The Effect of a Spiritual Caring Program on Depression among Caregivers of Patients with Terminal Cancer

Authors

  • Jitlada Poonsil Faculty of Nursing, Thammasat University
  • Rangsiman Soonthornchaiya Faculty of Nursing, Thammasat University
  • Sararud Vuthiarpa Faculty of Nursing, Thammasat University

Keywords:

spiritual caring, depression, caregivers, cancer

Abstract

The quasi-experimental pretest-posttest control group design was used. The purpose of this study was to examine the effect of the spiritual caring program on depression among caregivers of patients with terminal cancer. A sample of 50 caregivers of patients with terminal cancer at the medical center was met the inclusion criteria and was randomly assigned into the experimental and the control groups, with 25 each group. The experimental group received the spiritual caring program including six sessions with 90 minutes each session, three sessions per week, while the control group received the regular nursing care. Data collection was carried out using personal questionnaires at the center for epidemiological studies depression scale (CES-D), with a reliability of 0.74. Data was analyzed using descriptive statistics including percentage, mean, standard deviation and the t-test. The findings were as follows: 1) The mean score of depression among caregivers after receiving the spiritual caring program (M = 19.52, SD = 5.43) was statistically significantly lower than the mean score of depression before receiving the program (M = 22.84, SD = 5.03) (t = 2.14, p<0.05); 2) The mean difference of depression score among caregivers at the pretest and posttest of the experimental group (gif.latex?\bar{D} = -3.24, SD = 7.73) was statistically significantly lower than the mean difference ( gif.latex?\bar{D}2= 4.24, SD = 6.03) of the control group (t = -5.40, p< .001). These findings suggest that registered nurse and health professionals can use the spiritual caring program for reduce depression among caregivers of patients with terminal cancer depression among caregivers of patients with terminal cancer.

References

Insamran W, Sangrajrang S. National Cancer Control Program of Thailand. Asian Pac Journal Cancer Prev. 2020 Mar 1;21(3): 577-82.

National cancer institute. Cancer Anywhere. Journal dept med ser 47(4): 5-9. (In thai)

Tanataveesaku A. Quality of life and social support need of caregivers of end-stage cancer patients [dissertation]. Pathum Thani: Thammasat University; 2013. (in Thail).

Oechsle K, Goerth K, Bokemeyer C, Mehnert A. Anxiety and depression in caregivers of terminally ill cancer patients. Journal of palliative medicine 2013;16(9): 1095-101.

Boonyung S, Wisai K. Palliative Outcome Score stress and depression of the caregivers after implemented home based palliative care Guideline among terminally patients of primary care network phrao district chiang mai province. Lanna public health jaunal. 2020;16(2): 104-117 (in Thai).

Jampawal T. State Anxiety. Buddhist Psychology Journal. 2018;3(1): 13-19. (in Thai).

Hudson P, Trauer T, Kelly B, O’Connor M, Thomas K, Zordan R, Summers M. Reducing the psychological distress of family caregivers of home based palliative care patients. Psycho-Oncology 2015;24(1): 19-24.

Costa-Requena G, Cristófol R, Cañete J. Caregivers’ morbidity in palliative care unit: Predicting by gender, age, burden and self-esteem. Supportive Care in Cancer 2012;20(7): 1465-70.

Goncalves JPB, Lucchetti G, Menezes PR, Vallada H. Religious and spiritual interventions in mental health care: A systematic review and meta-analysis of randomized controlled clinical trials.Psychological Medicine 2015;45(14): 2937-49.

Hosseini M, Mary DP, Fallahi KM, Green A. Spiritual and religious interventions in health care: An integrative review. Iranian Rehabilitation Journal 2013;11(17): 87-92.

Kiyancicek Z, Caydam OD. Spiritual needs and practices among family caregivers of patients with cancer. ACTA Paulista de Enfermagem 2017;30(6): 628-34.

Sangthongdee J. A spirituall well being care taking program of relatives of end stage cancer patient base on Buddhist psychology. Journal of social and buddhistic anthropology 2020;5(4): 336-49. (in Thai).

Watson J. Nursing human science and human care a theory of nursing. 3rd ed. The United States of America: Jones and Bartlett Publishers; 1988

Wei H, Fazzone AK, Hardin RS. The current intervention studies based on watson’s theory of human caring: a systematic review. International Journal for Human Caring 2019;23(1): 4-20.

Bowland S, Edmond T, Fallot RD. Evaluation of a spiritually focused intervention with older trauma survivors. Social Work United States 2012;57(1): 73-82.

Chewaskulyong B, Somwangprasert A, Jiraniramai S, Maneeton B, Leerapan T, Mahaprom Cet al, editors. Palliative care. Chiang Mai: Klangwiang Printing; 2013.p. 35-46. (in Thai).

Kongsuk T, Arunpongpaisal S, Janthong S, Prukkanone B, Sukhawaha S, Leejongpermpoon J. Criterion-Related Validity of the 9 Questions Depression Rating Scale revised for Thai

Kupnirattisakul V, Katumarn P. The Center for Epideiomlogic Studies-Depression Scale (CES-D) in thai people. Siriraj Hosp Gaz 1997; 49(1): 442-48. (in Thai).

Vochaidit A. The effect of s resource enhancing program based on pearlin’s conception on the depression of the caregivers of elderly with dementia [dissertation]. Pathum Thani: Thammasat University; 2019. (in Thai).

Panya S, Dangdomyouth P. The effect of group interpersonal psychotherapy on depression among patients depressive disorder. Journal of the police nurse 2015;7(1): 265-77. (in Thai).

Meecharoen W. Family caregiver of cancer patients: roles’ adaptation and quality of life promotion. Ramathibodi Nursing Journal 2014;20(1): 10-21. (in Thai).

Onsir P. Role of nurse toward taking care of patients with the end of life based on religious beliefs. Journal of The Royal Thai Army Nurse 2014;15(2): 39-43. (in thai).

Pasri P, Sangarun I, Hatthakit U. Family Caregivers’ Views and Needs for Assistance in Caring for Terminal Cancer Patients. Thai Journal of Nursing Council 2015; 30(4): 57-71. (in Thai).

Tabtim D, Intarakamhang U, Choochom O. reslince of family cargiver an importan to caring eldrly diabetes militus patients. Journal of Social Science and Buddhistic Anthropology 2021; 6(1): 4-14. (in Thai).

Downloads

Published

10-04-2024

How to Cite

1.
Poonsil J, Soonthornchaiya R, Vuthiarpa S. The Effect of a Spiritual Caring Program on Depression among Caregivers of Patients with Terminal Cancer. J Royal Thai Army Nurses [Internet]. 2024 Apr. 10 [cited 2024 Nov. 19];25(1):413-22. Available from: https://he01.tci-thaijo.org/index.php/JRTAN/article/view/261837

Issue

Section

Research Articles