Spiritual Well-being Scores Research Articles

Application of WeChat-based cognitive behavioural stress management for early-stage cervical cancer patients: a randomised controlled study

Background This randomised controlled study was aimed at investigating the effects of WeChat-based cognitive behavioural stress management (WB-CBSM) on the mental health of patients with early-stage cervical cancer treated with surgical resection. Methods A total of 184 patients with early-stage cervical cancer were randomised to receive either WB-CBSM (n = 92) or normal care (NC) (n = 92) for 8 weeks. Results Compared with the NC group, the WB-CBSM group exhibited reduced Hospital Anxiety and Depression Scale (HADS)–anxiety scores at months (M)1 (t = 2.022, P = 0.045), M3 (t = 2.575, P = 0.011), and M6 (t = 2.709, P = 0.007); anxiety rates at M3 (χ2 = 4.834, P = 0.028) and M6 (χ2 = 5.182, P = 0.023); HADS–depression scores at M3 (t = 2.069, P = 0.040) and M6 (t = 2.449, P = 0.015); and depression rates at M6 (χ2 = 4.268, P = 0.039). Moreover, the WB-CBSM group showed increased Functional Assessment of Chronic Illness Therapy–Spiritual Well-Being scale scores at M1 (t = −2.001, P = 0.047), M3 (t = −2.281, P = 0.024), and M6 (t = −3.501, P = 0.001); the Quality of Life Questionnaire-Core 30 (QLQ-C30) global health score at M3 (t = −2.034, P = 0.043) and M6 (t = −2.426, P = 0.016); and QLQ-C30 function score at M3 (t = −2.009, P = 0.046). However, the groups exhibited decreased EuroQol-5 dimension scores at M3 (t = 2.056, P = 0.041) and M6 ((t = 2.242, P = 0.026) and QLQ-C30 symptom scores at M1 (t = 2.026, P = 0.044) and M3 (t = 2.210, P = 0.028). Conclusion WB-CBSM reduced anxiety and depression and improved the spiritual well-being and quality of life of patients with early-stage cervical cancer treated with surgical resection.

Linguistic Validation of the Functional Assessment of Chronic Illness Therapy-Spiritual-Well-being-Expanded Version 4 Tool into Malayalam Language and its Feasibility in Advanced Cancer Patients Receiving Palliative Care

Objective: The objective of this study was to validate the ‘Functional Assessment of Chronic Illness Therapy-Spiritual-Well-being-Expanded(FACIT-SpEx) Version 4’ tool in Malayalam and assess its feasibility among advanced cancer patients receiving palliative care. Materials and Methods: The study was carried out at the outpatient Department of Cancer Palliative Medicine of Malabar Cancer Centre between November 2022 and June 2023. Initially, the FACIT-Sp-Ex version 4 tool with 23 items was translated into the Malayalam language with a forward-backward translation procedure. This was followed by pilot testing in 10 advanced adult cancer patients receiving palliative care who could read and comprehend the Malayalam language. After answering the draft version of the validated tool, patients responded to questions from a Malayalam-translated cognitive debriefing script. Results: The process of translation and cross-cultural adaptation went on smoothly with very few hurdles. The Malayalam terms used in three items Sp7, Sp9 and Sp23 when back translated were found to be different from the source. These issues were resolved with the use of the most suitable translations and closest equivalents available in Malayalam. In the pilot testing, the majority (70%) of the patients were female. The mean age of patients was 45.90 (standard deviation [SD] = 7.62) years. Carcinoma breast (50%) was the most common type of cancer. All the patients knew their diagnosis, while only 80% knew the prognosis. Almost 90% of the patients were receiving some form of palliative anticancer treatment. All patients completed the draft version of the validated tool. The mean spiritual well-being score measured using this validated tool was 71.20 (SD = 15.10). Analysis of the debriefing interviews revealed that the Malayalam version was easy to complete, relevant, and appropriate. Conclusion: Linguistic validation and cognitive debriefing produced the Malayalam translated FACIT-Sp-Ex version 4 tool conceptually equivalent to the original FACIT-Sp-Ex version 4 tool, and it is feasible for its use.

