Influence of Spirituality and Religiosity of Cancer Patients on Their Quality of Life
Abstract
:1. Introduction
2. Materials and Methods
2.1. Research Design and Data Collection
2.2. Instruments
- (a)
- Daily Spiritual Experience Scale (DSES)
- (b)
- Quality of Life of Cancer Patients (EORTC QLQ-C30)
- (c)
- Quality of Life—Cancer-Related Fatigue (EORTC QLQ-FA12)
2.3. Participants
2.4. Data Analysis
2.5. Ethical Considerations
3. Results
4. Discussion
Limitations
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
- Central Statistical Office. Mortality in 2020. Deaths by Cause—Preliminary Data. Available online: https://stat.gov.pl/obszary-tematyczne/ludnosc/statystyka-przyczyn-zgonow/umieralnosc-i-zgony-wedlug-przyczyn-w-2020-roku,10,1.html (accessed on 25 May 2021).
- Kaptacz, I. Assessment of quality of life, acceptance of illness, needs and expectations of patients under palliative home care—preliminary pilot study. Palliat. Med. 2018, 10, 137–144. [Google Scholar] [CrossRef] [Green Version]
- Borowik, I. Prywatyzacja religii. In Leksykon Socjologii Religii; Libiszowska-Żółtkowska, M., Mariański, M., Eds.; Verbinum: Warsaw, Poland, 2004; pp. 320–322. [Google Scholar]
- Walczak, T.; Walczak, E.; Kowalewski, W. Spirituality and quality of life of people affected by cancer. Pomeranian J. Life Sci. 2018, 64, 177–184. [Google Scholar] [CrossRef] [Green Version]
- Godlewska, D.; Gebreselassie, J. Religia a zdrowie i choroba. Język. Religia. Tożsamość 2018, 17, 223–236. [Google Scholar]
- Libiszowska-Żółtkowska, M.; Grotowska, S. (Eds.) Religijność i duchowość—Dawne i nowe formy; NOMOS: Cracow, Poland, 2010. [Google Scholar]
- Pawlikowski, J. Problemy metodologiczne w badaniach nad związkiem pomiędzy religijnością a zdrowiem. Studia Metodol. 2013, 30, 123–144. [Google Scholar]
- Jarosz, M. Pojęcie duchowości w psychologii. In Studia z Psychologii w KUL, t. 16; Gorbanuik, O., Kostrubiec-Wojtachnio, B., Musiał, D., Wiechetek, M., Eds.; Katolicki Uniwersytet Lubelski Jana Pawła II: Lublin, Poland, 2010; pp. 9–26. [Google Scholar]
- Zinnbauer, B.; Pargament, K. Religiousness and spirituality. In The Handbook of the Psychology of Religion and Spirituality; Paloutzian, R., Park, C., Eds.; Giulford Press: New York, NY, USA, 2005; pp. 21–42. [Google Scholar]
- Pargament, K. The psychology of religion and spirituality? Response to Stifoss-Hanssen, Emmons, and Crumpler. Int. J. Psychol. Relig. 1999, 9, 35–43. [Google Scholar] [CrossRef]
- Gavent, W.; Coulter, D. Spirituality and Intellectual Disability: International Perspectives on the Effect of Culture and Religion on Healing Body, Mind and Soul; Routledge: London, UK, 2014; p. 7. [Google Scholar]
- Żołnierz, J.; Sak, J. Modern research on religious influence on human health. J. Educ. Health Sport 2017, 7, 100–112. [Google Scholar] [CrossRef]
- Silva, G.C.N.; Reis, D.C.; Miranda, T.P.S.; Melo, R.N.R.; Coutinho, M.A.P.; Paschoal, G.S.; Chaves, E. Religious/spiritual coping and spiritual distress in people with cancer. Rev. Bras. Enferm. 2019, 72, 1534–1540. [Google Scholar] [CrossRef]
