Cent Eur J Nurs Midw 2013, 4(4):708-714

Assessment of the spiritual needs of persons with advanced cancer: pilot study

Erika Hajnová, Radka Bužgová*
Department of Nursing and Midwifery, Faculty of Medicine, University of Ostrava, Ostrava

Aim: The aim of the research was to find the importance of the patient's spiritual needs in the palliative care and their saturation at the Clinic of Oncology at University hospital Ostrava.

Methods: The research file consisted of 93 patients whose oncological treatment with curative intention was finished and according to the negative prognosis of illness the palliative care was given to these patients at the Clinic of oncology at University hospital Ostrava. Patients registered in this file were registered the Karnofsky score KI ≤ 60 %. The questions from domain of spiritual needs assessment for measurement of needs PNAP - Patient Needs Assessment in Palliative care were used for the data collection. To evaluate the differences in the importance and saturation according to the needs of individual factors used paired t-test and t-test for two samples.

Results: In relation to spiritual needs the respondents found as most important the "no -religion" spiritual needs and the fact "to be peaceful" (95%), "to have the meaning of life" (92%) and to have the positive view of life and hope (91%) most often. The patients were dissatisfied with impossibility of their presence at church service (44%, 56% in case of second measurement) most often. The patients older than 65 years and the non-religious patients (p

Keywords: palliative care, spiritual needs, PNAP - Patient Needs Assessment in Palliative care

Published: September 30, 2013  Show citation

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Hajnová E, Bužgová R. Assessment of the spiritual needs of persons with advanced cancer: pilot study. Ošetřovatelství a porodní asistence. 2013;4(4):708-714.
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References

  1. ASTROW, A. B. et al. Is failure to meet spiritual needs associated with cancer patients' perceptions of quality of care and their satisfaction with care? Journal of Clinical Oncology. 2007, 25(6), 5753-5757. Go to original source... Go to PubMed...
  2. BALBONI, T. A. et al. Religiousness and spiritual support among advanced cancer patients and associations with end-oflife treatment preferences and quality of life. Journal of Clinical Oncology. 2007, 25(5), 555-560. Go to original source... Go to PubMed...
  3. BUŽGOVÁ, R., HAVELKOVÁ, K. Zjišťování potřeb terminálně nemocných v hospicové péči. Časopis lékařů českých. 2012, 151(4), 190-195. Go to PubMed...
  4. BUŽGOVÁ, R., ZELENÍKOVÁ, R. Vytvoření měřícího nástroje pro hodnocení potřeb pacientů v paliativní péči v souvislosti s kvalitou života: Hodnocení potřeb pacientů v paliativní péči (PNAP). Ošetřovatelství a porodní asistence. 2012, 3(3), 404-414.
  5. EMBLEN, J. D., HALSTEAD, L. Spiritual needs and interventions: comparing the views of patients, nurses, and chaplains. Clinical Nursing Special. 1993, 7(4), 175-782. Go to original source...
  6. FARSKÝ, I., ŽIAKOVÁ, K., ONDREJKA, I. Využitie hodnotiacich/meracích nástrojov v diagnostike spirituálnej tiesne. In Ošetřovatelská diagnostika a praxe založená na důkazech II. Ostrava: Ostravská univerzita v Ostravě, Zdravotně sociální fakulta, 2008. s. 15-20.
  7. FAYERS P. M. et al. The EORTC QLQ-C30 Scoring Manual. Third ed. Brussels: EORTC Quality of life Group 2001.
  8. GALEK, K. et al. Assessing a patient´s spiritual needs: a comprehensive instrument. Holistic Nursing Practice. 2005, 19(2), 62-69. Go to original source... Go to PubMed...
  9. HAMPTON, D. et al. Spiritual needs of persons with advanced cancer. American Journal of Hospice and Palliative Medicine. 2007, 24(1), 42-48. Go to original source... Go to PubMed...
  10. HAŠKOVCOVÁ, H. Thanatologie: nauka o umírání a smrti. 2. přeprac. vyd. Praha: Galén, 2007. 244 s.
  11. HERMAN, C. P. Spiritual needs of dying patients: a qualitative study. Oncology Nursing Forum. 2001, 28(1), 6772.
  12. GIRGIS, A. et al. Palliative Care Needs Assessment Guidelines. The Centre for Health Research and Psychooncology: University of Newcastle, 2006.
  13. KALVÍNSKÁ, E. Komunikace s vážně nemocnými a umírajícími. In PTÁČEK, R. (eds). Etika a komunikace v medicíně. Praha: Grada, 2011. s. 363-374.
  14. KELLEHEAR, A. Spirituality and palliative care: a model of needs. Palliative Medicine. 2000, 14(2), 149-155. Go to original source... Go to PubMed...
  15. KNOFLÍČKOVÁ, Z. Význam religiozity a spirituality ve stáří. Kontakt. 2008, 10(1), 172-176. Go to original source...
  16. MAŠÁT, V. Spirituální potřeby nemocného. Diagnóza v ošetřovatelství. 2006, 2(3), 103-104.
  17. MURRAY, S. et al. Exploring the spiritual needs of people dying of lung cancer or heart failure: a prospective qualitative interview study of patients and their carers. Palliative Medicine. 2004, 18(1), 39-45. Go to original source... Go to PubMed...
  18. NEMČEKOVÁ, M. et al. Práva pacientov. Medicínske, ošetrovateľské a filozoficko-etické súvislosti. Martin: Osveta, 2004. 213 s.
  19. OPATRNÝ, A. Spirituální aspekty bolesti. Sestra. 2007, 17(6), 47.
  20. SLABÝ, A. Duchovní aspekty paliativní medicíny. In VORLÍČEK, J., ADAM, Z. (eds). Paliativní medicína. Praha: Grada, 1998. s. 383-388.
  21. SVATOŠOVÁ, M. Sociální práce s lidmi umírajícími v hospici. In MATOUŠEK, O., KOLÁČKOVÁ, J., KODYMOVÁ, P. (eds). Sociální práce v praxi. Praha: Portál, 2005. s. 195-210.
  22. SVATOŠOVÁ, M. Víme si rady s duchovními potřebami nemocných? Praha: Grada Publishing a.s., 2012. 112 s.
  23. ŠKRLA, P., ŠKRLOVÁ, M. Kreativní ošetřovatelský management. Praha: Advent-Orion. 2003. 477 s.
  24. TAYLOR, E. J. Prevalence and associated factors of spiritual needs among patients with cancer and family caregivers. Oncology Nursing Forum. 2006, 33(4), 729-735. Go to original source... Go to PubMed...
  25. VÁGNEROVÁ, M. Psychopatologie pro pomáhající profese. 4. rozš. a přepr. vyd. Praha: Portál. 2008. 870 s.
  26. VORLÍČEK, J., ADAM, Z. Paliativní medicína. Praha: Grada. 1998. 480 s.
  27. VYMĚTAL, J. Lékařská psychologie. 3. aktualiz. vyd. Praha: Portál. 2003. 397 s.
  28. WIJK, H., GRIMBY, A. Needs of elderly patients in palliative care. American Journal of Hospice and Palliative Medicine. 2008, 25(2), 106-111. Go to original source... Go to PubMed...

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