Spiritual Well-Being and Associated Factors in Dutch Patients With Advanced Cancer

Palliative care aims to support patients’ spiritual needs with the intention of promoting their spiritual well-being (SWB), an important dimension of quality of life. SWB is one of the less-studied dimensions of QoL, particularly in a secular country such as the Netherlands. In this study we aimed t...

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Bibliographic Details
Published in:Journal of pain and symptom management 2022-03, Vol.63 (3), p.404-414
Main Authors: Damen, Annelieke, Raijmakers, Natasja J.H., van Roij, Janneke, Visser, Anja, Beuken-Everdingen, Marieke van den, Kuip, Eveline, van Laarhoven, Hanneke W.M., van Leeuwen-Snoeks, Lobke, van der Padt-Pruijsten, Annemieke, Smilde, Tineke J., Leget, Carlo, Fitchett, George
Format: Article
Language:English
Subjects:
Attention
Cancer
Cohort analysis
Cohort Studies
Health care
Humans
Meaning
Medical personnel
Neoplasms - complications
Neoplasms - therapy
Palliative Care
Peace
Quality of care
Quality of Life
religion
Sociodemographics
Soft skills
Spiritual well being
Spirituality
Well being
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Summary:Palliative care aims to support patients’ spiritual needs with the intention of promoting their spiritual well-being (SWB), an important dimension of quality of life. SWB is one of the less-studied dimensions of QoL, particularly in a secular country such as the Netherlands. In this study we aimed to get a better understanding of SWB in Dutch patients with advanced cancer. We therefore examined its prominence and associated factors. We used the baseline data of a cohort study on experienced quality of care and quality of life (eQuiPe study), which included 1,103 patients with advanced cancer. In addition to sociodemographic and religious/spiritual characteristics, study measures comprised the SWB subscales Meaning, Peace, and Faith of the revised FACIT-Sp-12, spiritual problems and needs (PNPCsv), quality of life (EORTC-QLQ-C30) and satisfaction with healthcare professionals’ interpersonal skills (INPATSAT-32). On average, patients experienced quite a bit of Meaning (8.9, SD 2.3), a little bit to somewhat Peace (6.8, SD 2.7), and very low levels of Faith (2.9, SD 3.7). Two-thirds (71%) of patients reported one or more spiritual problems, for which the majority (54%) wanted to receive attention. In the final multivariable models, only a few factors were associated with SWB, such as greater spiritual needs with lower levels of Meaning and Peace. Dutch patients with advanced cancer experience medium to low levels of Meaning, Peace, and Faith. More attention for their SWB is warranted.
ISSN:0885-3924
1873-6513
DOI:10.1016/j.jpainsymman.2021.10.004