Evaluation of Spiritual Care and Well-Being Levels of Individuals Diagnosed with Lung Cancer in Turkey.

This study aimed to assess the spiritual care needs and spiritual well-being levels of lung cancer patients undergoing chemotherapy (CT). This descriptive cross-sectional study was conducted with 110 patients in the outpatient CT unit of a university hospital. Data were collected using a personal information form, the "Three-Factor Spiritual Well-Being Scale" and the "Spiritual Care Needs Scale." The average age of participants was 62.6 ± 8.0years. Patients with a university or above education level, civil servants, self-employed individuals, those receiving only CT, and those with less than 5 CT cycles had significantly higher spiritual well-being scores (p < 0.05). Spiritual care needs scale scores were significantly higher for married individuals and those receiving only CT (p < 0.05). In conclusion, both spiritual well-being levels and spiritual care needs were observed to be high among lung cancer patients.

Examining the Relationship Between Functioning and Spiritual Well-Being in Female Patients Diagnosed with Bipolar Disorder

Aim: The aim of this study is to examine the relationship between functionality and spiritual well-being in female patients diagnosed with bipolar disorder. Methods: The research was conducted in a descriptive and correlational study. The research was conducted with 61 female bipolar patients who applied to the psychiatric outpatient clinic of a hospital in eastern Turkey between January 2023 and January 2024. Personal Information Form, Bipolar Disorder Functioning Scale (BIDS) and Spiritual Well-Being Scale (FACIT-Sp-12) were used to collect research data. In evaluating research data; Number, mean, percentage distributions, standard deviation and Pearson correlation analyzes were used. Results: It was found that the research participants' mean BIS total score was 96.21±20.02, and the FACIT-Sp-12 total score mean was 31.26±9.35. It was determined that there was a positive, statistically significant relationship between the functionality and spiritual well-being score averages of female patients diagnosed with bipolar disorder. Conclusion: It was determined that the functionality of female patients diagnosed with bipolar disorder was at an average level, and their spiritual well-being levels were above average. It was determined that there was a relationship between the functionality and spiritual well-being of female patients diagnosed with bipolar disorder.

The role of Anupreksha meditation in alleviating negative thinking among adults: a cross-sectional study

Background: Anupreksha-based meditations (AM) involve focusing on objects including images, colors, sounds, and the nature of the body and soul. Similar to Preksha meditation, which has shown positive effects on mental and physical well-being, AM is proposed to have potential benefits. However, the impact of AM on negative thinking, a key factor in various psycho-physiological ailments, has not been thoroughly examined. This study aimed to explore the effectiveness of AM in reducing negative thoughts and improving mental-health and well-being. It hypothesized that practicing AM can positively alter thought patterns and enhance overall well-being. Methods: A total of 462 English-speaking participants aged 19 to 60 years. Among them, 233 were regular AM practitioners with at least 12 months of experience, and 229 were non-meditators. Self-reported scales were used to measure perseverative thinking, mindfulness, self-compassion, and spiritual well-being. Results: Data were checked for normality and the Mann-Whitney U-test was performed. The AM group showed significant lower perseverative thinking scores (p&lt;0.001) and higher mindfulness, self-compassion, and spiritual well-being scores (p&lt;0.001). The scores of perseverative thinking negatively correlated with mindfulness (rho -0.53; p&lt;0.001), self-compassion (rho -0.43; p&lt;0.001), and spiritual well-being (rho -0.22; p&lt;0.001) in meditators. Additionally, mindfulness positively correlated with self-compassion (rho 0.42; p&lt;0.001) and spiritual well-being (rho 0.36; p&lt;0.001). Conclusions: Shreds of evidence indicated that the practice of Anupreksha-based meditations alleviates negative thoughts by promoting mindfulness, self-compassion, and spiritual well-being. Therefore, the AM can be suggested to improve the positive state of mind and also can be practiced to mitigate psychological-related issues.

