The Relationship Between Spiritual Quality and Self-Adaptation in Cancer Patients Receiving Chemotherapy

Spiritual Quality and Self-Adaptation in Cancer Patients

  • Nursalam Nursalam Faculty of Nursing, Universitas Airlangga, Surabaya, East Java, Indonesia
  • Mira Triharini Faculty of Nursing, Universitas Airlangga, Surabaya, East Java, Indonesia
  • Awatiful Azza Doctoral Student Faculty of Nursing Universitas Airlangga, Surabaya, East Java, Indonesia
  • Chanif Chanif Doctoral Student Faculty of Nursing Universitas Airlangga, Surabaya, East Java, Indonesia
  • Erna Dwi Wahyuni Doctoral Student Faculty of Nursing Universitas Airlangga, Surabaya, East Java, Indonesia
  • Machmudah Machmudah Doctoral Student Faculty of Nursing Universitas Airlangga, Surabaya, East Java, Indonesia
  • Nurus Safaah Doctoral Student Faculty of Nursing Universitas Airlangga, Surabaya, East Java, Indonesia
  • Sri Utami Doctoral Student Faculty of Nursing Universitas Airlangga, Surabaya, East Java, Indonesia
  • Tiyas Kusumaningrum Doctoral Student Faculty of Nursing Universitas Airlangga, Surabaya, East Java, Indonesia
  • Wiwit Dwi Nurbadriyah Doctoral Student Faculty of Nursing Universitas Airlangga, Surabaya, East Java, Indonesia
  • Satriya Pranata Faculty of Nursing and Health Sciences, Universitas Muhammadiyah Semarang, Semarang City, Central Java, Indonesia
Keywords: Spiritual quality, Adaptation, Patients in chemotherapy

Abstract


Background/Aim: Previous research obtained information that chemotherapy patients need more spirituality than patients with other diseases because chemotherapy patients feel that their illness is difficult to heal and will last forever, until the end of their lives. The purpose of this study was to find a relationship between spiritual qualities and the self-acceptance of cancer patients receiving chemotherapy.

Methods: The study sample was 125 patients in chemotherapy. The investigative method used a correlation with a cross-sectional approach. The spiritual quality questionnaire was based on the spiritual well-being scale measurement technique which contained 3 components, namely spirituality and faith, emotional support and meaning in life. The instrument consisted of 20 multiple-choice questions with 6 Likert measurement scales. Data analysis used univariate and bivariate analysis. The significance level was set at p < 0.05.

Results: The results of the investigation showed that there was a significant positive relationship between spiritual quality and self-adaptation of respondents who were cancer patients who received chemotherapy in the Flamboyan Room of Balaidhika Husada Hospital Jember, Indonesia as evidenced by a significant p < 0.01.

Conclusion: This study showed positive correlation between spiritual quality and self-adaptation of cancer patients receiving chemotherapy. The results of this study can assist nurses in providing chemotherapy patient care through a spiritual approach.

References

1. Martins H, Dias Domingues T, Caldeira S. Spiritual well-being in cancer patients undergoing chemotherapy in an outpatient setting: a cross-sectional study. J Holist Nurs 2020;38:68–77.

2.    Niedzwiedz CL, Knifton L, Robb KA, Katikireddi SV, Smith DJ. Depression and anxiety among people living with and beyond cancer: a growing clinical and research priority. BMC Cancer 2019 Oct 11;19(1):943. doi: 10.1186/s12885-019-6181-4.

3.    González Maglio DH, Paz ML, Leoni J. Sunlight effects on immune system: is there something else in addition to UV-induced immunosuppression? Biomed Res Int 2016;2016:1934518. doi: 10.1155/2016/1934518.

4.    Basri N. The relationship between Islamic religiosity , depression and anxiety among Muslim cancer patients: Iafor 2014;677-88.

5.    Ahmadi F, Erbil P, Ahmadi N, Cetrez ÖA. Religion, culture and meaning-making coping: a study among cancer patients in Turkey. J Relig Health 2019 Aug;58(4):1115-24.

6.    Lim J, Yi J. The effects of religiosity, spirituality, and social support on quality of life:  a comparison between Korean American and Korean breast and gynecologic cancer survivors. Oncol Nurs Forum 2009;36:699–708.