- Wnuk, M.; Marcinkowski, J.T.; Hędzelek, M.; Świstak-Sawa, S. Religijno-duchowe korelaty siły nadziei oraz poczucia sensu życia pacjentów onkologicznych. Psychoonkologia 2010, 21, 14–20. [Google Scholar]
- Xie, H.; Taylor, E.J.; Li, M.; Wang, Y.; Liang, T. Nurse Spiritual Therapeutics Scale: Psychometric evaluation among cancer patients. J. Clin. Nurs. 2019, 28, 939–946. [Google Scholar] [CrossRef]
- Wnuk, M.; Marcinkowski, J.T. Psychologiczne funkcje religii. Probl. Hig. I Epidemiol. 2012, 93, 239–243. [Google Scholar]
- Murthy, R.S.; Alexander, A. Progress in psycho-oncology with special reference to developing countries. Curr. Opin. Psychiatry 2019, 32, 442–450. [Google Scholar] [CrossRef]
- Byrne, C.M.; Morgan, D.D. Patterns of religiosity, death anxiety, and hope in a population of community dwelling palliative care patients in New Zealand—What gives hope if religion can’t? Am. J. Hosp. Palliat Care 2020, 37, 377–384. [Google Scholar] [CrossRef] [PubMed]
- Cheng, Q.; Liu, X.; Li, X.; Wang, Y.; Mao, T.; Chen, Y. Improving spiritual well-being among cancer patients: Implications for clinical care. Support. Care Cancer 2019, 27, 3403–3409. [Google Scholar] [CrossRef] [PubMed]
- Leppert, W.; Forycka, M.; de Walden-Gałuszko, K.; Majkowicz, M.; Buss, T. Ocena jakości życia u chorych na nowotwory—zalecenia dla personelu oddziałów onkologicznych i medycyny paliatywnej. Psychoonkologia 2014, 1, 17–29. [Google Scholar]
- Timmins, F.; McSherry, W. Spirituality: The Holy Grail of contemporary nursing practice. J. Nurs. Manag. 2012, 20, 951–957. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Puchalski, C.M.; Vitillio, R.; Hull, S.K.; Reller, N. Improving the spiritual dimension of whole person care: Reaching national and international consensus. J. Palliat. Med. 2014, 7, 642–656. [Google Scholar] [CrossRef]
- Ross, L. Spiritual Care in Nursing: An Overview of the Research to Date. J. Clin. Nurs. 2006, 15, 852–862. [Google Scholar] [CrossRef]
- Koenig, H.; King, D.; Carson, V. Handbook of Religion and Health, 2nd ed.; Oxford University Press: Oxford, UK, 2012. [Google Scholar]
- Cockell, N.; McSherry, W. Spiritual care in nursing: An overview of published international research. J. Nurs. Manag. 2012, 20, 958–969. [Google Scholar] [CrossRef] [PubMed]
- McSherry, W.; Ross, L. Nursing. In Oxford Textbook of Spirituality in Health Care; Cobb, M., Puchalski, C.M., Rumbold, B., Eds.; Oxford University Press: Oxford, UK, 2012; pp. 70–83. [Google Scholar]
- Underwood, L.G. Ordinary Spiritual Experience: Qualitative research, interpretive guidelines, and population distribution for the Daily Spiritual Experience Scale. Psychol. Relig. Spirit. 2006, 28, 181–218. [Google Scholar] [CrossRef]
- Underwood, L.G. The Daily Spiritual Experience Scale: Overview and Results. Religions 2011, 2, 29–50. [Google Scholar] [CrossRef]
- Wnuk, M. Skala Codziennych Doświadczeń Duchowych jako Wiarygodne i Rzetelne Narzędzie do Mierzenia Aktywności Sfery Duchowej; Uniwersytet Medyczny im. Karola Marcinkowskiego w Poznaniu, Katedra Medycyny Społecznej, Zakład Higieny: Poznań, Poland, 2009; Volume 1, pp. 1–18. Available online: https://www.researchgate.net/publication/303839351 (accessed on 10 October 2020).
