• J Pain Symptom Manage · Mar 2022

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

    • Annelieke Damen, RaijmakersNatasja J HNJHNetherlands Comprehensive Cancer Organisation (A.D., N.J.H.R.), Utrecht, The Netherlands; Netherlands Association for Palliative Care (N.J.H.R.), Utrecht, The Netherlands., Janneke van Roij, Anja Visser, Marieke van den Beuken-Everdingen, Eveline Kuip, van LaarhovenHanneke W MHWMDepartment of Medical Oncology (H.W.M.L.), Cancer Center Amsterdam, Amsterdam University Medical Center, Amsterdam, The Netherlands., Lobke van Leeuwen-Snoeks, Annemieke van der Padt-Pruijsten, Tineke J Smilde, Carlo Leget, and George Fitchett.
    • Netherlands Comprehensive Cancer Organisation (A.D., N.J.H.R.), Utrecht, The Netherlands. Electronic address: a.damen@uvh.nl.
    • J Pain Symptom Manage. 2022 Mar 1; 63 (3): 404-414.

    ContextPalliative 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.ObjectivesIn 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.MethodsWe 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).ResultsOn 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.ConclusionDutch patients with advanced cancer experience medium to low levels of Meaning, Peace, and Faith. More attention for their SWB is warranted.Copyright © 2021. Published by Elsevier Inc.

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