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

Kaori Ichihara, Sayako Ouchi, Sachiko Okayama, Fukiko Kinoshita, Mitsunori Miyashita, Tatsuya Morita, Keiko Tamura

Research output: Contribution to journalArticlepeer-review

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- A nd 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.

Original languageEnglish
Pages (from-to)46-53
Number of pages8
JournalPalliative and Supportive Care
Volume17
Issue number1
DOIs
Publication statusPublished - 2019 Feb 1
Externally publishedYes

Keywords

  • Advanced cancer
  • Nursing
  • Palliative care
  • Spirituality

ASJC Scopus subject areas

  • Nursing(all)
  • Clinical Psychology
  • Psychiatry and Mental health

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