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Journal of Nursing ›› 2022, Vol. 29 ›› Issue (1): 1-6.doi: 10.16460/j.issn1008-9969.2022.01.001

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Status Quo of Spiritual Needs and Its Influence Factors in Elderly Patients with Chronic Heart Failure: A 321-case Study

WANG Zhang-yi1a, ZHAO Hao-mei2, Ye Jian-ya2, ZHANG Si-ai1a, WANG Yue1a, WANG Zhao1a, PANG Xiao-li1b   

  1. 1a. Graduate School; 1b. School of Nursing, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China;
    2. School of Nursing, Hebei University of Chinese Medicine, Shijiazhuang, 050000, China
  • Received:2021-08-03 Online:2022-01-10 Published:2022-02-14

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Abstract: Objective To investigate the status quo of spiritual needs and its influence factors among elderly patients with chronic heart failure, and to provide reference for the development of targeted spiritual care. Methods A convenient sample of 321 elderly patients with chronic heart failure were selected from 7 tertiary grade-A hospitals in Tianjin from March to July 2021, and they were surveyed by using general information questionnaire, the Chinese Version of the Spiritual Needs Questionnaire, the Perceived Social Support Scale and the Chinese Version of the Self-Transcendence Scale. Results The total score of spiritual needs was 40.51±15.89 and the average score for all entries was 1.50±0.56. Among the six dimensions, the highest score was “positive giving” 1.97±0.75, the lowest “belief-resources” 0.78±0.39. And spiritual needs were positively correlated with social support (r=0.687, P<0.01) and self-transcendence (r=0.701, P<0.01). Multiple linear regression analysis showed that religious beliefs, education background, course of heart failure, social support, and self-transcendence into the regression equation (F=59.681, P<0.01), explaining 57.4% of the total variation. Conclusion The spiritual needs of 321 elderly patients with chronic heart failure were in a moderate level. Religious beliefs, education background, course of heart failure, social support, and self-transcendence were the main factors affecting the spiritual needs. It is suggested that medical staff should take targeted spiritual care measures to meet their spiritual needs by improving social support and self-transcendence.

Key words: elderly, chronic heart failure, spiritual needs, social support, self-transcendence, influence factor

CLC Number: 

