Spiritual Care, Pain Reduction, and Preferred Place of Death Among Advanced Cancer Patients in Soweto, South Africa.

Humans Neoplasms / therapy Pain Palliative Care Prospective Studies Quality of Life South Africa Spirituality Terminal Care
Religion cancer patients pain palliative care place of death spirituality

Journal

Journal of pain and symptom management
ISSN: 1873-6513
Titre abrégé: J Pain Symptom Manage
Pays: United States
ID NLM: 8605836

Informations de publication

Date de publication:
07 2020
Historique:
received: 20 12 2019
revised: 31 01 2020
accepted: 31 01 2020
pubmed: 12 2 2020
medline: 24 6 2021
entrez: 12 2 2020
Statut: ppublish

Résumé

When religious and spiritual (R/S) care needs of patients with advanced disease are met, their quality of life (QoL) improves. We studied the association between R/S support and QoL of patients with cancer at the end of life in Soweto, South Africa. To identify R/S needs among patients with advanced cancer receiving palliative care services and to assess associations of receipt of R/S care with patient QoL and place of death. A prospective cohort study conducted from May 1, 2016 to April 30, 2018 at a tertiary hospital in Soweto, South Africa. Nurses enrolled patients with advanced cancer and referred them to the palliative care multidisciplinary team. Spiritual counselors assessed and provided spiritual care to patients. We compared sociodemographic, clinical, and R/S factors and QoL of R/S care recipients and others. Of 233 deceased participants, 92 (39.5%) had received R/S care. Patients who received R/S care reported less pain (2.82 ± 1.23 vs. 1.93 ± 1.69), used less morphine, and were more likely to die at home than patients who did not (57.5% compared with 33.7%). On multivariate logistic regression analysis, adjusting for significant confounding influences and baseline African Palliative Care Association Palliative care Outcome Scale scores, receipt of spiritual care was associated with reduced pain and family worry (odds ratio 0.33; 95% CI 0.11-0.95 and odds ratio 3.43; 95% CI 1.10-10.70, respectively). Patients with cancer have R/S needs. R/S care among our patients appeared to improve their end-of-life experience. More research is needed to determine the mechanisms by which R/S care may have improved the observed patient outcomes.

Identifiants

DOI: 10.1016/j.jpainsymman.2020.01.019 PMID: 32045675 PMC: PMC7311268
pubmed: 32045675
pii: S0885-3924(20)30071-3
doi: 10.1016/j.jpainsymman.2020.01.019
pmc: PMC7311268
mid: NIHMS1568893
pii:
doi:

Types de publication

Journal Article Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

37-47

Subventions

Organisme : NCI NIH HHS
ID : P30 CA013696
Pays : United States
Organisme : NCI NIH HHS
ID : R01 CA106370
Pays : United States
Organisme : NCI NIH HHS
ID : R01 CA192627
Pays : United States
Organisme : NCI NIH HHS
ID : R35 CA197730
Pays : United States

Informations de copyright

Copyright © 2020 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.

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Auteurs

Mpho Ratshikana-Moloko (M)

Chris Hani Baragwanath Academic Hospital, Johannesburg, South Africa; Centre for Palliative Care, Faculty of Health Sciences, University of Witwatersrand, Johannesburg, South Africa; Non Communicable Diseases Research Division, Wits Health Consortium (Pty) Ltd, Johannesburg, South Africa. Electronic address: mpho.ratshikana-moloko@wits.ac.za.

Oluwatosin Ayeni (O)

Non Communicable Diseases Research Division, Wits Health Consortium (Pty) Ltd, Johannesburg, South Africa; Department of Paediatrics, SAMRC/Wits Developmental Pathways to Health Research Unit, Faculty of Health Sciences, University of Witwatersrand, Johannesburg, South Africa.

Jacob M Tsitsi (JM)

Chris Hani Baragwanath Academic Hospital, Johannesburg, South Africa; Department of Medicine, Faculty of Health Sciences, University of Witwatersrand, Johannesburg, South Africa.

Michelle L Wong (ML)

Department of Medicine, Faculty of Health Sciences, University of Witwatersrand, Johannesburg, South Africa; Division of Pulmonology, Chris Hani Baragwanath Academic Hospital, Johannesburg, South Africa.

Judith S Jacobson (JS)

Herbert Irving Comprehensive Cancer Center, College of Physicians and Surgeons, Columbia University, New York, New York, USA; Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, New York, USA.

