • Nurses should utilize clinical reasoning to address spiritual needs and provide holistic care.