  • R473.5
[1] Park CL,Sacco SJ.Heart Failure Patients' Desires for Spiritual care, Perceived Constraints, and Unmet Spiritual Needs: Relations with Well-being and Health-related Quality of Life[J]. Psychol Health Med, 2017, 22(9):1011-1020. DOI: 10.1080/13548506.2016.1257813.
[2] Gillilan R, Qawi S, Weymiller AJ, et al.Spiritual Distress and Spiritual Care in Advanced Heart Failure[J]. Heart Fail Rev,2017,22(5):581-591.DOI:10.1007/s10741-017-9635-2.
[3] Clark CC, Hunter J.Spirituality, Spiritual Well-being, and Spiritual Coping in Advanced Heart Failure: Review of the Literature[J]. J Holist Nurs, 2019,37(1):56-73.DOI:10.1177/0898010118761401.
[4] Kimani KN, Murray SA, Grant L.Spiritual Issues of People Living and Dying with Advanced Heart Failure in Kenya: A Qualitative Serial Interview Study[J].BMJ Glob Health, 2016, 1(3):e77. DOI:10.1136/bmjgh-2016-000077.
[5] 刘丹娜, 詹艳, 胡德雄, 等. 中文完整版灵性需求问卷在慢性心力衰竭患者中的信效度检验[J]. 护理学报, 2020, 27(24):6-10. DOI:10.16460/j.issn1008-9969.2020.24.006.
[6] 刘爽, 朱路路, 王晓云, 等. 老年慢性心力衰竭患者居家期间灵性照护需求及照护体验的研究[J]. 护理学报, 2019, 26(9):6-9. DOI:10.16460/j.issn1008-9969.2019.09.006.
[7] 王华, 梁延春. 中国心力衰竭诊断和治疗指南2018[J]. 中华心血管病杂志, 2018, 46(10):760-789.DOI:10.3760/cma.j.issn.0253-3758.2018.10.004.
[8] 黎玥. 沙库巴曲缬沙坦对射血分数中间值慢性心力衰竭患者的临床疗效及安全性研究[D].沈阳:沈阳医学院, 2021.
[9] Büssing A, Zhai XF, Peng WB, et al.Psychosocial and Spiritual Needs of Patients with Chronic Diseases: Validation of the Chinese Version of the Spiritual Needs Questionnaire[J]. J Integr Med, 2013, 11(2):106-115.
[10] 赵越. 肿瘤病人灵性需求的现状及影响因素的研究[D]. 石河子: 石河子大学, 2018.
[11] Zimet GD, Powell SS, Farley GK, et al.Psychometric Characteristics of the Multidimensional Scale of Perceived Social Support[J]. J Pers Assess, 1990, 55(3/4):610-617. DOI:10.1080/00223891.1990.9674095.
[12] 汪向东, 王希林, 弘马. 心理卫生评定量表手册[M]. 北京: 中国心理卫生杂志社, 1999:131-134.
[13] Reed PG.Toward a Nursing Theory of Self-transcendence: Deductive Reformulation Using Developmental Theories[J]. ANS Adv Nurs Sci, 1991,13(4):64-77.DOI:10.1097/00012272-199106000-00008.
[14] 张晶, 孙建萍, 张璐, 等. 中文版自我超越量表在老年人群中的信效度检验[J]. 中国老年学杂志, 2014, 34(7): 1910-1911. DOI:10.3969/j.issn.1005-9202.2014.07.083.
[15] 王鑫鑫, 王霜霜, 贾彦楠, 等. 癌症患者的灵性需求现状及影响因素分析[J]. 护理学杂志, 2020, 35(3):74-76. DOI: 10.3870/j.issn.1001-4152.2020.03.074.
[16] 王彤, 黄希庭, 毕翠华. 身体健康对中国人幸福感的影响: 宗教信仰的调节作用[J]. 中国临床心理学杂志, 2014, 22(6):1053-1056.DOI:10.16128/j.cnki.1005-3611.2014.06.022.
[17] 李梦奇, 王颖, 谢海燕, 等. 癌症患者灵性护理需求的现状及其影响因素研究[J]. 中华护理杂志, 2017, 52(8): 930-934. DOI: 10.3761/j.issn.0254-1769.2017.08.007.
[18] Murgia C, Notarnicola I, Rocco G, et al.Spirituality in Nursing: A Concept Analysis[J]. Nurs Ethics, 2020, 27(5): 1327-1343. DOI: 10.1177/0969733020909534.
[19] Devi MK, Fong K.Spiritual Experiences of Women with Breast Cancer in Singapore: A Qualitative Study[J]. Asia Pac J Oncol Nurs, 2019, 6(2):145-150. DOI:10.4103/apjon.apjon_77_18.
[20] Ayik C, Ozden D, Kahraman A.Spiritual Care Needs and Associated Factors among Patients with Ostomy: A Cross-sectional Study[J]. J Clin Nurs,2021,30(11/12):1665-1674. DOI:10.1111/jocn.15721.
[21] 薛丽娜, 李香利, 贺春熙, 等. 温州市某医院癌症患者灵性护理需求与社会支持度的相关分析[J]. 医学与社会, 2019, 32(1): 113-115. DOI: 10.13723/j.yxysh.2019.01.027.
[22] Cheng Q, Xu X, Liu X, et al.Spiritual Needs and Their Associated Factors among Cancer Patients in China: A Cross-sectional Study[J]. Support Care Cancer, 2018, 26(10): 3405-3412. DOI: 10.1007/s00520-018-4119-z.
[23] 王粲霏. 乳腺癌患者灵性需求现状及其影响因素的结构方程模型构建[D]. 长春: 吉林大学, 2020.
[24] 何淑琳. 社会支持对慢性心力衰竭患者生活质量的影响[D]. 昆明: 昆明医科大学, 2020.
[25] Astrow AB, Kwok G, Sharma RK, et al.Spiritual Needs and Perception of Quality of Care and Satisfaction With Care in Hematology/Medical Oncology Patients:A Multicultural Assessment[J]. J Pain Symptom Manage, 2018, 55(1): 56-64. DOI:10.1016/j.jpainsymman.2017.08.009.
[26] Bajjani-Gebara J, Hinds P, Insel K, et al.Well-being, Self-transcendence, and Resilience of Parental Caregivers of Children in Active Cancer Treatment: Where do We Go From Here?[J]. Cancer Nurs, 2019, 42(5):E41-E52. DOI: 10.1097/NCC.0000000000000662.
[27] Pasternak B, Ueda P, Eliasson B, et al.Use of Sodium Glucose Cotransporter 2 Inhibitors and Risk of Major Cardiovascular Events and Heart failure: Scandinavian Register Based Cohort Study[J]. BMJ, 2019, 366(7):14772. DOI: 10.1136/bmj.l4772.
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