Correlation between Spiritual Health and Perceived Stress in Cancer Patients undergoing Chemotherapy

Khashmi, Mehdi; Tabarsy, Beheshteh; Aghahosseini, Shima Sadat

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Civilica.com

/https://civilica.com/l/139890

Volume 1, Issue 4 (2-2025)

Knowledge of Nursing 2025, 1(4): 301-310

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Correlation between Spiritual Health and Perceived Stress in Cancer Patients undergoing Chemotherapy

Mehdi Khashmi

, Beheshteh Tabarsy

, Shima Sadat Aghahosseini ^*

Department of Nursing, Faculty of Nursing and Midwifery, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran , shima.aghahosseini@sbmu.ac.ir

Abstract: (203 Views)

Background and Aim: Stress is one of the common disorders that affects the treatment process in cancer patients. The paradoxical relationships found between spiritual health and perceived stress in cancer patients in international studies and the lack of similar studies in Iran prompted the researchers to conduct a study with the aim of investigating the correlation between spiritual health and perceived stress in cancer patients undergoing chemotherapy.
Materials and Methods: This is a descriptive-correlational study that was conducted on 150 patients referred to the oncology and chemotherapy departments of medical centers affiliated to Tehran Islamic Azad University of Medical Sciences in 2024. Patients were selected to take part in the study based on inclusion criteria, using a purposive sampling method. A demographic information questionnaire, the Paloutzian & Ellison’s spiritual well-being scale and the perceived stress scale (PSS-14) were used to collect the data. Data was analyzed by SPSS-26 software, using descriptive and inferential statistics.
Results: The findings showed that perceived stress had a negative and significant correlation with spiritual health (r=-0.550, P<0.001).
Conclusion: Spiritual health can reduce the level of stress in cancer patients and ultimately, helps them to recover quicker. Therefore, it seems necessary to pay attention to spiritual health as one of the dimensions of health, because it affects the level of perceived stress in cancer patients.

Keywords: Spiritual Health, Stress, Cancer.

Full-Text [PDF 342 kb] (94 Downloads)

Type of Study: Applicable | Subject: Special
Received: 2025/02/26 | Accepted: 2025/02/22 | Published: 2025/02/22

References

1. Siegel RL, Miller KD, Jemal A. Cancer statistics, 2019. CA: A Cancer Journal for Clinicians. 2019;69(1):7-34. [DOI:10.3322/caac.21551]

2. Zendehdel K. Cancer statistics in IR Iran in 2018. Basic & Clinical Cancer Research. 2019;11(1):1-4. [DOI:10.18502/bccr.v11i1.1645]

3. Torre LA, Bray F, Siegel RL, Ferlay J, Lortet‐Tieulent J, Jemal A. Global cancer statistics, 2012. CA: A Cancer Journal for Clinicians. 2015;65(2):87-108. [DOI:10.3322/caac.21262]

4. Aghahosseini Sh. A comprehensive review on the diagnosis and the treatment of some type of cancer. Berlin, Germany: Lambert Academic Publishing; 2024.

5. Sharma A, Jasrotia S, Kumar A. Effects of chemotherapy on the immune system: implications for cancer treatment and patient outcomes. Naunyn-Schmiedeberg's Archives of Pharmacology. 2024;397(5):2551-66. [DOI:10.1007/s00210-023-02781-2]

6. Baker PD, Ellett ML. Measuring nausea and vomiting in adolescents: a feasibility study. Gastroenterology Nursing. 2017; 30(1):18-28. [DOI:10.1097/00001610-200701000-00002]

7. Takahashi T, Hondo M, Nishimura K, Kitani A, Yamano T, Yanagita H, et al. Evaluation of quality of life and psychological response in cancer patients treated with radiotherapy. Radiation Medicine. 2018;26(7):396-401. [DOI:10.1007/s11604-008-0248-5]

8. Corner J, Bailey CD. Cancer nursing: care in context: 2nd edition. USA: John Wiley & Sons; 2019.

9. Bloch SB, Stripp TA, Nissen RD, Wallin JA, Hvidt NC, Viftrup DT. Measuring spiritual, religious, and existential constructs in children: A systematic review of instruments and measurement properties. Archive for the Psychology of Religion. 2025;27:00846724241309924. [DOI:10.1177/00846724241309924]

