Hopelessness a predictor of spiritual distress nursing diagnosis in cancer patients: a follow-up study

Helga Martins; Joana Romeiro; Sílvia Caldeira

Abstract

Background Spiritual distress is defned as a lack of meaning in life, disconnection, sufering and anger at God. Also, spiritual distress, is a nursing diagnosis according to NANDA-International, Inc, which hopelessness is one of the defning characteristics. The aim of this study was to assess hopelessness as a predictor of in spiritual distress nursing diagnosis in cancer patients during chemotherapy treatment. Materials and methods A quantitative, observational and follow up study. It was comprised 322 outpatients with cancer followed at an Oncology Unit, randomly selected. The data was collected when patients were initiating chemotherapy and then quarterly until completing one year of chemotherapy. In addition, data collection occurred between February 2019 and May 2015, and was applied a questionnaire. The data was analyzed statistically through the program SPSS version 21. This study, was approved by the hospital´s Ethics Committee where the study was conducted. Results The initial sample embraced 188 females and 144 males. The dropout rate of this study reached 17,5% after twelve months. The age range was between 22 to 83 years old. Most of the patients had breast cancer (n=27.70%), colorectal cancer (n=23.7%) and lung cancer (n=14.8%). The frequency of hopelessness during the chemotherapy increased its value, such as before chemotherapy (n=55, 10.5%), after three months (n= 40, 12.7%), after six months (n= 41, 13.5%), after nine months (n= 40, 14.0%) and after twelve months (n= 42, 15.3%). Hopelessness was a predictor of spiritual distress after nine (ꞵ=3.254, p=0.029) and twelve months (ꞵ=3.461, p=0.019) since the beginning of chemotherapy. Conclusions At the end of nine months after the start of chemotherapy, hopelessness appears as a predictive variable for the diagnosis of spiritual distress, therefore nurses can anticipate autonomous nursing interventions with the purpose for the readiness for enhanced hope in cancer patients.

Original language	English
Article number	P57
Pages (from-to)	29-29
Number of pages	1
Journal	BMC Proceedings
Volume	17
Issue number	Suppl 9
Publication status	Published - Aug 2023
Event	Encontro Nacional do Centro de Investigação Interdisciplinar em Saúde (CIIS) - Universidade Católica Portuguesa, Sintra, Portugal Duration: 31 Mar 2023 → 1 Apr 2023 https://fm.ucp.pt/pt-pt/noticias/encontro-nacional-do-centro-de-investigacao-interdisciplinar-em-saude-ciis-7086

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CIIS: Center for Interdisciplinary Research in Health
Barros, M. (PI), Rosa, N. (Researcher), Correia, M. J. (Researcher), Caldas, A. C. (Researcher), Amado, J. C. (Researcher), Figueiredo, A. S. (Researcher), Esteves, A. C. (Researcher), Mineiro, A. (Researcher), Abreu, A. M. (Researcher), Duarte, A. S. (Researcher), Almeida, S. F. (Researcher), Correia, A. (Researcher), Moura, A. (Researcher), Almeida, A. (Researcher), Araújo, B. (Researcher), Moura-Netto, C. (Researcher), Ferrito, C. (Researcher), Pais-Vieira, C. (Researcher), Festas, C. (Researcher), Marques-Vieira, C. (Researcher), Catré, D. (Researcher), Nunes, E. (Researcher), Jesus, É. (Researcher), Ribeiro, F. (Researcher), Rosário, F. (Researcher), Fernandes, G. (Researcher), Rato, J. R. (Scholarship holder), Salgado, J. R. (Researcher), Neves-Amado, J. (Researcher), Amendoeira, J. (Researcher), Sá, L. (Researcher), Capelas, M. L. (Researcher), Vieira, M. M. (Researcher), Nunes, M. V. S. (Researcher), Cardoso, M. (Researcher), Veiga, N. J. (Researcher), Fonseca, P. (Researcher), Correia, P. N. (Researcher), Couto, P. (Researcher), Pontífice-Sousa, P. (Researcher), Ravasco, P. (Researcher), Carvalho, P. V. D. (Researcher), Alves, P. (Researcher), Melo, P. (Researcher), Silva, R. (Researcher), Canaipa, R. (Researcher), Noites, R. (Researcher), Rio, R. (Researcher), Almeida, S. (Researcher), Deodato, S. (Researcher), Caldeira, S. (Researcher), Silva, S. (Researcher), Borges, T. (Researcher), Silva, V. (Researcher), Charepe, Z. (Researcher), Rodrigues-Pires, F. (Volunteer), Veludo, F. (Researcher), Carmo, H. (Scholarship holder), Romeiro, J. (Student), Melo, M. (Researcher), Braga, M. (Researcher), Amaral, T. (Researcher), Moreira, M. A. (Researcher), Guerra, N. (Student), Santos, P. (Researcher), Paço, S. (Student), Lynce, S. (Scholarship holder), Miguel, S. (Student), Costa, T. (Researcher), Silva-Neves, V. (Researcher), Silva, A. (Researcher), Carvalho, A. R. (Researcher), Almeida, B. (Researcher), Figueiredo, C. (Researcher), Esteves, E. (Scholarship holder), Araújo, F. M. (Researcher), Garcia, J. G. (Researcher), Santos, L. (Researcher), Santos, N. M. D. (Researcher), Lopes, P. (Researcher), Bornes, R. (Researcher), Silva, R. (Researcher), Costa, S. (Researcher), Silva, S. M. (Researcher), Marques, T. (Researcher), Almeida, A. (Researcher), Santos, M. (Scholarship holder), Santos, P. (Researcher), Miguel, S. (Researcher), Mendes, K. (Researcher), Gomes, A. P. (Researcher), Henriques, J. M. P. (Researcher), Costa, H. A. F. P. (Researcher) & Ribeiro, P. (Researcher)
Fundação para a Ciência e a Tecnologia
1/01/20 → 31/12/24
Project: Research

