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Spiritual assessment in palliative care: multicentre study
Jheelam Biswas1, Wai Wai Mroy2, Nashid Islam3
1Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh palashcbanik@gmail.com jheelam.biswas@gmail.com.
BMJ Supportive & Palliative Care
|September 20, 2024
Summary
Patients with advanced cancer in Bangladesh often equate spirituality with religion, finding meaning in family and friends. They desire palliative care teams to address spiritual needs for improved well-being.
Area of Science:
- Palliative Care Research
- Oncology
- Spiritual Health
Background:
- Advanced cancer patients in Bangladesh experience unique spiritual concerns.
- Assessing spiritual well-being (SWB) is crucial for holistic palliative care.
- Understanding cultural interpretations of spirituality is vital in diverse settings.
Purpose of the Study:
- To explore the everyday spiritual concerns of advanced cancer patients in Bangladesh.
- To assess the spiritual well-being (SWB) of patients receiving palliative care.
- To identify patient needs regarding spiritual support within palliative care.
Main Methods:
- Quantitative assessment of SWB using the EORTC QLQ SWB32.
- Qualitative exploration of spiritual history among 163 advanced cancer patients.
- Study conducted across three tertiary care hospitals in Bangladesh.
Main Results:
- Spirituality is predominantly equated with religion; life's meaning derived from family and friends.
- Lack of religious organizational support led to isolation; highest SWB scores in 'Relationships with God' and 'Someone/Something Greater'.
- Lowest SWB score observed in 'Existential fulfilment'; patients desire spiritual concerns addressed by palliative care teams.
Conclusions:
- Spirituality is a personal experience requiring culturally sensitive care.
- Palliative care professionals should address patients' spiritual concerns, regardless of their training.
- Respecting diverse spiritual beliefs enhances patient care and well-being.
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