Hostname: page-component-78c5997874-s2hrs Total loading time: 0 Render date: 2024-11-14T07:00:22.025Z Has data issue: false hasContentIssue false
  • English
  • Français

Effectiveness of spiritual care using spiritual pain assessment sheet for advanced cancer patients: A pilot non-randomized controlled trial

Published online by Cambridge University Press:  26 January 2019

Kaori Ichihara ,
Sayako Ouchi ,
Sachiko Okayama ,
Fukiko Kinoshita ,
Mitsunori Miyashita ,
Tatsuya Morita  and
Keiko Tamura
Kaori Ichihara*
Affiliation:
Department of Human Health Sciences, Graduate School of Medicine Kyoto University, Kyoto, Japan
Sayako Ouchi
Affiliation:
Department of Nursing, Kyoto University Hospital, Kyoto, Japan
Sachiko Okayama
Affiliation:
Department of Nursing, Takarazuka Municipal Hospital, Hyogo, Japan
Fukiko Kinoshita
Affiliation:
Department of Nursing, Gratia Hospital, Osaka, Japan
Mitsunori Miyashita
Affiliation:
Division of Palliative Nursing, Health Sciences, Tohoku University Graduate School of Medicine, Sendai, Japan
Tatsuya Morita
Affiliation:
Department of Palliative and Supportive Care and Seirei Hospice, Seirei Mikatahara General Hospital, Hamamatsu, Japan
Keiko Tamura
Affiliation:
Department of Human Health Sciences, Graduate School of Medicine Kyoto University, Kyoto, Japan
*
Author for correspondence: Kaori Ichihara, RN, MS, OCNS, Palliative Care Nursing, Department of Human Health Sciences, Graduate School of Medicine Kyoto University, 53 Shogoinkawaharacho, Sakyo-ku, Kyoto 606-8507, Japan. E-mail: ichihara.kaori.62s@st.kyoto-u.ac.jp
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective

To obtain preliminary knowledge to design a randomized controlled trial to clarify the effects of spiritual care using the Spiritual Pain Assessment Sheet (SpiPas).

Method

The study was designed as a nonrandomized controlled trial. The study took place between January 2015 and July 2015 in a hematology and oncology ward and two palliative care units in Japan. Among 54 eligible patients with advanced cancer, 46 were recruited (24 in the control group vs. 22 in the intervention group). The intervention group received spiritual care using SpiPas and usual care; the control group received usual care. The primary outcome was the Functional Assessment of Chronic Illness Therapy-Spiritual (FACIT-Sp). The secondary outcomes were the Hospital Anxiety and Depression Scale (HADS) and Comprehensive Quality of Life Outcome (CoQoLo).

Result

A total of 33 (72%) and 23 (50%) patients completed 2- and 3-week follow-up evaluations, respectively. The differences in the changes during 2 weeks in total scores of FACIT-Sp and HADS were significant (95% confidence intervals, 3.65, 14.4, p < 0.01; –11.2 to –1.09, p = .02, respectively). No significant changes were observed in the total score of CoQoLo.

Significance of results

Spiritual care using the SpiPas might be useful for improving patient spiritual well-being. This controlled clinical trial could be performed and a future clinical trial is promising if outcomes are obtained within 2 weeks.

