Factors Predicting Spiritual Well-being among Long-term Breast Cancer Survivors
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Abstract
This predictive correlational research study aims to explore the levels and predictive ability of severity of the illness, stressful life events, and social support on the spiritual well-being of 139 long-term breast cancer survivors who were between 5 - 10 years after diagnosis and follow-up at the out-patient breast clinic department of three government hospitals under the Ministry of Higher Education, Science, Research and Innovation in Bangkok. Inclusion criteria was used to select samples. Data was collected from January to July 2021.The measurements included the Personal Data Questionnaire, Memorial Symptom Assessment Scale, Life Stress Event Scale, Social Support Measure, and Spiritual Well-being Scale for Thai Buddhist Adults with chronic illness. The personal data and the levels of selected variables were analyzed by descriptive statistics, and the predictive power was analyzed using stepwise multiple regression analysis.
The results showed that the majority of samples reported the severity of the illness (in the last 7 days) at a low level (Mean = 11.91, SD = 11.96), and stressful life events (in the past 1 year) at a low level (Mean = 2.29, SD = 2.04). High levels of social support (Mean = 32.78, SD = 5.83) and spiritual well-being (Mean = 57.67, SD = 5.52) were shown. Only social support statistically and significantly predicted the spiritual well-being of long-term breast cancer survivors (18.20%) (p < .001). The results of this research will provide basic information for nurses to use as a guide for nursing care and planning while maintaining low levels of symptom severity and stressful life events, as well as promoting and maintaining a high level of social support.
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References
American Society of Clinical Oncology. Breast cancer: statistics. [Internet]. [cited 2021]. Available from https://www.cancer.net/cancer-types/breastcancer/statistics.
Soimadee S. Overall survival and prognostic factors for breast cancer patients at Vachira Phuket hospital. Thai Cancer Journal 2017;37(2):62-71. (in Thai).
Miller KD, Nogueira L, Mariotto AB, Rowland JH, Yabroff KR, Alfano CM, et al. Cancer treatment and survivorship statistics, 2019. CA Cancer J Clin 2019;69(5):363-85.
Lovelace DL, McDaniel RL, Golden D. Long-term effects of breast cancer surgery, treatment, and survivor care. J Midwifery Womens Health 2019;64(6):713-24.
Ferrell BR. Quality of life in breast cancer survivors: implications for developing support services. Oncol Nurs Forum 1998;25(5):887-95.
Wongkanit A, Sasat S, Wisesrith W. The effect of life review program on spiritual well-being of older persons with end stage cancer. Royal Thai Navy Medical Journal 2021;48(1):81-98. (in Thai).
Ortega OG, Cruz JM, Hernández MH, Gany F, Muñiz RC. Spiritual well-being, depression, and quality of life among latina breast cancer survivors. J Relig Health 2021;60(3):1895-1907.
O’Brien ME. Spirituality in nursing. Burlington MA: Jones and Bartlett Leaning; 2018.
Ripamontia CI, Giuntolib F, Gonellac S, Miccinesid G. Spiritual care in cancer patients: a need or an option? Curr Opin Oncol 2018;30(4):212-8.
Sleight AG, Boyd P, Klein WMP, Jensen RE. Spiritual peace and life meaning may buffer the effect of anxiety on physical well-being in newly diagnosed cancer survivors. Psycho-oncology 2021;30(1):52-8.
Wang YC, Lin CC. Spiritual well-being may reduce the negative impacts of cancer symptoms on the quality of life and the desire for hastened death in terminally ill cancer patients. Cancer Nurs 2016;39(4):E43-50.
Bahri N, Najafi TF, Homaei FH, Tohidinik HR, Abdoljavad, K. The relation between stressful life events and breast cancer: a systematic review and meta-analysis of cohort studies. Breast Cancer Res Treat 2019;176(1):53-61.
Safavi M, Yahyavi ST, Narab HF, Yahyavi SH. Association between spiritual intelligence and stress, anxiety, and depression coping styles in patients with cancer receiving chemotherapy in university hospitals of Tehran University of medical science. J Cancer Res Ther 2019;15(5):1124-30.
Hsieh YP, Roh S, Lee YS. Spiritual well-Being, social support, and depression among American Indian women cancer survivors: the mediating effect of perceived quality of life. The Journal of Contemporary Social Services 2019;101(1):83-94.
Young SE, Suhye K. The influence of spiritual well-being, self-esteem, and perceived social support on post-traumatic growth among breast cancer survivors. Asian Oncol Nurs 2018;18(4):232-40.
Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G*Power 3.1: tests for correlation and regression analyses. Behavior Research Methods 2009;41:1149-60.
Polit DF, Hungler BP. Nursing research: principles and methods. 6th ed. Philadelphia: Lippincott; 1999.
Suwisith N, Hanucharurnkul S, Dodd M, Vorapongsathorn T, Pongthavorakamol K. Asavametha N. Symptom clusters and functional status of women with breast cancer. Thai Journal Nursing Research 2008;12(3):153-65. (in Thai).
Best JW. Research in education. New Jersey: Prentice-Hall; 1981.
Jobsubin J. Prevalence of anxiety and depression and related factors in breast cancer patients receiving chemotherapy. [Master’s Thesis, Faculty of Nursing]. Chulalongkorn University; 2009. (in Thai).
Thuntitrakul W. Factors related to spiritual well being of terminal breast cancer patients. [Master’s Thesis, Faculty of Nursing]. Chulalongkorn University; 2009. (in Thai).
Promkaewngam S, Pothiban L, Srisuphan W, Sucamvang K. Development of the spiritual well-being scale for Thai Buddhist adults with chronic illness. Pacific Rim Int J Nurs Res 2014;18(4):320-32.
DeVon HA, Block ME, Moyle-Wright P, Ernst DM, Hayden SJ, Lazzara DJ. et al. A psychometric tool box for testing validity and reliability. J Nurs Scholarsh 2007;39(2):155-64.
Lowery-Allison AE, Passik SD, Cribbet MR, Reinsel RA, O’Sullivan B, Norton L, et al. Sleep problems in breast cancer survivors 1-10 years posttreatment. Palliat Support Care 2017;16(3):325-34.
Haidinger R, Bauerfeind I. Long-term side effects of adjuvant therapy in primary breast cancer patients: results of a web-ased survey. Breast Care (Basel) 2019;14:111-16.
Lazarus RS. Psychological stress and the coping process. New York: McGraw-Hill; 1966.
Khumkom S. Coping experience of patients with breast cancer. Thai Red Cross Nursing Journal 2018;12(1):161-76. (in Thai).
Salakari M, Pylkkanen L, Sillanmaki L, Nurminen R, Rautava P, Koskenvuo M, Suominen S. Social support and breast cancer: a comparatory study of breast cancer survivors, women with mental depression, women with hypertension and healthy female controls. Breast 2017;35:85-90.
Phenwan T, Peerawong T, Tulathamkij K. The meaning of spirituality and spiritual well-being among Thai breast cancer patients: a qualitative study. Indian J Palliat Care 2019;25(1):119-23.
Ansari O, Shafipour V, Gorji MAH, Mohammadpour RA. Association between subjective wellbeing and perceived social support and spiritual well-being in hemodialysis patients. Journal of Mazandaran University of Medical Sciences 2018;28 (166):140-50.