Spiritual care needs and associated factors among patients with ostomy: A Cross‐Sectional Study

Abstract

Aims and objectives To investigate the spiritual care needs and associated factors in patients with ostomy. Background The significance of the spiritual care needs of the patients has been emphasised across countries and cultures in the literature. Design A descriptive, cross‐sectional study. Methods Outpatients with an ostomy (n = 127) were recruited from proctology, wound and stoma therapy unit and general surgery clinics between January and 28 March 2020. The data were collected using the Socio‐demographic Characteristics Form and Spiritual Care Needs Inventory (SCNI). SCNI has two components, namely ‘meaning and hope’ and ‘caring and respect’. Descriptive statistics, correlation, Student's t test, ANOVA and multiple linear regression analyses were used to analyse the data. The STROBE checklist was used to report the study. Results The mean scores of the spiritual care needs (65.31 ± 12.83), meaning and hope (37.35 ± 9.37), and caring and respect (27.96 ± 5.63) of the patients with ostomy were found to be moderate. The most significant factors affecting the meaning and hope component were the age, being female and decreases in the level of income. Scores of the patients who perceived the severity of the disease seriously and who practiced religious ritual regularly had more spiritual care needs for the component of caring and respect. Patients with ostomy needed interaction, respect for their privacy and dignity, to be shown concern and to be respected for their religious and cultural beliefs, which were the most salient needs. Conclusions There is an unambiguous requirement for nurses to ensure spiritual care for patients with ostomy. Showing interest and spending time for the interaction with patients with ostomy, need‐based spiritual practices and life review are key elements of spiritual care. Relevance to clinical practice Evaluating patients with ostomy spiritually requires information about how spiritual needs may arise and how to talk about spiritual needs. The result of the present study may help nurses to begin the process of maintaining spiritual care for patients with ostomy.

Spiritual care needs and their associated influencing factors among elderly patients with moderate-to-severe chronic heart failure in China: A cross-sectional study

“…The results of this study showed that religious belief and educational background were the influencing factors of spiritual care needs, and patients with religious belief and high educational background had high spiritual care needs, which was similar to the results of previous studies (Forouzi et al, 2017;Cheng et al, 2018;Ayik et al, 2021). The reasons may be as follows: First, religious belief is an important part of spiritual care needs, which is an expression of spirituality, at the highest level of spiritual conceptual framework, and its expression forms mainly include participating in religious activities, reading related books, and so on, seeking integration in the relationships among heaven, human, things, and myself, seeking eternal life meaning and value, and regaining peace and comfort through continuous transcendence and integration.…”

“…The American National Consensus Project (ANCP) for Quality Palliative Care (Handzo et al, 2020) pointed out that spirituality is a way for people to find and express the meaning, value, and purpose of life and to experience the connection among themselves, others, supremes (such as Gods or holiness), nature, and beliefs. Spiritual care is to provide individuals with care measures or activities in line with their culture and beliefs by listening, accompanying, or discussing the meaning and value of life with patients according to the assessment results of individual spiritual needs or problems (Ayik et al, 2021). As the core of palliative care and holistic care, spiritual care aims to meet patients’ spiritual needs and alleviate spiritual problems, including helping patients seek meaning and purpose in life when suffering from illness, giving love and forgiveness, and obtaining internal and external resources, so that patients can get peace and comfort (Donesky et al, 2020).…”

Needs for nurses to provide spiritual care and their associated influencing factors among elderly inpatients with stroke in China: A cross-sectional quantitative study

“…Worrying about life and death coupled with the shortage of social support system are more likely to suffer spiritual distress and pain of different degrees of body-mind-society-spirit integrity than young and middle-aged patients, such as anxiety, depression, the self-perceived burden increased, self-efficacy and happiness decreased, and the fear of death (Kim et al, 2015). More importantly, studies have reported that the elderly usually have the need to find the meaning and value of life, hope and strength, forgiveness and other needs, that is, spiritual care needs (Ayik et al, 2021).…”

“…Spirituality is derived from the Latin word “Spiritus,” which means breathing, courage, strength, energy and soul, and usually endowed with the spirit of life (Lazenby, 2010). Spiritual care refers to the provision of care measures or activities for individuals according to their culture and beliefs by listening, accompanying or discussing the meaning and value of life with patients according to the assessment results of individual spiritual needs and pains (Ayik et al, 2021; Johnson et al, 2021). At present, the definition of spiritual care needs has not reached a consensus.…”

Spiritual care perceptions and empathy of Chinese nursing students: The mediating roles of spiritual well-being

“…Spirituality is derived from the Latin word “Spiritus,” which means breathing, courage, strength, energy, and soul, and usually endowed with the spirit of life, meaning to make life more abundant and vigorous (Lazenby, 2010; Weathers et al, 2016; Green et al, 2020). Spiritual care refers to the provision of care measures or activities for individuals according to their culture and beliefs by listening, accompanying, or discussing the meaning and value of life with patients according to the assessment results of individual spiritual needs and pains (Ayik et al, 2021; Johnson et al, 2021). During spiritual care, nurses can achieve resonance and empathy with patients, help patients explore the value of life and find the meaning of life, and help patients build a healthy body, psychology, and spirituality (Donesky et al, 2020; Musa, 2020).…”