Social networks and societal position are key drivers of the spiritual well-being of the parents of migrants in rural West Bengal

ABSTRACT India has been upholding the traditional custom of multigenerational co-residence and is well known for its spiritual legacy. However, the era of globalization and urbanization has reshaped family structures, with adult migration influencing older parents’ spiritual journeys. The study investigates the differences in spiritual well-being among parents of migrants and non-migrants and the influence of social-familial position and social network on spiritual well-being using a cross-sectional survey conducted by 500 elderly parents. The study revealed that the mean score of spiritual well-being was significantly lower among parents of migrants compared to parents of non-migrants. Social networks enhance the spiritual well-being of elderly parents considerably. Social networks enhance spiritual well-being, particularly for parents of migrants, to a greater extent than among parents of non-migrants. Moreover, the study found that household decision-making roles emerged as a significant predictor of spiritual well-being, with more substantial effects observed among parents of migrants compared to non-migrants. Policymakers and social services providers should focus on strengthening social network structures for elderly parents, especially for parents of migrants. This could foster more robust social networks and empower older individuals to participate in household decision-making processes, which will ensure better spiritual well-being in the context of adult-child migration.

Do Spiritual Well-Being and Pain Intensity Predict Physical or Mental Components of Health-Related Quality-of-Life Scale in Patients With Multiple Myeloma?

BackgroundMultiple myeloma is a complex disease and supportive care is important for improving quality of life. Management of disease treatment symptoms, bone disease, renal dysfunction, infection, anemia, pain, and coagulation disorder are specific issues. Spirituality, or spiritual well-being, is one of the most fundamental and essential concepts for coping with the difficulties and stress caused by cancer. AimsThis study explores whether spiritual well-being, pain, and other demographic factors predict the physical and mental components of quality of life in MM subjects. MethodsThis cross-sectional descriptive study was conducted with 92 multiple myeloma patients registered with the Cancer Warriors Association in Turkey. The data were collected using the Personal Information Form, The Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being Scale-12, the Numeric Rating Scale for Pain, and the Short Form-12 Health-Related Quality of Life Scale. ResultsThe mean age of the patients was 54.4 ± 10.7 years. It was found that the mean total pain score in the previous week was 3.9 ± 2.6, while the mean total The Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being Scale-12 score was 28.1 ± 9.8. Their mean Short Form-12 total physical component score was 39.1 ± 25.4; whereas the Short Form-12 total mental component score was 45.5 ± 24.8. According to this model, 56.7% of the physical component score was explained by vertebroplasty, The Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being Scale-12 total score and subscale of peace and the pain intensity experienced in the previous week. According to multiple linear regression analysis, bone-sparing therapy and FACIT-Sp-12-Total and subscale peace significantly predicted the Mental component score (p < .05). ConclusionsCancer pain remains undertreated, and patients with myeloma are no exception. Pain and spiritual well-being scores were significant predictors of physical and mental component scores of quality of life in this group of patients. According to this result, pain-reducing practices should be implemented to improve the quality of life in MM patients and the spiritual needs of the patients should be met.

The relationship between spiritual health and quality of life among COVID-19 patients with long-term complications in the post-coronavirus era.

COVID-19 has varied manifestations and can cause complications that affect quality of life. Spiritual health may be a source of adaptation for these patients. This study investigated the relationship between spiritual health and quality of life among COVID-19 patients with long-term complications in the post-coronavirus era. This study enrolled 475 COVID-19 patients through convenience sampling from medical facilities located in the Central Province of Iran. Data collection occurred between November 2022 and July 2023. A demographic checklist was utilized to ascertain the presence of potential COVID-19 complications. Patients exhibiting at least one long-term complication of COVID-19 were classified into the group with complications, while those without such complications were categorized into the group without complications. Subsequently, spiritual health and quality of life were assessed utilizing Paloutzian and Ellison's Spiritual Well-Being Scale and the 36-item Short Form Health Survey (SF-36), respectively. Statistical analysis was conducted using SPSS-20. The mean scores of spiritual well-being and quality of life for participants without COVID-19 complications were 70.87 ± 22.44 and 61.30 ± 18.33, respectively. In contrast, the mean spiritual health scores and quality of life for participants with COVID-19 complications were 41.20 ± 12.49 and 33.66 ± 1.46, respectively. Moreover, spiritual well-being was positively associated with quality of life among COVID-19 patients (p < 0.05). This study indicates that COVID-19 complications can impair patients' spiritual health and quality of life, leaving them vulnerable and distressed. However, patients with higher spiritual health can cope better and enjoy a higher quality of life, despite challenges. Therefore, this study highlights the importance of addressing the spiritual needs of patients with COVID-19 complications and providing them with adequate support and care.

