Volume 27, Issue 4 (10-2019)                   Avicenna J Nurs Midwifery Care 2019, 27(4): 209-221 | Back to browse issues page

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Hashemi B M, Sarabian S, Kashani Lotfabadi M, Hosseini S, Mohammadi A. The Effect of Spiritual Intelligence Training on Human Dignity in Patients with Cancer: Clinical Trial. Avicenna J Nurs Midwifery Care 2019; 27 (4) :209-221
URL: http://nmj.umsha.ac.ir/article-1-1978-en.html
The Effect of Spiritual Intelligence Training on Human Dignity in Patients with Cancer: Clinical Trial
Bibi Maryam Hashemi * 1, Saeed Sarabian2 , Masoud Kashani Lotfabadi3 , Sare Hosseini4 , Azam Mohammadi5
1- Ms in Islamic Psychology, Payam Noor University of Gonabad, Gonabad, Iran , hashemem@gmail.com
2- Assistant Professor of Child and Adolescent Clinical Psychology, Payame Noor University of Mashhad, Mashhad, Iran
3- Ms in Psychiiatry clinical, Psychiatry and Behavioral Sciences Research Center, Ibn-Sina psychiatric hospital, Mashhad University of Medical Sciences, Mashhad, Iran
4- Assistant Professor of Radiotherapy and Oncology, Cancer Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
5- Ms in Nursing Psychiatric, Psychiatry and Behavioral Sciences Research Center, Ibn-Sina psychiatric hospital, Mashhad University of Medical Sciences, Mashhad, Iran
Abstract:   (15119 Views)

Introduction: Diagnosis of cancer is associated with fear of dying, which greatly affects the human dignity of the individual. In Iran, the psychological issue of these patients, including human dignity and interventions in this field, has been underestimated. The aim of this study was to determine the effect of spiritual intelligence training on human dignity in cancer patients.
Methods: This randomized clinical trial with control group was performed on 50 cancer patients admitted to Omid Hospital in Mashhad in 2018 – 2019 (May -Jun). The patients were selected by available method and randomly assigned to two groups of intervention (23 patients) and control (n = 27). The intervention group underwent spiritual intelligence training according to King's (2008) model during ten sessions of one and a half hours. The control group received routine care. The data collection tool was a standard patient dignity inventory that was completed in two steps before intervention and 8 weeks after intervention. Data was analyzed using SPSS 21 software, t-paired and t-independent test.
Results: Both groups were homogeneous for demographic variables and there was no statistically significant difference between the two groups. There was no significant difference between the scores of both groups before entering the study (P = 0.68). There was a significant difference between the mean scores of the two groups before intervention and 8 weeks after intervention (P <0.001).
Conclusion: Spiritual intelligence training can enhance human dignity in cancer patients. Therefore, it is recommended to use it in hospitals.

Keywords: Spiritual intelligence, Education, Cancer, Human dignity
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✅ Spiritual intelligence training can enhance human dignity in cancer patients. Therefore, it is recommended to use it in hospitals.


Type of Study: Original Research | Subject: Nursing
Received: 2018/12/30 | Accepted: 2019/01/8 | Published: 2019/03/27
References
1. Hatamipour K, Rassouli M, Yaghmaie F, Zendedel K, Majd HA. Spiritual needs of cancer patients: A qualitative study. Indian journal of palliative care. 2015 Jan;21(1):61. [DOI:10.4103/0973-1075.150190] [PMID] [PMCID] [DOI:10.4103/0973-1075.150190] [PMID] [PMCID]
