Spiritual well-being among patients with chronic illness


  • Thammawit Ranron School of Nursing, University of Phayao
  • Pornsawan Khitka School of Nursing, University of Phayao
  • Wichanee Jaimalai School of Nursing, University of Phayao
  • Traichadchaya Tangsutthitham Mc Cormick Faculty of Nursing, Payap University


spiritual well-being, patients with chronic illness


Living with chronic illness affects patients’ spiritual health. Spiritual well-being helps patients maintain their psychological balance, understand self and nature of life, have sense of connectedness, and have hope of living by the way of Buddhism. This descriptive study aimed to investigate spiritual well-being among patients with chronic illness. 394 persons with chronic illness residing in Muang District, Phayao Province were recruited using simple random sampling. Data were analyzed using by descriptive statistics. The results of the study revealed that the majority of participants had high levels of total spiritual well-being (89.6%); peacefulness (91.1%), having hope and sense of connectedness (82.0%), and understanding of self and life nature (81.7%), respectively

The results of this study can be fundamental information for health care providers to enhance spiritual well-being in chronically ill patients through the way of Buddhism. This might help patients live with their illness happily and have a good quality of life ultimately


Download data is not yet available.


Sanee, A. Self Management Program in Chronic Diseases. Journal of The Royal Thai Army Nurses. 2019; 15(2): 129-34. (in Thai)

Lindsey, E. The gift of healing in chronic illness/ disability. Journal of Holistic Nursing 1995; 13(4): 287-305.

Rooland, J. S. Chronic Illness and the Life Cycle: A Conceptual Framework. Family Process journal 1987; 26: 203-221.

Potter, P. A. & Perry, A. G. Basic Nursing: A critical thinking approach and none terminally ill hospitalized adults and well adults. (4thed.) St. Louis: Mosby; 2012.

Jarassaeng, N., Mongkonthawornchai, S., Buntakheaw, P., Hanlakhon, P., Bunjun, S. & Arunponpaisal, S. Depression in Chronic Illnesses at the OPD Section in Srinagarind Hospital, Faculty of Medicine, Khon Kaen University. Journal of the Psychiatric Association of Thailand 2012; 57(4): 439-336. (In Thai)

Pearce, M. J., Coan, A. D., Herndon, J. E., Koenig, H. G. & Abernethy, A. P. Unmet spiritual care needs impact emotional and spiritual well-being in advanced cancer patients. Support Care in Cancer 2012 ;20(10):2269-76. doi: 10.1007/s00520-011-1335-1.

Sangchart, B. Spiritual well-being and good death. Journal of Nursing Science & Health 2014; 37(1): 147-156. (in Thai)

Bredle, J. M., Salsman, J. M., Debb, S. M., Benjamin, J., Arnold, B. J., & Cella, D. Spiritual well-Being as a component of health-related quality of life: The functional assessment of chronic illness therapy-spiritual well-being scale (FACIT-Sp).; The Journal of Religions 2011; 2(1): 77-94. doi:10.3390/rel2010077

Velosa, T. Caldeira, S. & Capelas M. L. Depression and Spiritual Distress in Adult Palliative Patients: A Cross-Sectional Study. Religions Journal. 2017; 8(156): 1-18. Doi:10.3390/ rel8080156

Tassanee, T. Spiritual: Dimension of Nursing Practice. Chulalongkorn University Press; 2009. (In Thai)

Promkaewngam, S., Pothiban, L., Srisuphan, W., and Sucamvang K. Development of the Spiritual well-being Scale for Thai Buddhist Adults with Chronic Illness. Pacific Rim International Journal of Nursing Research. 2013; 18(4): 320-332.

Pattrapakdikul, U., Chunuan, S. & Sunthornwipat, M. Spiritual Care for Hospitalized Patients with Chronic Illness. Thai Journal of Nursing Council. 2009; 4(1): 62-76. (In Thai)

Chang, B. H., Stein, N. R., Trevino, K., Stewart, M., Hendricks, A. N., & Skarf, L. M. End Of Life Spiritual Care at a VA medical center: Chaplains’ Perspektif. Cambridge University Care 2012; 10: 273-278. doi:10.1017/ S1478951511001003.

Naghi, J. J., Philip, K. J., Phan, A., Cleenewerck, L., & Schwarz, E. R. The Effects Of Spirituality And Religion On Outcomes Patients With Chronic Heart Failure. J Relig Health 2012; 51(4): 1124-1136. doi.:10.1007/s10943-010- 9419-7.

Phayao Provicial Public Health Office. Key performance indicator Ministry of Public Health 2016 [Electronic version]. Retrieved June 25, 2017. (In Thai)

Pilaikiat, R., Rittharomya, J. & Bootchan, T. Spiritual care for chronic illness patients: experiences of professional nurses. Thai Journal of Nursing Council. 2009; 24(1): 62-76. (In Thai)

Saengsakorn, P., Choochom, O. & Boonprakob, P. The Synthesis of Body of Knowledge related to Spiritual Well-Being in the Context of Thai Society. Journal of Behavioral Science. 2012; 18(1), 84-94. (In Thai)

Khemaweero, W. Pattanasing, T. Khankaew, T., Khumtua, K. & Lapontan, S. Enhancement of Elder People’s Spiritual Well-Being According to Buddhism Doctrines. Journal of MCU Peace Studies. 2017; 5(1): 89-102. (In Thai)

Rattanil, P. & Kespichayawattana, J. The Effect of buddhist spiritual care on spiritual well- being of end stage cancer elderly patients. Journal of Nursing Science Chulalongkorn University. 2016; 28(3): 31-43. (In Thai)

Kinawong, S. & Khoenpetch, P. Spiritual happiness of patients at terminal stage. Chiangrai Medical Journal. 2017; 8(1): 131-137. (In Thai)

Watakit, T. Psychological Distress in The Context of Buddha. Rajabhat Chiangmai Research Journal. 2014; 15(1): 109-121. (In Thai)



How to Cite

Ranron T, Khitka P, Jaimalai W, Tangsutthitham T. Spiritual well-being among patients with chronic illness. J Royal Thai Army Nurses [Internet]. 2021 Sep. 5 [cited 2022 Dec. 7];22(2):426-34. Available from: https://he01.tci-thaijo.org/index.php/JRTAN/article/view/210219



Research Articles