Intervensi Spiritual untuk Meningkatkan Kesejahteraan Spiritual Pasien Kanker

This study aimed to explore and synthesize the scientific literature on the types of spiritual interventions that are effective in improving spiritual wellbeing in cancer patients. The method used was a systematic review through the PubMed, Science Direct, EBSCOhost and Springer Link databases using the keywords: cancer patients OR oncology patients OR patients with cancer AND spiritual interventions AND spiritual well being OR spiritual health OR spiritual healing, with inclusion criteria for cancer patients aged &gt;18 years, January 2010 - September 2023 the selection process used the PRISMA method and the quality assessment of articles using the JBI tools RCT design. The number of initial search articles was 6725 articles with 13 articles used. The results showed that 8 spiritual interventions were found to be statistically effective in improving the mean spiritual well-being score in cancer patients. Conclusion spiritual interventions can be effective in improving spiritual well-being in cancer patients who have metastases and are in palliative care as well as those with chemotherapy. Keywords: Spiritual Interventions, Cancer Patients, Spiritual Well-Being

The comparison of spiritual well-being and empathic tendencies in midwifery students: A cross-sectional study from Turkey

This study aimed to investigate the relationship between spiritual well-being and empathic tendencies of midwifery students and the affecting factors. The sample of this descriptive-correlation type study, one of the descriptive research methods, included 237 midwifery students. The data were collected using the Descriptive Information Form, the Empathic Tendency Scale, and the Spiritual Well-Being Scale. Empathic tendency was higher among those who chose the midwifery department voluntarily, those who liked the department, those who felt that the department was suitable for them, those who participated in social and scientific activities, those who wanted to progress in the profession, those who wanted to work in the field and those who followed publications related to the field; Spiritual well-being was higher among those who felt that the department was suitable for them, those who participated in social and scientific activities, those who wanted to progress in the profession, those who participated in activities that provided the development of the profession, those who wanted to work in the field and those who followed publications related to the field. It was determined that the empathic tendencies and spiritual well-being of midwifery students were at a moderate level, and as a result of the comparison of Empathic Tendency Scale and Spiritual Well-being scale scores, there was a significant positive relationship between them.

Death Anxiety in Patients with a History of Coronary Artery Bypass Graft Surgery During the COVID-19 Pandemic: The Role of Spiritual Well-Being and Coping Strategies.

Patients who have previously undergone coronary artery bypass surgery (CABG) were prone to death anxiety during the COVID-19 pandemic. It appears that spiritual well-being and appropriate coping strategies may mitigate the harmful effects of death anxiety. Therefore, this study aimed to determine the level of death anxiety in patients with CABG during the COVID-19 pandemic and investigate the relationship between spiritual well-being, coping strategies and death anxiety.This cross-sectional study was conducted on 100 patients with CABG history in Tehran from June 2021 to February 2022. The face-to-face questionnaire, containing questions on demographics, Templer's death anxiety scale, the spiritual well-being questionnaire, and the ways of coping questionnaire was administered to collect data. Statistical analysis was performed using descriptive-analytical statistics, correlation tests, and logistic regression models.Participants' mean age was 55.59 ± 12.78 years. The mean death anxiety score was 10.00 ± 2.16, with 87% of participants reporting high levels and 13% reporting low levels of death anxiety. Based on the results, there was a significant negative correlation between death anxiety and coping strategies, as well as subscales of distancing, seeking social support, accepting responsibility, and planful problem-solving. Logistic regression showed that with the increase in the score of spiritual well-being, the odds of having high levels of death anxiety decreased (p < 0.05). Furthermore, increasing the total score of coping strategies, and the score of self-controlling, seeking social support, accepting responsibility, and planful problem-solving, significantly reduced the odds of high levels of death anxiety (p < 0.05).The study showed that patients with a CABG history experienced high death anxiety during the COVID-19 pandemic. According to the findings, spiritual well-being and coping strategies, especially self-controlling, seeking social support, accepting responsibility, and planful problem-solving,may reduce the odds of severe death anxiety. These should be considered as effective targets for psychological intervention in these patients.