- Wolski, Z.; Sosonowski, M. Badania walidujące kwestionariusze jakości życia EORTC QLQ-C30 i QLQ-PR25 oraz ocena jakości życia polskich pacjentów z rakiem stercza (QLQ 30,25). Przegląd Urol. 2013, 80, 29–31. [Google Scholar]
- Bjordal, K.; de Graeff, A.; Fayers, P.M.; Hammerlid, E.; van Pottelsberghe, C.; Curran, D.; Ahlner-Elmqvist, M.; Maher, E.J.; Meyza, J.W.; Brédart, A.; et al. A 12 country field study of the EORTC QLQ-C30 (version 3.0) and the head and neck cancer specific module (EORTC QLQ-H&N35) in head and neck patients. EORTC Quality of Life Group. Eur. J. Cancer 2000, 36, 1796–1807. [Google Scholar] [CrossRef] [PubMed]
- Zawisza, K.; Tobiasz-Adamczyk, B.; Nowak, W.; Kulig, J.; Jędryś, J. Trafność i rzetelność kwestionariusza oceny jakości życia EORTC QLQ C30 oraz jego modułu dotyczącego pacjentek z nowotworami piersi (EORTC QLQ BR 23). Ginekol. Pol. 2010, 81, 262–267. [Google Scholar] [PubMed]
- Mystakidou, K.; Tsilika, E.; Kalaidopoulou, O.; Smyrniotis, V.; Lambros, V. The EORTC core quality of life questionnaire (QLQ-C30, version 3.0) in terminally ill cancer patients under palliative care: Validity and reliability in a Hellenic sample. Int. J. Cancer 2001, 94, 135–139. [Google Scholar] [CrossRef]
- Fayers, P.; Bottomley, A. Quality of life research within the EORTC-the EORTC QLQ-C30. European Organisation for Research and Treatment of Cancer. Eur. J. Cancer 2002, 38, 125–133. [Google Scholar] [CrossRef]
- Kecke, S.; Ernst, J.; Einenkel, J.; Singer, S.; Hinz, A. Psychometric Properties of the Fatigue Questionnaire EORTC QLQ-FA12 in a Sample of Female Cancer Patients. J. Pain Symptom Manage. 2017, 54, 922–928. [Google Scholar] [CrossRef] [Green Version]
- Weis, J.; Tomaszewski, K.A.; Hammerlid, E.; Arraras, J.I.; Conroy, T.; Lanceley, A.; Schmidt, H.; Wirtz, M.; Singer, S.; Pinto, M.; et al. International Psychometric Validation of an EORTC Quality of Life Module Measuring Cancer Related Fatique (EORTC QLQ-FA12). J. Natl. Cancer Inst. 2017, 109, djw273. [Google Scholar] [CrossRef] [Green Version]
- Jurys, T.; Smółka, M.; Dzierzawa-Kloza, M.; Stepanik, M.; Burzyński, B. EORTC QLQ-C30 and EORTC QLQ-PR25—Tools for assessing the quality of life of men suffering from prostate cancer. Oncology in Clinical Practice. Oncol. Clin. Pract. 2022, 18, 61–67. [Google Scholar] [CrossRef]
- R Core Team. R: A Language and Environment for Statistical Computing; R Foundation for Statistical Computing: Vienna, Austria, 2019. [Google Scholar]
- World Medical Association. WMA Declaration of Helsinki—Ethical Principles for Medical Research Involving Human Subjects. 2013. Available online: https://www.wma.net/policies-post/wma-declaration-of-helsinki-ethical-principles-for-medical-research-involving-human-subjects/ (accessed on 10 October 2020).
- European Medicines Agency. Guideline for good clinical practice E6 (R2). 2018. Available online: https://www.ema.europa.eu/en/documents/scientific-guideline/ich-e-6-r2-guideline-good-clinical-practice-step-5_en.pdf (accessed on 10 October 2020).