10. Zhang G, Zhang Q, Li F. The impact of spiritual care on the psychological health and quality of life of adults with heart failure: a systematic review of randomized trials. Frontiers in Medicine. 2024;11:1334920. [DOI:10.3389/fmed.2024.1334920]

11. Sadat Aghahosseini S, Rahmani A, Abdollahzadeh F, Asvadi Kermani I. The Relation between Awareness of Cancer Diagnosis and Spiritual Health among Cancer Patients. J Caring Sci. 2012;27;1(2):67-72.

12. Martins H, Romeiro J, Casaleiro T, Vieira M, Caldeira S. Insights on spirituality and bereavement: A systematic review of qualitative studies. Journal of Clinical Nursing. 2024;33(5):1593-603. [DOI:10.1111/jocn.17052]

13. Vamghi R, Amir Ali Akbari S, Sajdi F, Sajjadi H, Haji Ismaili S. Comparison of stress and perceived social support in mothers of children aged 6-18 months with and without developmental delay. Hayat. 2015:21(3):74-87. [Persian]

14. Ma Y, Kroemer G. The cancer-immune dialogue in the context of stress. Nature Reviews Immunology. 2024;24(4):264-81. [DOI:10.1038/s41577-023-00949-8]

15. Gonzalez P, Castañeda SF, Dale J, Medeiros EA, Buelna C, Nuñez A,et al. Spiritual well-being and depressive symptoms among cancer survivors. Support Care Cancer. 2014;22(9):2393-400. [DOI:10.1007/s00520-014-2207-2]

16. Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. Journal of Health and Social Behavior. 1983; 24(4): 385-396. [DOI:10.2307/2136404]

17. Sehhati Shafaei F, Mirghafourvand M, Hoseinzadeh M. Perceived stress and its relationship with perceived social support in women undergoing chemotherapy for reproductive system cancers. Hayat. 2018;24(3):269-278. [Persian]

18. Turke KC, Canonaco JS, Artioli T, Lima MSS, Batlle AR, Oliveira FCP, et al. Depression, anxiety and spirituality in oncology patients. Rev Assoc Med Bras. 2020;66(7):960-965. [DOI:10.1590/1806-9282.66.7.960]

19. Einy S, Hashemi Z. The Role of Religious Coping, Spiritual Intelligence, and Spiritual Well-being in Predicting the Perceived Stress of Patients with Cancer. Shefaye Khatam. 2020;8(3):70-79. [Persian] [DOI:10.29252/shefa.8.3.70]

20. Khalajinia Z, Ramandi A, Akbari V, Vahedian M. The Relationship Between Spiritual Health and Hospital Anxiety and Depression in Patients with Gastrointestinal Cancer. Health Spiritual Med Ethics. 2022;9(1):21-30. [DOI:10.32598/hsmej.9.1.5]

21. Solaymani A, Shariatnia K, Akbari H. Comparing the Effects of Cognitive Hypnotherapy and Spiritual Therapy on Death Anxiety in Women with Breast Cancer. J Prevent Med. 2022; 9(3):280-291.

22. Mato S, Safarinia M, Alipour A. The effect of spiritual therapy on fear of recurrence and disease perception of women with breast cancer. Medical ethics. 2022;16(47):e7. [Persian]

23. Hosseini Poor Abardeh F S, Niknam M. The Relationship Between Spiritual Health with Existential Anxiety and Morbid Anxiety in Female Patients with Breast Cancer. J Arak Uni Med Sci. 2021; 24(3):360-371. [Persian] [DOI:10.32598/jams.24.3.5952.2]

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Khashmi M, Tabarsy B, Aghahosseini S S. Correlation between Spiritual Health and Perceived Stress in Cancer Patients undergoing Chemotherapy. Knowledge of Nursing 2025; 1 (4) :301-310
URL: http://knjournal.ir/article-1-91-en.html

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