Effect of a Spiritual Care Training Program to Build Knowledge, Competence, Confidence and Self-awareness Among Australian Health and Aged Care Staff: An Exploratory Study.

The aim of this study was to evaluate a new spiritual care training program with health and aged care staff. A four-module program was delivered to 44 participants at a large Catholic health and aged care provider in Australia. Pre, post and 6week follow-up surveys were administered and included measures of spiritual care competency, confidence, perspectives of spirituality and spiritual care, spiritual well-being, and satisfaction. Paired sample t-tests showed total scores of participants' spiritual well-being, spiritual care competency and confidence significantly improved following the training and were largely maintained at follow-up. Perspectives on spirituality and spiritual care did not significantly change over time.

Spiritual well-being levels of formal and informal cancer caregivers in Turkish society and influencing factors: A comparative study

Purpose: This study aimed to compare the spiritualwell-being levels of formal and informal caregiversof cancer patients.Materials and Methods: This study using a crosssectional survey was conducted with formal (n=52)and informal caregivers (n=52), who met theinclusion criteria, were included in the sample. Thedata of the study were collected using web-based andself-reported questionnaires.Results: The scores of spiritual well-being in alldimensions of formal and informal caregivers are ata moderate level. There was a difference between informal and formal caregivers in the belief andpeace sub-dimension scores. Moreover, there was nodifference in total score averages of the spiritualwell-being scale. It was found that there was nostatistically significant difference between themaccording to age groups, gender, marital status,having a child, and income status.Conclusions: This study provides that the careprocess of cancer patients may affect the spiritualwell-being of formal and informal caregivers.Keywords: cancer, formal caregivers, informalcaregivers, spiritual well-being, oncology nursing

Quality of life and its predictors among patients with metastatic cancer in Bangladesh: the APPROACH survey

BackgroundThis study aimed to assess the health-related quality of life (HRQOL) (physical, functional, emotional, social, spiritual) and psychological (anxiety and depression) well-being and their associations with patient characteristics among patients with metastatic cancer in Bangladesh.MethodsA convenience sample of 386 Bangladeshi patients with stage IV solid cancers was recruited from a palliative care outpatient department and an inpatient palliative center. Dependent variables included the physical, functional, emotional, social, and overall scores of the Functional Assessment of Cancer Therapy-General (FACT-G) scale, the Functional Assessment of Chronic Illness Therapy-Spiritual Well-being (FACIT-SP) scale, the anxiety, depression, and overall scores of the Hospital Anxiety and Depression (HADS) scale. Linear regressions examined the association between dependent variables and patient characteristics.ResultsA substantial proportion of Bangladeshi patients reported anxiety (59% of outpatients and 55% of inpatients) and depression (60% of outpatients and 73% of inpatients) symptoms. Generally, greater financial difficulty and symptom burden scores were associated with worse health outcomes. Older patients reported poorer functional and spiritual well-being but better anxiety scores. Females reported worse anxiety and depressive symptoms and physical well-being but better spiritual outcomes.ConclusionsAdditional efforts must be directed at improving the HRQOL of patients with metastatic cancer in Bangladesh. Furthermore, assistance should be made more accessible to vulnerable groups, including women, the elderly, and those with financial difficulty.