- Goyal, N.G.; Ip, E.H.; Salsman, J.M.; Avis, N.E. Spirituality and physical health status: A longitudinal examination of reciprocal effects in breast cancer survivors. Support. Care Cancer 2019, 27, 2229–2235. [Google Scholar] [CrossRef]
- Szatkowska, K.; Dreger, E.; Basińska, M.A. Poczucie koherencji i więź z Bogiem osób chorych onkologicznie a ich jakość życia. Psychoonkologia 2016, 20, 37–46. [Google Scholar] [CrossRef] [Green Version]
- Nowicki, G.J.; Ziółek, R.; Deluga, A.; Bartoszek, A.B.; Szadowska-Szlachecka, Z.C.; Ślusarska, B.J. Związek siły wiary religijnej i duchowości ze stopniem akceptacji choroby w grupie pacjentów objętych domową opieką paliatywną. Część 2. Siła wiary religijnej i jej uwarunkowania oraz wpływ na akceptację choroby. Med. Paliatywna 2020, 12, 131–137. [Google Scholar] [CrossRef]
- Piskozub, M. Noetyczno-duchowy wymiar osobowości w procesie radzenia sobie ze stresem onkologicznym. Psychoonkologia 2010, 1, 1–13. [Google Scholar]
- Boguszewski, R.; Komunikat z badań. Religijność Polskiej Wsi (Research report. Religiousness of the Polish Village. CBOS—Public Opinion Research Center). CBOS—Centrum Badań Opinii Społecznej. Warszawa. 2014. Available online: www.cbos.pl/SPISKOM.POL/2014/K_003_14.PDF (accessed on 25 May 2021).
- Woźniak, B. Zaangażowanie religijne a stan zdrowia osób w wieku podeszłym: Mechanizmy zależności, wybrane wyniki badań. Przegląd Socjol. 2012, 61, 207–242. [Google Scholar]
Inclusion Criteria for the Study | Criteria for Exclusion from the Study |
---|---|
| People diagnosed with a mental illness Lack of informed consent to participate in the study |
Age (in Years) | n | % |
---|---|---|
<30 | 3 | 3 |
30–40 | 10 | 9.9 |
41–50 | 17 | 16.8 |
51–60 | 11 | 10.9 |
61–70 | 26 | 25.7 |
71–80 | 23 | 22.8 |
>80 | 6 | 5.9 |
Gender | n | % |
Men | 45 | 45 |
Women | 56 | 55 |
Group | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|
Level of Spirituality/Religiosity (DSES) | Points | |||||||||
0–30 | 31–50 | 51–70 | 71–90 | 91–100 | ||||||
n | % | n | % | n | % | n | % | n | % | |
Level of spirituality/religiosity | 8 | 7.9 | 17 | 16.8 | 26 | 25.7 | 39 | 38.6 | 11 | 10.9 |
Group | ||||||||||
Quality of life (EORTC QLQ-C30) | Points | |||||||||
0–20 | 21–40 | 41–60 | 61–80 | 81–100 | ||||||
N | % | N | % | N | % | N | % | N | % | |
General health and quality of life | 15 | 14.8 | 21 | 20.8 | 30 | 29.7 | 19 | 18.8 | 16 | 15.9 |
Physical functioning | 10 | 9.9 | 21 | 20.8 | 19 | 18.8 | 30 | 29.7 | 21 | 20.8 |
Role functioning | 18 | 17.8 | 19 | 18.8 | 16 | 15.9 | 16 | 15.9 | 32 | 31.6 |
Emotional functioning | 22 | 21.8 | 13 | 12.9 | 26 | 25.7 | 16 | 15.9 | 24 | 23.7 |
Cognitive functioning | 16 | 15.9 | 5 | 4.9 | 12 | 11.9 | 27 | 26.7 | 41 | 40.6 |
Social functioning | 21 | 20.8 | 13 | 12.9 | 6 | 5.9 | 19 | 18.8 | 42 | 41.6 |
Fatigue | 7 | 6.9 | 1 | 30.7 | 28 | 27.7 | 22 | 21.8 | 13 | 12.9 |
Nausea and vomiting | 80 | 79.2 | 8 | 7.95 | 3 | 2.95 | 6 | 5.95 | 4 | 3.95 |
Pain | 33 | 32.7 | 19 | 18.8 | 13 | 12.9 | 8 | 7.9 | 28 | 27.7 |
Dyspnea | 54 | 53.5 | 24 | 23.7 | 0 | 0 | 10 | 9.9 | 13 | 12.9 |
Insomnia | 24 | 23.7 | 33 | 32.6 | 0 | 0 | 24 | 23.7 | 20 | 19.8 |
