Relationship Between Spiritual Care Needs, Sleep Quality in Older Patients with Cancer

Year 2025, Volume: 14 Issue: 1, 57 - 64, 28.03.2025

Arzu Uslu , Fatma Zehra Genç

Abstract

Objective: To investigate the spiritual care needs and sleep quality of older patients with cancer and determine the relationship between these variables. Materials and Methods: Research was conducted with 174 older patients with cancer. Data were collected using Introductory Information Form, Spiritual Care Needs Inventory, Pittsburgh Sleep Quality Index. Data were analyzed using Independent Two Sample T, Mann Whitney U, One-Way Analysis of Variance and Pearson Correlation Tests. Results: The spiritual care needs of those who were married, never used caffeine, used traditional treatment, and who could not fulfill their religious activities during cancer process were higher. Participants with additional chronic diseases had poor sleep quality. 71.8% of participants had poor sleep quality, 58.3% of those had high spiritual care needs. According to mean scores of the scales, participants had moderate spiritual care needs, poor sleep quality. No significant relationship (r= -0.026; p=0.733) was found between spiritual care needs and sleep quality. Conclusion: Although there was no relationship between spiritual care needs and sleep quality of older patients with cancer, they had spiritual care needs and their sleep quality was poor. The spiritual care needs of this population should be met and interventions to improve sleep quality should be planned.

Keywords

Nursing, Cancer Care, Spiritual, Sleep, Older Health

Ethical Statement

Permission for the study was obtained from the Clinical Research Ethics Committee (HRÜ/23.10.27). Permission to use the scale was obtained from the owners of SCNI and PSQI. The patients included were informed about the study's aim, that participation was voluntary and written informed consent was obtained.

Supporting Institution

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Project Number

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Thanks

We thank all participants in the present study for their generous cooperation.

Yaşlı Kanser Hastalarında Spiritüel Bakım Gereksinimi ile Uyku Kalitesi Arasındaki İlişki

Abstract

Yaşlı kanser hastalarında spiritüel bakım gereksinimlerinin ve uyku kalitelerinin belirlenmesi ve değişkenler arasındaki ilişkinin saptanması amaçlanmaktadır. Gereç ve Yöntem: Araştırma 174 yaşlı kanser hastası ile yürütüldü. Veriler, Tanıtıcı Bilgi Formu, Spiritüel Bakım Gereksinimleri Ölçeği ve Pittsburgh Uyku Kalitesi Ölçeği ile toplandı. Veriler Bağımsız İki Örnek T, Man Whitney U, Tek Yönlü Varyans Analizi ve Pearson Korelasyon Testleri ile analiz edildi. Bulgular: Evlilerin, hiç kafein kullanmayanların, geleneksel tedavi kullananların, kanser sürecinde dini aktivitelerini hiç yerine getiremeyenlerin spiritüel bakım gereksinimlerinin daha yüksek olduğu belirlendi. Ek kronik hastalığı olanların uyku kalitesinin daha kötü olduğu saptandı. Katılımcıların %71.8’inin uyku kalitesinin zayıf ve %58.3’nün bakım gereksinimlerinin yüksek olduğu bulundu. Katılımcıların genel ölçek puan ortalamalarına göre spiritüel bakım gereksinimlerinin orta düzeyde ve uyku kalitelerinin kötü olduğu belirlendi. Yaşlı kanser hastalarında spiritüel bakım gereksinimleri ile uyku kalitesi arasında anlamlı bir ilişki (r: -0.026; p: 0.733) olmadığı ortaya çıktı. Sonuç: Yaşlı kanser hastalarının spiritüel bakım gereksinimleri ve uyku kaliteleri arasında ilişki bulunmamasına rağmen, spiritüel bakım gereksinimleri olduğu ve uyku kalitelerinin kötü olduğu belirlenmiştir. Bu hastaların spiritüel bakım gereksinimleri karşılanmalı, uyku kalitesini arttırmaya yönelik girişimler planlanmalıdır.

