Published in:
01-12-2020 | Care | ASO Author Reflections
ASO Author Reflections: Influence of Patient Clinical- and Treatment-Level Factors on Religious/Spiritual Preferences During Cancer Care
Authors:
Elizabeth Palmer Kelly, PhD, Timothy M. Pawlik, MD, MPH, MTS, PhD
Published in:
Annals of Surgical Oncology
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Special Issue 3/2020
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Excerpt
In the USA, nearly 80% of the population identify as religious and/or spiritual.
1 In the context of health and healthcare, these religious and spiritual (R&S) beliefs are utilized by patients as a means to cope with their illness, confront their mortality, and recover from treatment.
2 Therefore, R&S may be particularly important in the care context of patients diagnosed with cancer, who often face uncertain treatment options and prognosis, as well as treatment-related decisions that may not result in symptom improvement or cure.
3,
4 Prior studies have noted patient R&S beliefs to be associated with greater feelings of wellbeing, including hope, optimism, and sense of purpose, as well as decreased negative affect.
4,
5 These findings often failed to take into account patient needs in specific clinical- or treatment-related contexts. In addition, patients often report that their R&S needs are neglected in the healthcare setting.
6 For patients undergoing a surgical operation for their cancer, limited evidence suggests that R&S needs may increase during the perioperative period.
7 Therefore, the objective of the current study was to characterize the R&S needs of patients who underwent cancer-directed surgery and examine how those R&S needs varied based on R&S identity, as well as clinical and treatment characteristics. …