2. INCCCP. Iranian National Comprehensive Cancer Control Program https://www.cdc.gov/cancer/ncccp/index.htm 2013 [Last accessed on 2017 Aug 31 [
3. Organization WH. fact sheet on cancer http://www.who.int/mediacentre/factsheets/fs297/en/.2015 [
4. Rassouli M, Sajjadi M. Cancer care in countries in transition: The Islamic Republic of Iran. InCancer Care in Countries and Societies in Transition 2016 (pp. 317-336). Springer, Cham. [DOI:10.1007/978-3-319-22912-6_20] [DOI:10.1007/978-3-319-22912-6_20]
5. Maule M, Merletti F. Cancer transition and priorities for cancer control. The lancet oncology. 2012 Aug 1;13(8):745-6. [DOI:10.1016/S1470-2045(12)70268-1] [DOI:10.1016/S1470-2045(12)70268-1]
6. Bahrami M. Meanings and aspects of quality of life for cancer patients: A descriptive exploratory qualitative study. Contemporary nurse. 2011 Aug 1;39(1):75-84. [DOI:10.5172/conu.2011.39.1.75] [PMID] [DOI:10.5172/conu.2011.39.1.75] [PMID]
7. Zhang X, Xiao H, Chen Y. Effects of life review on mental health and well-being among cancer patients: A systematic review. International Journal of Nursing Studies. 2017 Sep 1;74:138-48. [DOI:10.1016/j.ijnurstu.2017.06.012] [PMID] [DOI:10.1016/j.ijnurstu.2017.06.012] [PMID]
8. Tuncer G, Yucel SC. Comfort and anxiety levels of women with early stage breast cancer who receive radiotherapy. Asian Pac J Cancer Prev. 2014 Jan 1;15(5):2109-14. [DOI:10.7314/APJCP.2014.15.5.2109] [PMID] [DOI:10.7314/APJCP.2014.15.5.2109] [PMID]
9. Lee SJ, Park JH, Park BY, Kim SY, Lee IH, Kim JH, Koh DH, Kim CH, Sohn MS. Depression and suicide ideas of cancer patients and influencing factors in South Korea. Asian Pac J Cancer Prev. 2014 Jan 1;15(7):2945-50. [DOI:10.7314/APJCP.2014.15.7.2945] [PMID] [DOI:10.7314/APJCP.2014.15.7.2945] [PMID]
10. Pearson EJ, Morris ME, McKinstry CE. Cancer-related fatigue: a survey of health practitioner knowledge and practice. Supportive Care in Cancer. 2015 Dec 1;23(12):3521-9. [DOI:10.1007/s00520-015-2723-8] [PMID] [DOI:10.1007/s00520-015-2723-8] [PMID]
11. Blinderman CD, Cherny NI. Existential issues do not necessarily result in existential suffering: lessons from cancer patients in Israel. Palliative medicine. 2005 Jul;19(5):371-80. [DOI:10.1191/0269216305pm1038oa] [PMID] [DOI:10.1191/0269216305pm1038oa] [PMID]
12. Boston P, Bruce A, Schreiber R. Existential suffering in the palliative care setting: an integrated literature review. Journal of pain and symptom management. 2011 Mar 1;41(3):604-18. [DOI:10.1016/j.jpainsymman.2010.05.010] [PMID] [DOI:10.1016/j.jpainsymman.2010.05.010] [PMID]
13. Afrooz R, Rahmani A, Zamanzadeh V, Abdullahzadeh F, Azadi A, Faghany S, Pirzadeh A. The nature of hope among Iranian cancer patients. Asian Pac J Cancer Prev. 2014 Jan 1;15(21):9307-12. [DOI:10.7314/APJCP.2014.15.21.9307] [PMID] [DOI:10.7314/APJCP.2014.15.21.9307] [PMID]
14. Chochinov HM. Dignity and the essence of medicine: the A, B, C, and D of dignity conserving care. Bmj. 2007 Jul 26;335(7612):184-7. [DOI:10.1136/bmj.39244.650926.47] [PMID] [PMCID] [DOI:10.1136/bmj.39244.650926.47] [PMID] [PMCID]
15. Rodríguez-Prat A, Monforte-Royo C, Porta-Sales J, Escribano X, Balaguer A. Patient perspectives of dignity, autonomy and control at the end of life: systematic review and meta-ethnography. PloS one. 2016 Mar 24;11(3):e0151435. [DOI:10.1371/journal.pone.0151435] [PMID] [PMCID] [DOI:10.1371/journal.pone.0151435] [PMID] [PMCID]
16. Philipp R, Mehnert A, Lehmann C, Oechsle K, Bokemeyer C, Krüll A, Vehling S. Detrimental social interactions predict loss of dignity among patients with cancer. Supportive Care in Cancer. 2016 Jun 1;24(6):2751-8. [DOI:10.1007/s00520-016-3090-9] [PMID] [DOI:10.1007/s00520-016-3090-9] [PMID]