Cite this

@article{58c8f9cdb967400fafda5373c25deef7,

title = "Hopelessness a predictor of spiritual distress nursing diagnosis in cancer patients: a follow-up study",

abstract = "Background Spiritual distress is defned as a lack of meaning in life, disconnection, sufering and anger at God. Also, spiritual distress, is a nursing diagnosis according to NANDA-International, Inc, which hopelessness is one of the defning characteristics. The aim of this study was to assess hopelessness as a predictor of in spiritual distress nursing diagnosis in cancer patients during chemotherapy treatment. Materials and methods A quantitative, observational and follow up study. It was comprised 322 outpatients with cancer followed at an Oncology Unit, randomly selected. The data was collected when patients were initiating chemotherapy and then quarterly until completing one year of chemotherapy. In addition, data collection occurred between February 2019 and May 2015, and was applied a questionnaire. The data was analyzed statistically through the program SPSS version 21. This study, was approved by the hospital´s Ethics Committee where the study was conducted. Results The initial sample embraced 188 females and 144 males. The dropout rate of this study reached 17,5% after twelve months. The age range was between 22 to 83 years old. Most of the patients had breast cancer (n=27.70%), colorectal cancer (n=23.7%) and lung cancer (n=14.8%). The frequency of hopelessness during the chemotherapy increased its value, such as before chemotherapy (n=55, 10.5%), after three months (n= 40, 12.7%), after six months (n= 41, 13.5%), after nine months (n= 40, 14.0%) and after twelve months (n= 42, 15.3%). Hopelessness was a predictor of spiritual distress after nine (ꞵ=3.254, p=0.029) and twelve months (ꞵ=3.461, p=0.019) since the beginning of chemotherapy. Conclusions At the end of nine months after the start of chemotherapy, hopelessness appears as a predictive variable for the diagnosis of spiritual distress, therefore nurses can anticipate autonomous nursing interventions with the purpose for the readiness for enhanced hope in cancer patients.",

author = "Helga Martins and Joana Romeiro and S{\'i}lvia Caldeira",

year = "2023",

month = aug,

language = "English",

volume = "17",

pages = "29--29",

journal = "BMC Proceedings",

issn = "1753-6561",

publisher = "BioMed Central Ltd.",

number = "Suppl 9",

note = "Encontro Nacional do Centro de Investiga{\c c}{\~a}o Interdisciplinar em Sa{\'u}de (CIIS) ; Conference date: 31-03-2023 Through 01-04-2023",

url = "https://fm.ucp.pt/pt-pt/noticias/encontro-nacional-do-centro-de-investigacao-interdisciplinar-em-saude-ciis-7086",