7.    Filho LSM, Khoury HTT. Cancer patient use of religious / spiritual coping to deal with the toxicities of chemotherapy. Rev Bras Cancerol 2018;64:27–33.

8.    Huda N, Nurchayati S, Pranata S, bin Sansuwito T. Religion and spirituality in coping with cancer: a literature review. MJN 2022;14(2):40–5.

9.    Nuraini T, Andrijono A, Irawaty D, Umar J, Gayatri D. Spirituality-focused palliative care to improve Indonesian breast cancer patient comfort. Indian J Palliat Care 2018 Apr-Jun;24(2):196-201.

10.   Huda N, Lin YK, Shaw MK, Hsu YY, Chang HJ. Psychometric properties and cross-cultural adaptation of the Indonesian version of the Brief COPE in a sample of advanced cancer patients. PLoS One. 2022 Nov 28;17(11):e0275083. doi: 10.1371/journal.pone.0275083.

11.   Gall TL, Charbonneau C, Florack P. The relationship between religious/spiritual factors and perceived growth following a diagnosis of breast cancer. Psychol Heal 2011;26:287–305.

12.   Mesquita B, Boiger M, De Leersnyder J. The cultural construction of emotions. Curr Opin Psychol 2016;8:31–6.

13.   Khoramirad A, Mousavi M, Dadkhahtehrani T, Pourmarzi D. Relationship between sleep quality and spiritual well-being/religious activities in Muslim women with breast cancer. J Relig Health. 2015 Dec;54(6):2276-85.

14.   Bjørn M, Brendstrup C, Karlsen S, Carlsen JE. Consecutive screening and enrollment in clinical trials: the way to representative patient samples? J Card Fail 1998 Sep;4(3):225-30;discussion 231.

15.   Aghakhani N, Akbari M, Abbasi M, Naderi J, Cheraghi R, Ayremloo M, et al. Evaluation of the spiritual health of cancer patients and their nurses in Iran. JNMS 2016;3(3):34-9.

16.   Napitupulu R, Psikologi F, Utara US. [Relationship between perceived social support and self-acceptance in cancer patients]. RI-USU, 2018. Indonesian.

17.   Kütmeç Yilmaz C, Kara FŞ. The effect of spiritual well-being on adaptation to chronic illness among people with chronic illnesses. Perspect Psychiatr Care 2021;57:318–25.

18.   Wantiyah W, Ulansari W, Deviantony F. Correlation between spiritual intelligence and self-efficacy patients with coronary artery disease. J Keperawatan Padjadjaran 2020;8:193–201.

19.   Zarei B, Vagharseyyedin SA, Gorganie E. Relationship between spiritual well-being and self-management among Iranian people with multiple sclerosis. Jundishapur J Chronic Dis Care;4(4):e30154. doi:10.17795/jjcdc-30154.

20.   Pasek M, Suchocka L, Gąsior K. Model of social support for patients treated for cancer. Cancers (Basel) 2021 Sep 24;13(19):4786. doi: 10.3390/cancers13194786.

21.   Asiret GD. [Determination of the relationship between drug compliance levels and spiritual well- being of hypertension patients]. J Cardiovasc Nurs 2019;10:122–8. Turkish.

22.   Hvidt NC, Nielsen KT, Kørup AK, Prinds C, Hansen DG, Viftrup DT, et al. What is spiritual care? Professional perspectives on the concept of spiritual care identified through group concept mapping. BMJ Open 2020 Dec 28;10(12):e042142. doi: 10.1136/bmjopen-2020-042142.

23.   Mayer JD, Salovey P, Caruso DR. Emotional Intelligence: Theory, findings, and implications work-life strategies. Psychol Inq 2004;15(3):197–215.

24.   Türkben Polat H, Özdemir AA. Relationship between compassion and spiritual care among nurses in Turkey. J Relig Health 2022;61:1894–905.

25.   Karimi R, Mousavizadeh R, Mohammadirizi S, Bahrami M. The Effect of a spiritual care program on the self-esteem of patients with cancer: a quasi-experimental study. Iran J Nurs Midwifery Res 2022 Jan 25;27(1):71-4. 

Published
2023/09/20
Section
Original article