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Needs for nurses to provide spiritual care and their associated influencing factors among elderly inpatients with stroke in China: A cross-sectional quantitative study

Published online by Cambridge University Press:  26 April 2022

Zhangyi Wang Open the ORCID record for Zhangyi Wang [Opens in a new window] ,
Haomei Zhao ,
Yue Zhu ,
Siai Zhang ,
Luwei Xiao ,
Haiqin Bao ,
Zhao Wang ,
Yue Wang ,
Xuechun Li  and
Yajun Zhang
...Show all authors
Zhangyi Wang
Affiliation:
Graduate School, Tianjin University of Traditional Chinese Medicine, Tianjin, China
Haomei Zhao
Affiliation:
Graduate School, Hebei University of Chinese Medicine, Shijiazhuang, HeBei, China
Yue Zhu
Affiliation:
Graduate School, Tianjin University of Traditional Chinese Medicine, Tianjin, China
Siai Zhang
Affiliation:
Graduate School, Tianjin University of Traditional Chinese Medicine, Tianjin, China
Luwei Xiao
Affiliation:
School of Nursing, University of South China, Hengyang, Hunan, China
Haiqin Bao
Affiliation:
Transplant Intensive Care Unit, Tianjin First Central Hospital, Tianjin, China
Zhao Wang
Affiliation:
Graduate School, Tianjin University of Traditional Chinese Medicine, Tianjin, China
Yue Wang
Affiliation:
Graduate School, Tianjin University of Traditional Chinese Medicine, Tianjin, China
Xuechun Li
Affiliation:
Graduate School, Tianjin University of Traditional Chinese Medicine, Tianjin, China
Yajun Zhang*
Affiliation:
Operating Room, The Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China
Xiaoli Pang*
Affiliation:
School of Nursing, Tianjin University of Traditional Chinese Medicine, Tianjin, China
*
Author for correspondence: Xiaoli Pang, School of Nursing, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China. E-mail: 403033115@qq.com; Yajun Zhang, Operating Room, The Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China, E-mail: 736258367@qq.com
Author for correspondence: Xiaoli Pang, School of Nursing, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China. E-mail: 403033115@qq.com; Yajun Zhang, Operating Room, The Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China, E-mail: 736258367@qq.com
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Abstract

Objectives

To investigate the spiritual care needs and associated influencing factors among elderly inpatients with stroke, and to examine the correlations among spiritual care needs, spiritual well-being, self-perceived burden, self-transcendence, and social support.

Methods

A cross-sectional quantitative design was implemented, and the STROBE Checklist was used as the foundation of the study. A convenience sample of 458 elderly inpatients with stroke was selected from three hospitals in China. The sociodemographic characteristics questionnaire, the Nurse Spiritual Therapeutics Scale, the Functional Assessment of Chronic Illness Therapy—Spiritual Well-being, the Self-Perceived Burden Scale, the Chinese Self-Transcendence Scale, and the Perceived Social Support Scale were used. Descriptive statistics, correlation, Student's t-test, ANOVA, non-parametric, and multiple linear regression analyses were used to analyze the data.

Results

The total score of spiritual care needs was 29.82 ± 7.65. Spiritual care needs were positively correlated with spiritual well-being (r = 0.709, p < 0.01), self-transcendence (r = 0.710, p < 0.01), and social support (r = 0.691, p < 0.01), whereas being negatively correlated with self-perceived burden (r = −0.587, p < 0.01). Religious beliefs, educational level, residence place, disease course, spiritual well-being, self-perceived burden, self-transcendence, and social support were found to be the main influencing factors.

Significance of results

The spiritual care needs were prevalent and moderate. It is suggested that nurses should enhance spiritual care knowledge and competence, take targeted spiritual care measures according to inpatients’ individual personality traits or characteristics and differences of patients, reduce their self-perceived burden and improve their spiritual well-being, self-transcendence and social support in multiple ways and levels, so as to meet their spiritual care needs to the greatest extent and enhance their spiritual comfort.

Keywords

ChinaElderly inpatientSpiritual care needsSpiritualityStroke
Type
Original Article
Information
Palliative & Supportive Care , Volume 20 , Issue 3 , June 2022 , pp. 407 - 416
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Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press

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