17. Parandeh A, Khaghanizade M, Mohammadi E, Mokhtari-Nouri J. Nurses' human dignity in education and practice: An integrated literature review. Iranian journal of nursing and midwifery research. 2016 Jan;21(1):1. [DOI:10.4103/1735-9066.174750] [PMID] [PMCID] [DOI:10.4103/1735-9066.174750] [PMID] [PMCID]
18. Omathuna DP. The place of dignity in everyday ethics. J Christ Nurs . 2011 ;28(1):12-8. https://doi.org/10.1097/CNJ.0b013e3181fe7606 [DOI:10.1097/CNJ.0b013e3181fe7606 [DOI:10.1097/CNJ.0b013e3181fe7606 .] [PMID]] [PMID]
19. Whitehead J, Wheeler H. Patients' experiences of privacy and dignity. Part 1: a literature review. British Journal of Nursing. 2008 Mar 27;17(6):381-5. [DOI:10.12968/bjon.2008.17.6.28904] [PMID] [DOI:10.12968/bjon.2008.17.6.28904] [PMID]
20. Chochinov HM, Hassard T, McClement S, Hack T, Kristjanson LJ, Harlos M, Sinclair S, Murray A. The patient dignity inventory: a novel way of measuring dignity-related distress in palliative care. Journal of pain and symptom management. 2008 Dec 1;36(6):559-71. [DOI:10.1016/j.jpainsymman.2007.12.018] [PMID] [DOI:10.1016/j.jpainsymman.2007.12.018] [PMID]
21. Vehling S, Mehnert A. Symptom burden, loss of dignity, and demoralization in patients with cancer: a mediation model. Psycho‐Oncology. 2014 Mar;23(3):283-90. [DOI:10.1002/pon.3417] [PMID] [DOI:10.1002/pon.3417] [PMID]
22. LeBaron VT, Cooke A, Resmini J, Garinther A, Chow V, Quiñones R, Noveroske S, Baccari A, Smith PT, Peteet J, Balboni TA. Clergy views on a good versus a poor death: ministry to the terminally ill. Journal of palliative medicine. 2015 Dec 1;18(12):1000-7. [DOI:10.1089/jpm.2015.0176] [PMID] [PMCID] [DOI:10.1089/jpm.2015.0176] [PMID] [PMCID]
23. Borhani F, Abbaszadeh A, Rabori RM. New vision for the dignity: understanding the meaning of patient dignity in Iran. Br J Med Med Res. 2015 Feb 1;9(2):1-1. [DOI:10.9734/BJMMR/2015/18886] [DOI:10.9734/BJMMR/2015/18886]
24. Thuné‐Boyle IC, Stygall J, Keshtgar MR, Davidson TI, Newman SP. Religious/spiritual coping resources and their relationship with adjustment in patients newly diagnosed with breast cancer in the UK. Psycho‐Oncology. 2013 Mar;22(3):646-58. [DOI:10.1002/pon.3048] [PMID] [DOI:10.1002/pon.3048] [PMID]
25. Pargament KI, Koenig HG, Perez LM. The many methods of religious coping: Development and initial validation of the RCOPE. Journal of clinical psychology. 2000 Apr;56(4):519-43. 10.1002/(SICI)1097-4679(200004)56:4<519::AID-JCLP6>3.0.CO;2-1 [DOI:10.1002/(SICI)1097-4679(200004)56:43.0.CO;2-1] 10.1002/(SICI)1097-4679(200004)56:4<519::AID-JCLP6>3.0.CO;2-1 []
26. Pargament KI, Smith BW, Koenig HG, Perez L. Patterns of positive and negative religious coping with major life stressors. Journal for the scientific study of religion. 1998 Dec 1:710-24. [DOI:10.2307/1388152] [DOI:10.2307/1388152]
27. Marshall IN. SQ: spiritual intelligence: the ultimate intelligence. Bloomsbury; 2000.
28. George M. How intelligent are you... really? From IQ to EQ to SQ, with a little intuition along the way. Training & Management Development Methods. 2006 Aug 10;20(4):425.36.
29. Vaughan F. What is spiritual intelligence? Journal of Humanistic Psychology. 2003;42(2):16-33. [DOI:10.1177/0022167802422003] [DOI:10.1177/0022167802422003]
30. Bowell RA. The seven steps of spiritual intelligence: The practical pursuit of purpose, success, and happiness. Nicholas Brealey Publishing; 2004.
31. King DB. Rethinking claims of spiritual intelligence: A definition, model, an measure. Canada Trent University (Canada); 2008.
32. Nasel DD. Spiritual orientation in relation to spiritual intelligence: a consideration of traditional Christianity and new age/individualistic Spirituality The University of South Australia; 2004.