Association of spiritual well-being with quality of life among undergraduate nursing students

Objective: The study was conducted with the aim of determining the spiritual well-being (SWB) of nursing students and its association with quality of life (QOL). Materials and Methods: A cross-sectional analytical study was conducted with a sample size of 504 nursing students collected from January 2023 to March 2023 in the nursing institutes of Khyber Pakhtunkhwa, Pakistan, using convenient sampling techniques. A Spiritual Health and Life-Orientation Measure (SHALOM) questionnaire for SWB and K-27 QOL (K-27 QOL) instrument were used for data collection that contains three parts. Results: The number of female participants was in the majority (50.4%) compared to male nurses (49.6%). The overall mean score of SWB of the students was 3.79 ± 0.48, while the mean K-27 QOL score was 3.73 ± 0.57. There were significant differences between the groups of gender (P = 0.001), while no significant difference within the groups of semester (P = 0.061) and college status (0.285). In QOL, there were significant differences within the groups of semester (P = 0.000) and college status (P = 0.036) while no significant difference in gender category (P = 0.480). SHALOM score is positively and moderately correlated with QOL score (r = 0.597, P &lt; 0.05). Conclusion: Spiritual practices are one of the important factors that are associated positively with QOL, therefore to enhance the QOL, it will require spiritual practices.

The Association Between Happiness and Spiritual Well-being in Students in Iran

Background: Ensuring individuals’ health and well-being has always been important in all societies, and its promotion is considered one of the essential factors in the development of any country. Hence, this study examined the association between happiness and spiritual well-being (SWB) in students. Methods: The present cross-sectional study was conducted on 376 students who were selected by stratified simple random sampling from Hamadan universities in Iran in June 2020. A threepart questionnaire, including a socio-demographic questionnaire, Oxford Happiness Inventory, and SWB questionnaires was used to collect the data. The SPSS software (version 23) was then employed to analyze the data, and the significance level was considered at P&lt;0.001. Results: Based on the results, the mean (±standard deviation) scores of happiness and SWB were 36.73±17.63 and 90.87±16.96, respectively. In addition, there was a significant correlation between SWB and the total and happiness dimensions (P&lt;0.001). Furthermore, the simple linear regression analysis results revealed that the students’ SWB (β=0.203, P&lt;0.001) is a predictor of happiness. Conclusion: In general, students’ happiness and SWB were at a moderate level. Therefore, designing and implementing spirituality-based educational interventions to improve the students’ happiness could be helpful.

The Power of Spiritual Well-Being: Its Relationship with Pain Intensity, Pain Management, and Pain Catastrophizing in Individuals with Chronic Pain

BackgroundChronic pain negatively affects human life. Chronic pain is multidimensional. Therefore, a multidimensional approach that focuses on the biologic, psychological, sociologic, and spiritual needs of patients is required in pain management. AimThis study was conducted to determine the relationship of spiritual well-being with the level of pain catastrophizing, pain intensity, and pain management in individuals with chronic pain. MethodsThe snowball sampling method was used in the research and the data were collected by individuals with ankylosing spondylitis and rheumatoid arthritis who had chronic pain via an online survey form. The study was completed between March and May 2023 with the participation of 399 people. The data of the study were collected using the Descriptive Characteristics Questionnaire, Pain Catastrophizing Scale, Three-Factor Spiritual Well-Being Scale, and Numerical Rating Scale. ResultsThere was a negative, high-level correlation between the spiritual well-being and the Pain Catastrophizing Scale and its subscales. At the same time, there was a negative, weak level correlation between the levels of spiritual well-being and the pain intensity. Spiritual Well-Being Scale scores differ according to the method used in pain management. Spiritual well-being and pain intensity explain 68% of the total variance in pain catastrophizing. ConclusionsThe results of this research show that there may be a relationship between increased spirituality and reduced perceptions of pain in this population.

Factors influencing spiritual wellbeing among pancreatic ductal adenocarcinoma patients receiving chemotherapy.