Keywords

Hemşire, Kanser Bakım, Spiritüel, Uyku, Yaşlı Sağlığı

Project Number

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References

• Agargun, M. Y. (1996). Pittsburgh uyku kalitesi indeksinin gecerligi ve guvenirligi. Turk Psikiyatri Dergisi, 7, 107-115.
• Al Maqbali, M., Al Sinani, M., Alsayed, A., & Gleason, A. M. (2022). Prevalence of sleep disturbance in patients with cancer: A systematic review and meta-analysis. Clinical Nursing Research, 31(6), 1107–1123. https://doi.org/10.1177/10547738221092146
• Buysse, D. J., Reynolds, C. F., Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). The Pittsburgh sleep quality index: A new instrument for psychiatric practice and research. Psychiatry Research, 28(2), 193–213. https://doi.org/10.1016/0165-1781(89)90047-4
• Carroll, J. E., Bower, J. E., & Ganz, P. A. (2022). Cancer-related accelerated ageing and biobehavioural modifiers: A framework for research and clinical care. Nature Reviews Clinical Oncology, 19(3), 173–187. https://doi.org/10.1038/s41571-021-00580-3
• Cheng, K. K. F., & Lee, D. T. F. (2011). Effects of pain, fatigue, insomnia, and mood disturbance on functional status and quality of life of elderly patients with cancer. Critical Reviews in Oncology/Hematology, 78(2), 127–137. https://doi.org/10.1016/j.critrevonc.2010.03.002
• de Diego-Cordero, R., Acevedo-Aguilera, R., Vega-Escaño, J., & Lucchetti, G. (2022). The use of spiritual and religious interventions for the treatment for insomnia: A scoping review. Journal of Religion and Health, 61(1), 507–523. https://doi.org/10.1007/s10943-020-01067-8
• Endeshaw, D., Biresaw, H., Asefa, T., Yesuf, N. N., & Yohannes, S. (2022). Sleep quality and associated factors among adult cancer patients under treatment at oncology units in amhara region, Ethiopia. Nature and Science of Sleep, 14, 1049–1062. https://doi.org/10.2147/NSS.S356597
• International Agency for Research on Cancer. (2025). Breast cancer. https://www.iarc.who.int/cancer-type/breast-cancer/
• İsmailoğlu, E. G., Özdemir, H., Erol, A., & Zaybak, A. (2019). Spiritüel bakım gereksinimleri ölçeği türkçe formunun geçerlik ve güvenirliği. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi, 12(4), 255-263.
• Khoramirad, A., Mousavi, M., Dadkhahtehrani, T., & Pourmarzi, D. (2015). Relationship between sleep quality and spiritual well-being/religious activities in muslim women with breast cancer. Journal of Religion and Health, 54(6), 2276–2285. https://doi.org/10.1007/s10943-014-9978-0
• Kutlu, R., Çivi, S., Börüban, M. C., & Demir, A. (2011). Kanserli hastalarda depresyon ve yaşam kalitesini etkileyen faktörler. Selçuk Üniversitesi Tıp Dergisi, 27(3), 149-153.
• Loh, K. P., Pandya, C., Zittel, J., Kadambi, S., Flannery, M., Reizine, N., Magnuson, A., Braganza, G., Mustian, K., Dale, W., Duberstein, P., & Mohile, S. G. (2017). Associations of sleep disturbance with physical function and cognition in older adults with cancer. Supportive Care in Cancer, 25(10), 3161–3169. https://doi.org/10.1007/s00520-017-3724-6
• National Comprehensive Cancer Network. Older Adult Oncology NCCN Guidelines Version 1.2023. https://www.nccn.org/guidelines/guidelines-detail?category=4&id=1452
• Palmer Kelly, E., Paredes, A. Z., Tsilimigras, D. I., Hyer, J. M., & Pawlik, T. M. (2022). The role of religion and spirituality in cancer care: An umbrella review of the literature. Surgical Oncology, 42, 101389. https://doi.org/10.1016/j.suronc.2020.05.004
• Pang, L., de la Cruz, M., Wu, J., Liu, D., Naqvi, M., & Bruera, E. (2019). Symptom frequency and change of oldest old cancer patients. Supportive Care in Cancer, 27(11), 4165–4170. https://doi.org/10.1007/s00520-019-04702-7
• Pearce, M. J., Coan, A. D., Herndon, J. E., Koenig, H. G., & Abernethy, A. P. (2012). Unmet spiritual care needs impact emotional and spiritual well-being in advanced cancer patients. Supportive Care in Cancer, 20(10), 2269–2276. https://doi.org/10.1007/s00520-011-1335-1
• Ratshikana-Moloko, M., Ayeni, O., Tsitsi, J. M., Wong, M. L., Jacobson, J. S., Neugut, A. I., Sobekwa, M., Joffe, M., Mmoledi, K., Blanchard, C. L., Mapanga, W., Ruff, P., Cubasch, H., O’Neil, D. S., Balboni, T. A., & Prigerson, H. G. (2020). Spiritual care, pain reduction, and preferred place of death among advanced cancer patients in Soweto, South Africa. Journal of Pain and Symptom Management, 60(1), 37–47. https://doi.org/10.1016/j.jpainsymman.2020.01.019
• Wang, Y.-C., & Lin, C.-C. (2016). Spiritual well-being may reduce the negative impacts of cancer symptoms on the quality of life and the desire for hastened death in terminally ill cancer patients. Cancer Nursing, 39(4), E43. https://doi.org/10.1097/NCC.0000000000000298
• World Health Organization. (2024). Cancer Today. https://gco.iarc.fr/today/online-analysis-pie?v=2020&mode=cancer&mode_population=continents&population=900&populations=900&key=total&sex=0&cancer=39&type=0&statistic=5&prevalence=0&population_group=0&ages_group%5B%5D=12&ages_group%5B%5D=17&nb_items=7&group_cancer=1&include_nmsc=1&include_nmsc_other=1&half_pie=0&donut=0
• Wu, L.-F., Koo, M., Liao, Y.-C., Chen, Y.-M., & Yeh, D.-C. (2016). Development and validation of the spiritual care needs inventory for acute care hospital patients in Taiwan. Clinical Nursing Research, 25(6), 590–606. https://doi.org/10.1177/1054773815579609
• Zhang, Q., Yu, M., Tang, R., Wang, H., Xiao, M., Geng, G., Xie, J., & Yan, H. (2023). A pathway model of chronic pain and frailty in older Chinese cancer patients: The mediating effect of sleep. Geriatric Nursing, 50, 215–221. https://doi.org/10.1016/j.gerinurse.2023.01.015