Appetite loss | 45 | 44.6 | 26 | 25.7 | 0 | 0 | 18 | 17.8 | 12 | 11.9 |
Constipation | 45 | 44.6 | 38 | 37.6 | 0 | 0 | 13 | 12.9 | 5 | 4.9 |
Diarrhea | 79 | 78.22 | 17 | 16.8 | 0 | 0 | 2 | 1.98 | 3 | 2.97 |
Financial difficulties | 52 | 51.5 | 26 | 25.7 | 0 | 0 | 9 | 8.9 | 14 | 13.9 |
Group | ||||||||||
Quality of Life—Cancer-Related Fatigue (EORTC QLQ-FA12) | Points | |||||||||
0–20 | 21–40 | 41–60 | 61–80 | 81–100 | ||||||
N | % | N | % | N | % | N | % | N | % | |
Physical fatigue | 17 | 16.8 | 35 | 34.7 | 23 | 22.8 | 15 | 14.8 | 11 | 10.9 |
Emotional fatigue | 23 | 22.8 | 27 | 26.7 | 11 | 10.9 | 15 | 14.85 | 25 | 24.75 |
Cognitive fatigue | 51 | 50.5 | 19 | 18.8 | 12 | 11.9 | 10 | 9.9 | 9 | 8.9 |
Quality of Life (EORTC QLQ-C30) | Correlation with the Level of Spirituality/ Religiosity (Points) |
---|---|
Spearman’s Correlation Coefficient | |
General health and quality of life | r = 0.516, p < 0.001 |
Physical functioning | r = 0.196, p < 0.048 |
Role functioning | r = 0.278, p < 0.004 |
Emotional functioning | r = 0.312, p < 0.001 |
Cognitive functioning | r = −0.012, p = 0.904 |
Social functioning | r = 0.351, p < 0.001 |
Fatigue | r = −0.316, p < 0.001 |
Nausea and vomiting | r = −0.240, p < 0.015 |
Pain | r = −0.230, p < 0.020 |
Dyspnea | r = −0.207, p < 0.037 |
Insomnia | r = −0.261, p < 0.008 |
Appetite loss | r = −0.204, p < 0.040 |
Constipation | r = −0.011, p < 0.911 |
Diarrhea | r = −0.204, p < 0.039 |
Financial difficulties | r = −0.156, p < 0.118 |
Quality of Life—Cancer-Related Fatigue (EORTC QLQ-FA12) | Correlation with the Level of Spirituality/Religiosity (Points) |
---|---|
Spearman’s Correlation Coefficient | |
Physical fatigue | r = −0.397, p < 0.001 |
Emotional fatigue | r = −0.456, p < 0.001 |
Cognitive fatigue | r = −0.145, p < 0.145 |
The Type of Tumor | Level of Spirituality/Religiosity | |||
---|---|---|---|---|
N | Sum of Ranks | Average Rank | p | |
Genitourinary system | 33 | 1975.50 | 59.86 | p = 0.38 * |
Digestive system | 27 | 1243 | 46.03 | |
Respiratory system | 15 | 566.5 | 37.76 | |
Skin | 6 | 324 | 54 | |
Endocrine system | 4 | 219.5 | 54.87 | |
Circulatory system | 3 | 178.50 | 59.5 | |
Another type | 8 | 376.50 | 47.06 | |
More than one organ | 5 | 267,50 | 53.5 |
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Majda, A.; Szul, N.; Kołodziej, K.; Wojcieszek, A.; Pucko, Z.; Bakun, K. Influence of Spirituality and Religiosity of Cancer Patients on Their Quality of Life. Int. J. Environ. Res. Public Health 2022, 19, 4952. https://doi.org/10.3390/ijerph19094952
Majda A, Szul N, Kołodziej K, Wojcieszek A, Pucko Z, Bakun K. Influence of Spirituality and Religiosity of Cancer Patients on Their Quality of Life. International Journal of Environmental Research and Public Health. 2022; 19(9):4952. https://doi.org/10.3390/ijerph19094952
Chicago/Turabian StyleMajda, Anna, Natalia Szul, Kinga Kołodziej, Agata Wojcieszek, Zygmunt Pucko, and Kinga Bakun. 2022. "Influence of Spirituality and Religiosity of Cancer Patients on Their Quality of Life" International Journal of Environmental Research and Public Health 19, no. 9: 4952. https://doi.org/10.3390/ijerph19094952