The development of spiritual well-being in the adolescent with cancer: Holistic nursing care

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Nedruetai Punaglom
Nadnapa Arayasinlapathon
Nutcharat Mangkarakeree


Cancer has been widely accepted as a serious disease. The adolescent with cancer requires long-term treatments that are considered as an invasive treatment. These result in the suffering of the adolescent with cancer inevitably caused by both the disease and side-effect of the treatments they received. However, the treatments they received cannot be confirmed whether the disease will be cured. On the other hand, the adolescent with cancer must face uncertainty events in life due to exacerbations and progression of cancer. These result in the adolescent with cancer feel hopelessness, lacking encouragement and goals in life, low self-esteem, as well as hesitation and doubtfulness in the spirituality they respect. These reflect the impact on the spiritual well-being of the adolescent with cancer that potentially may produce the intensity of their illness. Since the spiritual dimension is the main axis connecting all dimensions to maintain live homeostasis which affects the existence of a person with meaning and well-being. This article aims to provide the guideline of holistic nursing care to develop spiritual well-being in the adolescent with cancer. The contents compose of the definition of spirituality, spiritual well-being, spiritual well-being in the adolescent with cancer, attributes, assessment, the role of nurses to develop spiritual well-being in the adolescent with cancer, and case study and utilization.


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Punaglom N, Arayasinlapathon N, Mangkarakeree N. The development of spiritual well-being in the adolescent with cancer: Holistic nursing care. J Royal Thai Army Nurses [Internet]. 2020Aug.23 [cited 2020Oct.21];21(2):63-. Available from:
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