A Study of Spiritual Needs and Spiritual Well-Being of Adolescents with Cancer
|Keywords:||癌症;青少年;靈性安適;靈性需求;spiritual needs;adolescent;cancer;spiritual well-being||Issue Date:||2004||Abstract:||
The purpose of this research is to survey the spiritual needs and well-being of adolescents with cancer. The research was conducted in a medical center in Taipei. During the time of the research, there were 11 cases who fit the sample descriptions in the center, who were 13 to 18-year-old cancer patients. The researcher adopted descriptive qualitative approach in the interview. First the researcher made contact with patients in OPD or their ward. Then the interviews were conducted in a semi-structured interview form in quiet, undisturbed surroundings, such as a vacant clinical room, bed side, or patients’ homes. The interviews lasted from 35 to 90 minutes, 49 minutes on the average. Each interview was tape-recorded and then transcribed into narrative data. After analyzing the data with content analysis approach, the researcher came up with 1231 behavior units.
Using quantitative analysis, these behavior units were classified into 5 categories in terms of spiritual needs, which are need for support 55.24%, need for hope 30.79%, need for explanation 5.61%, need for meaning 5.52%, and the need for belief 2.84%. There are 3 types of need for support, which are family, society, and recreation. There are 6 types of need for hope, which are soundness of health, accomplishment of tasks, better looks, helping others, participating activities, clearing material and non-material debt. The need for explanation contains life style, debt of previous lives, life challenges, genetic facts, and fate. The need for meaning contains happiness, personal missions, aliveness, never found, God’s will, life events-birth, age, illness and death. And the need for belief contains comfort and peace, care for soul, facing disease and challenge, being free from fear of pain and death.
In terms of spiritual well-being, the behavior units are classified into 2 categories, which are positive (well) 69.05%, and negative (not well) 30.95%. The positive conditions include 12 types: calm, supported, hopeful, optimistic, joyful, grateful, trustful, peaceful, cherishing, content, fearless, and respectful. And the negative conditions include 18 types: upset, discontent, painful, passive, worried, stressful, sad, bored, complaining, scared, lonely, angry, distrusted, regretful, sorry, shocked, contradicted, and confused.
The result of the study shows that when divided in two groups according to gender, the male and female cases don’t have significant differences regarding spiritual needs. However, the male cases tend to be more positive than females in spiritual well-being. When divided into two age groups-the younger and the senior adolescents, the senior tend to think about meaning and purpose of life more than the younger ones. But the two age groups are about the same in spiritual well-being. When divided into three groups according to the treatment stage-the cases who have stopped medication, the cases under treatment, and the cases that have returned because of relapse of cancer, the returned cases obviously have higher need for hope, meaning, and belief than the other two groups. And the cases under treatment are more positive than the other two in terms of spiritual well-being.
The finding of this research may act as a reference of clinical nursing and related research. The factors that affect the spiritual need and well-being of adolescents with cancer include gender, age, and treatment stage.
|Appears in Collections:||護理學系所|
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