Published online Sep 19, 2023. doi: 10.5498/wjp.v13.i9.675
Peer-review started: May 24, 2023
First decision: June 12, 2023
Revised: June 25, 2023
Accepted: August 2, 2023
Article in press: August 2, 2023
Published online: September 19, 2023
Processing time: 114 Days and 9.1 Hours
Identifying the core factors influencing spiritual wellbeing of pancreatic ductal adenocarcinoma (PDAC) patients undergoing chemotherapy and formulating individualized spiritual care regimens can improve quality of life among this patient group. However, there have only been a few small studies of the spiritual wellbeing of PDAC patients undergoing chemotherapy. The core factors influencing spiritual wellbeing in this clinical population are still unclear. Therefore, this study was designed to identify factors influencing the spiritual wellbeing of PDAC patients undergoing chemotherapy.
This study was designed to investigated the spiritual wellbeing status and identify factors influencing the spiritual wellbeing of PDAC patients undergoing chemotherapy. To draw attention to the spiritual health of patients with pancreatic cancer undergoing chemotherapy and formulate individualized spiritual care regimens.
This study was designed to investigated the spiritual wellbeing status and identify factors influencing the spiritual wellbeing of PDAC patients undergoing chemotherapy. This study found that effective measures to mitigate anxiety and increase quality-of-life-related role functioning, emotional guidance, cognition of disease, social function, and life education may enhance spiritual wellbeing. Individualized spiritual care regimens can be formulated through life care, behavioral therapy, mindfulness meditation, cognitive interview, and life review among other strategies.
The research method of this study was a questionnaire survey. Prior to the questionnaire survey, all investigators received standardized training to guarantee the objectivity and accuracy of data collection. The questionnaire included a general information questionnaire, Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being 12 Item Scale, European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 and Zung’s Self-rating Anxiety Scale. All data were analyzed using SPSS version 25.0. P < 0.05 (two-tailed) was considered statistically significant for all tests.
This study investigated the spiritual wellbeing of Chinese patients with PDAC undergoing chemotherapy and analyzed its influencing factors for the first time. This study found that individualized spiritual care regimens can be formulated through life care, behavioral therapy, mindfulness meditation, cognitive interview, and life review among other strategies. This study had limitations. Most patients were from southwestern China (Chongqing), so this may not be a nationally representative sample. Future studies will expand the sample size and evaluate the effects of specific religious beliefs on the spiritual wellbeing of PDAC patients receiving chemotherapy.
Spiritual wellbeing of PDAC patients treated with chemotherapy was in the mid-range, and individual differences in spiritual wellbeing related to demographics and clinical status. Anxiety and symptom severity markedly disrupted the spiritual wellbeing of PDAC patients undergoing chemotherapy, whereas a sustained functional role and good global health status related to quality of life promoted spiritual wellbeing. This study provides a theoretical basis for formulating individualized spiritual care regimens.
Future studies will expand the sample size and evaluate the effects of specific religious beliefs on the spiritual wellbeing of PDAC patients receiving chemotherapy.