Keywords

SpiritualityPalliative careNursingAdvanced cancer
Type
Original Article
Information
Palliative & Supportive Care , Volume 17 , Issue 1 , February 2019 , pp. 46 - 53
Copyright
Copyright © Cambridge University Press 2019 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Ando, M, Morita, T, Akechi, T, et al. (2010) Efficacy of short-term life-review interviews on the spiritual well-being of terminally ill cancer patients. Journal of Pain and Symptom Management 39(6), 993–1002.Google Scholar
Baird, RP (2015) Spiritual care intervention. In Oxford textbook of palliative care nursing, 4th ed. Ferrell, BR, Coyle, N, and Paice, J (eds.), pp. 546–553. New York: Oxford University Press.Google Scholar
Breitbart, W, Poppito, S, Rosenfeld, B, et al. (2012) Pilot randomized controlled trial of individual meaning-centered psychotherapy for patients with advanced cancer. Journal of Clinical Oncology 30(12), 1304–1309.Google Scholar
Chochinov, HM, Kristjanson, LJ, Breitbart, W, et al. (2011) Effect of dignity therapy on distress and end-of-life experience in terminally ill patients: A randomized controlled trial. Lancet Oncology 12, 753–762.Google Scholar
Ichihara, K, Meataki, E, Tamura, K (2009) Shumatsuki Gan Kanja no Supirichuaru Pein Hyokahyo ni Kannsuru kennkyu (1): Spirityuaru Pein Hyokahyo no Naiyodatousei. (A study of spiritual pain assessment patients with terminal stage cancer: Content validity of spiritual pain assessment sheet). Journal of Japanese Society of Cancer Nursing 23, 85.Google Scholar
Keall, RM, Butow, PN, Steinhauser, KE, et al. (2013) Nurse-facilitated preparation and life completion interventions are acceptable and feasible in the Australian palliative care setting results from a phase 2 trial. Cancer Nursing 36(3), 39–46.Google Scholar
Kugaya, A, Akechi, T, Okamura, T, et al. (1998) Screening for psychological distress in Japanese cancer patients. Japanese Journal of Clinical Oncology 28(5), 333–338.Google Scholar
Miyashita, M, Sanjo, M, Morita, T, et al. (2007) Good death in cancer care: A nationwide quantitative study. Annuals of Oncology 18(6), 1090–1097.Google Scholar
Miyashita, M, Wada, M, Morita, T, et al. (2015) Development and validation of the comprehensive quality of life outcome (CoQoLo) inventory for patients with advanced cancer. British Medical Journals of Supportive and Palliative Care 22. Retrieved February 4, 2018, from http://dx.doi.org/10.1136/bmjspcare-2014-000725.Google Scholar
Morita, T (2004) Desire for death and requests to hasten death of Japanese terminally ill cancer patients receiving specialized inpatient palliative care. Journal of Pain and Symptom Management 27(1), 44–52.Google Scholar
Morita, T, Sakaguchi, Y, Hirai, K, et al. (2004) Existential concerns of terminally ill cancer patients receiving specialized palliative care in Japan. Supportive Care in Cancer 12(2), 137–140.Google Scholar
Morita, T, Murata, H, Kishi, E, et al. (2009) Meaninglessness in terminally ill cancer patients: A randomized controlled study. Journal of Pain and Symptom Management 37(4), 649–658.Google Scholar
Morita, T, Tamura, K, Kawa, M, et al. (2014) Nurse Education program on meaninglessness in terminally ill cancer patients: A randomized controlled study of a novel two-day workshop. Journal of Palliative Medicine 17(12), 1298–1305.Google Scholar
Murata, H (2003) Spiritual pain and its care in patients with terminal cancer: Construction of a conceptual framework by philosophical approach. Palliative and Supportive Care 1(1), 12–21.Google Scholar
Murata, H, Morita, T, and Japanese Task Force (2006) Conceptualization of psycho-existential suffering by the Japanese Task Force: The first step of a nationwide project. Palliative and Supportive Care 4(3), 279–285.Google Scholar
Noguchi, W, Ono, T, Morita, S, et al. (2004) Reliability and validity of the Functional Assessment of Chronic Illness Therapy Spiritual (FACIT-Sp) for Japanese patients with cancer. Supportive Care in Cancer 12(4), 240–245.Google Scholar
Palmer, JL (2004) Analysis of missing data in palliative care studies. Journal of Symptom Management 28(6), 612–618.Google Scholar
Peterman, AH, Fichett, G, Brady, MJ, et al. (2002) Measuring spiritual well-being in people with cancer: The functional assessment of chronic illness therapy Spiritual Well-being Scale (FACIT-Sp). Annals of Behavioral Medicine 24(1), 49–58.Google Scholar
Pok-Ja Oand Kim, SH (2014) The effects of spiritual interventions in patients with cancer: A meta-analysis. Oncology Nursing Forum 41(5), E290–E301.Google Scholar
Preston, NJ, Fayers, P, Walters, SJ, et al. (2013) Recommendations for managing missing data, attrition and response shift in palliative and end-of-life care research: Part of the MORECare research method guidance on statistical issues. Palliative Medicine 27(10), 899–907.Google Scholar
Puchalski, C, Vitillo, R, Hull, S, et al. (2014) Improving the spiritual dimension of whole person care: Reaching national and international consensus. Journal of Palliative Medicine 17(6), 642–656.Google Scholar
Steinhauser, KE, Clipp, EC, McNeilly, M, et al. (2000) In search of a good death: Oobservations of patients, families, and providers. Annals of Internal Medicine 132(10), 825–832.Google Scholar
Steinhauser, KE, Alexander, S, Olsen, MK, et al. (2017) Addressing patient emotional needs during serious illness: Results of the outlook randomized controlled trial. Journal of Pain and Symptom Management 54(6), 898–908.Google Scholar
Tamura, K, Ichihara, K, Maetaki, E, et al. (2006) Development of a spiritual pain assessment sheet for terminal cancer patients: Targeting terminal cancer patients admitted to palliative care units in Japan. Palliative and Supportive Care 4(2), 179–188.Google Scholar
Tamura, K, Ichihara, K, Maetaki, E (2009) Shumatsuki Gan Kanja no Supirityuaru Pein Hyokahyo ni Kannsuru kennkyu (2): Spirichuaru Pein Hyokahyo no Naiyoudatousei (A study of spiritual pain assessment patients with terminal stage cancer: Feasibility of spiritual assessment sheet). Journal of Japanese Society of Cancer Nursing 23, 85.Google Scholar
Tamura, K, Kawa, M, & Morita, T (eds.) (2017) Kango Ni Ikasu Supirityuaru Kea No Tebiki (Spiritual care handbook for nurses), 2nd ed. Tokyo: Seikai-sha.Google Scholar
Taylor, EJ (2001) Spiritual care nursing theory, research, and practice. Japan: Igaku Shoin.Google Scholar
van de Geer, J, Groot, M, Andela, R, et al. (2016) Training hospital staff on spiritual care in palliative care influences patient-reported outcomes: Results of a quasi-experimental study. Palliative Medicine 31(8), 743–753.Google Scholar
Vermandere, M, Warmenhoven, F, Severen, EV, et al. (2016) Spiritual history taking in palliative home care: a cluster randomized controlled trial. Palliative Medicine 30(4), 338–350.Google Scholar
Yang, GM, Tan, YY, Cheung, YB, et al. (2016) Effect of a spiritual care training program for staff on patient outcomes. Palliative and Supportive Care 15(4), 434–442.Google Scholar
Zimond, AS and Snaith, R P (1983) The hospital anxiety and depression scale. Acta Psychiatric Scandinavica 67(6), 361–370.Google Scholar