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TY - JOUR

T1 - Hopelessness a predictor of spiritual distress nursing diagnosis in cancer patients

T2 - Encontro Nacional do Centro de Investigação Interdisciplinar em Saúde (CIIS)

AU - Martins, Helga

AU - Romeiro, Joana

AU - Caldeira, Sílvia

PY - 2023/8

Y1 - 2023/8

N2 - Background Spiritual distress is defned as a lack of meaning in life, disconnection, sufering and anger at God. Also, spiritual distress, is a nursing diagnosis according to NANDA-International, Inc, which hopelessness is one of the defning characteristics. The aim of this study was to assess hopelessness as a predictor of in spiritual distress nursing diagnosis in cancer patients during chemotherapy treatment. Materials and methods A quantitative, observational and follow up study. It was comprised 322 outpatients with cancer followed at an Oncology Unit, randomly selected. The data was collected when patients were initiating chemotherapy and then quarterly until completing one year of chemotherapy. In addition, data collection occurred between February 2019 and May 2015, and was applied a questionnaire. The data was analyzed statistically through the program SPSS version 21. This study, was approved by the hospital´s Ethics Committee where the study was conducted. Results The initial sample embraced 188 females and 144 males. The dropout rate of this study reached 17,5% after twelve months. The age range was between 22 to 83 years old. Most of the patients had breast cancer (n=27.70%), colorectal cancer (n=23.7%) and lung cancer (n=14.8%). The frequency of hopelessness during the chemotherapy increased its value, such as before chemotherapy (n=55, 10.5%), after three months (n= 40, 12.7%), after six months (n= 41, 13.5%), after nine months (n= 40, 14.0%) and after twelve months (n= 42, 15.3%). Hopelessness was a predictor of spiritual distress after nine (ꞵ=3.254, p=0.029) and twelve months (ꞵ=3.461, p=0.019) since the beginning of chemotherapy. Conclusions At the end of nine months after the start of chemotherapy, hopelessness appears as a predictive variable for the diagnosis of spiritual distress, therefore nurses can anticipate autonomous nursing interventions with the purpose for the readiness for enhanced hope in cancer patients.

AB - Background Spiritual distress is defned as a lack of meaning in life, disconnection, sufering and anger at God. Also, spiritual distress, is a nursing diagnosis according to NANDA-International, Inc, which hopelessness is one of the defning characteristics. The aim of this study was to assess hopelessness as a predictor of in spiritual distress nursing diagnosis in cancer patients during chemotherapy treatment. Materials and methods A quantitative, observational and follow up study. It was comprised 322 outpatients with cancer followed at an Oncology Unit, randomly selected. The data was collected when patients were initiating chemotherapy and then quarterly until completing one year of chemotherapy. In addition, data collection occurred between February 2019 and May 2015, and was applied a questionnaire. The data was analyzed statistically through the program SPSS version 21. This study, was approved by the hospital´s Ethics Committee where the study was conducted. Results The initial sample embraced 188 females and 144 males. The dropout rate of this study reached 17,5% after twelve months. The age range was between 22 to 83 years old. Most of the patients had breast cancer (n=27.70%), colorectal cancer (n=23.7%) and lung cancer (n=14.8%). The frequency of hopelessness during the chemotherapy increased its value, such as before chemotherapy (n=55, 10.5%), after three months (n= 40, 12.7%), after six months (n= 41, 13.5%), after nine months (n= 40, 14.0%) and after twelve months (n= 42, 15.3%). Hopelessness was a predictor of spiritual distress after nine (ꞵ=3.254, p=0.029) and twelve months (ꞵ=3.461, p=0.019) since the beginning of chemotherapy. Conclusions At the end of nine months after the start of chemotherapy, hopelessness appears as a predictive variable for the diagnosis of spiritual distress, therefore nurses can anticipate autonomous nursing interventions with the purpose for the readiness for enhanced hope in cancer patients.

M3 - Meeting Abstract

SN - 1753-6561

VL - 17

SP - 29

EP - 29

JO - BMC Proceedings

JF - BMC Proceedings

IS - Suppl 9

M1 - P57

Y2 - 31 March 2023 through 1 April 2023

ER -

Hopelessness a predictor of spiritual distress nursing diagnosis in cancer patients: a follow-up study

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