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Nursing Care for Spiritual Pain in Terminal Cancer Patients: A Non-Randomized Controlled Trial
Kaori Ichihara1, Chika Nishiyama2, Kosuke Kiyohara3
1Department of Nursing (K.I.), Yodogawa Christian Hospital, Osaka, Japan; Department of Palliative Nursing (K.I., K.T.), Kyoto University Graduate School of Human Health Science, Kyoto, Japan.
This study explored spiritual care for terminal cancer patients. While the Spiritual Pain Assessment Sheet-based spiritual care program for nurses (SpiPas-SCP-N) showed potential, it did not significantly improve spiritual well-being in this trial.
Area of Science:
- Palliative Care
- Oncology Nursing
- Spiritual Health
Background:
- Spiritual well-being is crucial for patients with terminal cancer.
- Effective interventions for spiritual pain in this population require further development.
Purpose of the Study:
- To assess the effectiveness of a nursing-led spiritual care program (SpiPas-SCP-N) in alleviating spiritual pain.
- To evaluate the impact of SpiPas-SCP-N on spiritual well-being and quality of life in terminal cancer patients.
Main Methods:
- A nonrandomized controlled trial was conducted in five Japanese palliative care units.
- The intervention group received spiritual care via the SpiPas-SCP-N program.
- Outcomes included the Functional Assessment of Chronic Illness Therapy-Spiritual (FACIT-Sp), Hospital Anxiety and Depression Scale (HADS), and others, with propensity score matching for analysis.
Main Results:
- No significant difference in the primary outcome (FACIT-Sp total score) between groups (P = 0.347).
- A significant increase in anxiety and depression scores (HADS) was observed in the intervention group (P = 0.035).
- Effect sizes for FACIT-Sp subscales were 0.25 for meaning/peace and 0.04 for faith.
Conclusions:
- The SpiPas-SCP-N program may offer benefits for spiritual pain in terminal cancer patients.
- Further research with larger, randomized samples and a focus on specific FACIT-Sp subscales is recommended.
- Continuous training and supervision are essential for implementing spiritual care in nursing practice.
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