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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
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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 

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