33. Elkins M, Cavendish R. Developing a plan for pediatric spiritual care. Holistic Nursing Practice. 2004 Jul 1;18(4):179-84. [DOI:10.1097/00004650-200407000-00002] [PMID] [DOI:10.1097/00004650-200407000-00002] [PMID]
34. Moazedyan P, Bagheri M. The spiritual intelligence training to family, affective, social and Physical adjustments in breast cancer patients Biannual Journal of Applied. 2016;6(1):89-101.
35. Movafagh A, Heidari MH, Abdoljabbari M, Mansouri N, Taghavi A, Karamatinia A, Mehrvar N, Hashemi M, Ghazi M. Spiritual therapy in coping with cancer as a complementary medical preventive practice. Journal of cancer prevention. 2017 Jun;22(2):82. [DOI:10.15430/JCP.2017.22.2.82] [PMID] [PMCID] [DOI:10.15430/JCP.2017.22.2.82] [PMID] [PMCID]
36. Salajegheh S, Raghibi M. The effect of combined therapy of spiritual-cognitive group therapy on death anxiety in patients with cancer. SSU_Journals. 2014 Jun 15;22(2):1130-9.
37. Chochinov HM, Hassard T, McClement S, Hack T, Kristjanson LJ, Harlos M, Sinclair S, Murray A. The patient dignity inventory: a novel way of measuring dignity-related distress in palliative care. Journal of pain and symptom management. 2008 Dec 1;36(6):559-71. [DOI:10.1016/j.jpainsymman.2007.12.018] [PMID] [DOI:10.1016/j.jpainsymman.2007.12.018] [PMID]
38. Vaghee S, Mazlom S, Davoudi N, Modares Gharav M. The effect of dignity therapy on human dignity in patients with chronic renal failure undergoing hemodialysis. Evidence Based Care. 2013 Jul 1;3(2):63-72.
39. Kruizinga R, Hartog ID, Jacobs M, Daams JG, Scherer‐Rath M, Schilderman JB, Sprangers MA, Van Laarhoven HW. The effect of spiritual interventions addressing existential themes using a narrative approach on quality of life of cancer patients: a systematic review and meta‐analysis. Psycho‐Oncology. 2016 Mar;25(3):253-65. [DOI:10.1002/pon.3910] [PMID] [DOI:10.1002/pon.3910] [PMID]
40. Moazedyan P, Bagheri M. The spiritual intelligence training to family, affective, social and Physical adjustments in breast cancer patients. Biannual Journal of Applied Counseling. 2016;6(1):89-101.
41. Zamani SN, Hajializadeh K. Studying effect of instructing spiritual intelligence on life quality and psychological well-being in patients with multiple sclerosis. South Journal of Educational Psychology and Counseling. 2015;2(1):28-36.
42. Salajegheh S, Raghibi M. The effect of combined therapy of spiritual-cognitive group therapy on death anxiety in patients with cancer. SSU_Journals. 2014 Jun 15;22(2):1130-9.
43. Taylor EJ, Petersen C, Oyedele O, Haase J. Spirituality and Spiritual Care of Adolescents and Young Adults with Cancer. Seminars in Oncology Nursing. 2015;31(3):227-41. [DOI:10.1016/j.soncn.2015.06.002] [PMID] [DOI:10.1016/j.soncn.2015.06.002] [PMID]
44. Singh MP, Sinha J. Impact of spiritual intelligence on quality of life. International Journal of Scientific and Research Publications. 2013 May;3(5):1-5.
45. Jim HS, Pustejovsky JE, Park CL, Danhauer SC, Sherman AC, Fitchett G, Merluzzi TV, Munoz AR, George L, Snyder MA, Salsman JM. Religion, spirituality, and physical health in cancer patients: A meta‐analysis. Cancer. 2015 Nov 1;121(21):3760-8. [DOI:10.1002/cncr.29353] [PMID] [PMCID] [DOI:10.1002/cncr.29353] [PMID] [PMCID]
46. van Meurs J, Smeets W, Vissers KC, Groot M, Engels Y. Nurses exploring the spirituality of their patients with cancer: Participant observation on a medical oncology ward. Cancer nursing. 2018 Jul;41(4):E39. [DOI:10.1097/NCC.0000000000000526] [PMID] [PMCID] [DOI:10.1097/NCC.0000000000000526] [PMID] [PMCID]
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