Alfred I Neugut (AI)

Herbert Irving Comprehensive Cancer Center, College of Physicians and Surgeons, Columbia University, New York, New York, USA; Department of Medicine, College of Physicians and Surgeons, Columbia University, New York, New York, USA; Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, New York, USA.

Mfanelo Sobekwa (M)

Chris Hani Baragwanath Academic Hospital, Johannesburg, South Africa; Centre for Palliative Care, Faculty of Health Sciences, University of Witwatersrand, Johannesburg, South Africa; Non Communicable Diseases Research Division, Wits Health Consortium (Pty) Ltd, Johannesburg, South Africa.

Maureen Joffe (M)

Non Communicable Diseases Research Division, Wits Health Consortium (Pty) Ltd, Johannesburg, South Africa; Department of Paediatrics, SAMRC/Wits Developmental Pathways to Health Research Unit, Faculty of Health Sciences, University of Witwatersrand, Johannesburg, South Africa; South Africa Medical Research Council Common Epithelial Cancers Research Centre, University of Witwatersrand, Johannesburg, Gauteng, South Africa.

Keletso Mmoledi (K)

Chris Hani Baragwanath Academic Hospital, Johannesburg, South Africa; Centre for Palliative Care, Faculty of Health Sciences, University of Witwatersrand, Johannesburg, South Africa; Non Communicable Diseases Research Division, Wits Health Consortium (Pty) Ltd, Johannesburg, South Africa.

Charmaine L Blanchard (CL)

Centre for Palliative Care, Faculty of Health Sciences, University of Witwatersrand, Johannesburg, South Africa; Non Communicable Diseases Research Division, Wits Health Consortium (Pty) Ltd, Johannesburg, South Africa.

Witness Mapanga (W)

Non Communicable Diseases Research Division, Wits Health Consortium (Pty) Ltd, Johannesburg, South Africa.

Paul Ruff (P)

Non Communicable Diseases Research Division, Wits Health Consortium (Pty) Ltd, Johannesburg, South Africa; Department of Medicine, Faculty of Health Sciences, University of Witwatersrand, Johannesburg, South Africa; South Africa Medical Research Council Common Epithelial Cancers Research Centre, University of Witwatersrand, Johannesburg, Gauteng, South Africa; Division of Medical Oncology, Department of Internal Medicine, University of the Witwatersrand Faculty of Health Sciences, Johannesburg, South Africa.

Herbert Cubasch (H)

South Africa Medical Research Council Common Epithelial Cancers Research Centre, University of Witwatersrand, Johannesburg, Gauteng, South Africa; Department of Surgery, Faculty of Health Sciences, University of Witwatersrand, Johannesburg, South Africa.

Daniel S O'Neil (DS)

Sylvester Comprehensive Cancer Center, University of Miami Miller School of Medicine, Miami, USA.

Tracy A Balboni (TA)

Dana-Farber/Brigham and Women's Cancer Center, Harvard Medical School, Boston, Massachusetts, USA.

Holly G Prigerson (HG)

Cornell Center for Research on End-of-Life Care, Weill Cornell Medicine, New York, New York, USA.

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Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Spiritual Care, Pain Reduction, and Preferred...
questionsmedicales.fr › Tumeurs › Spiritual Care, Pain Reduction, and Preferred...
questionsmedicales.fr › Phénomènes physiologiques de l'appareil locomoteur et du système nerveux › Phénomènes physiologiques du système nerveux › Sensation › Douleur › Spiritual Care, Pain Reduction, and Preferred...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Services de santé › Soins aux patients › Soins palliatifs › Spiritual Care, Pain Reduction, and Preferred...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études épidémiologiques › Études de cohortes › Études prospectives › Spiritual Care, Pain Reduction, and Preferred...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Mesures épidémiologiques › Démographie › État de santé › Qualité de vie › Spiritual Care, Pain Reduction, and Preferred...
questionsmedicales.fr › Régions géographiques › Afrique › Afrique subsaharienne › Afrique australe › République d'Afrique du Sud › Spiritual Care, Pain Reduction, and Preferred...
questionsmedicales.fr › Sciences humaines › Religion › Religion et psychologie › Spiritualité › Spiritual Care, Pain Reduction, and Preferred...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Services de santé › Soins aux patients › Soins terminaux › Spiritual Care, Pain Reduction, and Preferred...