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

  • Kaori Ichihara (a1), Sayako Ouchi (a2), Sachiko Okayama (a3), Fukiko Kinoshita (a4), Mitsunori Miyashita (a5), Tatsuya Morita (a6) and Keiko Tamura (a1)...

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.

Copyright

Corresponding author

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

References

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Keywords

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

  • Kaori Ichihara (a1), Sayako Ouchi (a2), Sachiko Okayama (a3), Fukiko Kinoshita (a4), Mitsunori Miyashita (a5), Tatsuya Morita (a6) and Keiko Tamura (a1)...

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