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Spiritual care needs and their associated influencing factors among elderly patients with moderate-to-severe chronic heart failure in China: A cross-sectional study

Published online by Cambridge University Press:  09 August 2021

ZhangYi Wang Open the ORCID record for ZhangYi Wang [Opens in a new window] ,
Zhao Wang ,
Yue Wang ,
LuWei Xiao ,
HaoMei Zhao ,
XueChun Li ,
SiAi Zhang  and
XiaoLi Pang
ZhangYi Wang
Affiliation:
Graduate School, Tianjin University of Traditional Chinese Medicine, Tianjin, China
Zhao Wang
Affiliation:
Graduate School, Tianjin University of Traditional Chinese Medicine, Tianjin, China
Yue Wang*
Affiliation:
Graduate School, Tianjin University of Traditional Chinese Medicine, Tianjin, China
LuWei Xiao
Affiliation:
School of Nursing, University of South China, Hengyang, Hunan, China
HaoMei Zhao
Affiliation:
School of Nursing, HeBei University of Traditional Chinese Medicine, Shijiazhuang, HeBei, China
XueChun Li
Affiliation:
Graduate School, Tianjin University of Traditional Chinese Medicine, Tianjin, China
SiAi Zhang*
Affiliation:
Graduate School, Tianjin University of Traditional Chinese Medicine, Tianjin, China
XiaoLi Pang*
Affiliation:
School of Nursing, Tianjin University of Traditional Chinese Medicine, Tianjin, China
*
Author for correspondence: XiaoLi Pang, School of Nursing, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China. E-mail: [email protected]
Author for correspondence: XiaoLi Pang, School of Nursing, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China. E-mail: [email protected]
Author for correspondence: XiaoLi Pang, School of Nursing, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China. E-mail: [email protected]
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Abstract

Background

The significance of spiritual care needs among chronic diseases patients has been emphasized across countries and cultures in many studies. However, there were few studies on spiritual care needs among elderly patients with moderate-to-severe chronic heart failure (CHF) in China.

Objective

To investigate spiritual care needs and associated influencing factors among elderly patients with moderate-to-severe CHF, and to examine the relationships among spiritual care needs, self-perceived burden, symptom management self-efficacy, and perceived social support.

Methods

A cross-sectional design was implemented, and the STROBE Checklist was used to report the study. A convenience sample of 474 elderly patients with moderate-to-severe CHF were selected from seven hospitals in Tianjin, China. The sociodemographic characteristics questionnaire, the Spiritual Needs Questionnaire Scale, the Self-Perceived Burden Scale, the Self-efficacy for Symptom Management Scale, and the Perceived Social Support Scale were used. Descriptive statistics, univariate, multiple linear regression, and Pearson's correlation analysis were used to analyze data.

Results

The total score of spiritual care needs among 474 elderly patients with moderate-to-severe CHF was 37.95 ± 14.71, which was moderate. Religious belief, educational background, self-perceived burden, symptom management self-efficacy, and perceived social support were the main factors affecting spiritual care needs, and spiritual care needs were negatively correlated with self-perceived burden (r = −0.637, p < 0.01) and positively correlated with symptom management self-efficacy (r = 0.802, p < 0.01) and social support (r = 0.717, p < 0.01).

Significance of results

The spiritual care needs of elderly patients with moderate-to-severe CHF were moderate, which were influenced by five factors. It is suggested that clinical nurses, families, and society should take targeted spiritual care measures to improve patients’ symptom management self-efficacy and perceived social support from many aspects, and reduce self-perceived burden to meet their spiritual care needs and improve the quality and satisfaction of spiritual care in nursing practice.

Keywords

ChinaElderlyInfluencing factorsModerate-to-severe CHFSpiritual care needs
Type
Original Article
Information
Palliative & Supportive Care , Volume 20 , Issue 2 , April 2022 , pp. 264 - 274
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Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

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