Spiritual wellbeing emphasizes optimistic and positive attitudes while self-regulating negative emotions when coping with stress. However, there have only been a few small studies of spiritual wellbeing of pancreatic ductal adenocarcinoma (PDAC) patients undergoing chemotherapy. The core factors influencing spiritual wellbeing in this clinical population are still unclear. To identify factors influencing spiritual wellbeing among patients with PDAC receiving chemotherapy. A total of 143 PDAC patients receiving chemotherapy were enrolled from January to December 2022. Patients completed general information questionnaires including: Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being 12 Item Scale (FACIT-Sp-12), European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30) and Zung's Self-rating Anxiety Scale (SAS). Independent sample t-test, one-way analysis of variance, Pearson's correlation analysis, and multiple linear regression analysis were adopted for statistical analyses. P < 0.05 (two-tailed) was considered statistically significant for all tests. Total spiritual wellbeing (FACIT-Sp-12) score was 32.16 ± 10.06 points, while dimension sub-scores were 10.85 ± 3.76 for faith, 10.55 ± 3.42 for meaning, and 10.76 ± 4.00 for peace. Total spiritual wellbeing score was negatively correlated with SAS score for anxiety and with the symptom domain of EORTC QLC-C30. Conversely, spiritual wellbeing score was positively correlated with global health status and EORTC QLQ-C30 role functioning domain score. Multivariate regression analysis identified educational level, health insurance category, symptom domain, functional role domain, and global health status as significant independent factors influencing spiritual wellbeing among PDAC patients undergoing chemotherapy (R2 = 0.502, P < 0.05). Individualized spiritual support is needed for PDAC patients. Health, daily functioning, emotional, cognitive, and social function status should be taken into account to promote implementation of spirituality in nursing practice.

Effect of Psychoeducational Training Program on Coping Skills, Spiritual Well-being, and Levels of Anxiety among Patients with Generalized Anxiety Disorder

Context: Generalized anxiety disorder is one of the most common mental disorders that produce fear, worry, and a constant feeling of being overwhelmed. Spiritual well-being is a positive psychological factor linked to lower anxiety levels in GAD patients. One of the most important elements of having GAD is learning how to cope with persistent anxiety and physical symptoms.&#x0D; Aim: Evaluate the effect of the psychoeducational training Program on coping skills, spiritual well-being, and anxiety levels among patients with Generalized Anxiety Disorder.&#x0D; Methods: A quasi-experimental (pre/post-test) design was used. This study was carried out at the General Psychiatric Clinic of El Abbassia Psychiatric and Mental Health Hospital. The study involved 80 patients with generalized anxiety disorder. Data was collected over six months utilizing four tools. They were used for data collection: A Structured Interview questionnaire, a Coping Strategies Questionnaire, a Spiritual Well-being Scale, and a Beck Anxiety Scale.&#x0D; Results: The present study shows that more than half of patients with generalized anxiety disorder under study were in the age of &lt;30 years (57.5%) with a mean age of 24.5±8.33. While 28 % had satisfactory pre-program coping, this percentage increased to 52% post-program implementation. On the other hand, 63.7% of patients with generalized anxiety disorder understudy had low levels of spiritual well-being that decreased to 9% post-program. Also, more than half of 59% of patients had severe anxiety levels at pre-program; this percentage decreased to 21% post-program implementation with a statistically significant difference between coping skills, spiritual well-being, and anxiety level pre- and post-psychoeducational training. In addition, there was a highly statistically significant correlation between the total score of spiritual well-being, coping, and their total anxiety score during the pre/post-program implementation phase (P≤ 0.001).&#x0D; Conclusion: Psychoeducational training Program has a significant positive effect on improving coping skills, spiritual well-being, and levels of anxiety among patients with generalized anxiety disorder. Application of a psychoeducational nursing intervention can help patients with generalized anxiety disorder better understand the advantages of various spiritual pursuits and how to improve their spiritual well-being and coping skills.

Abstract P343: A Correlational Study On Spiritual And Religious Well-being, Social Determinants Of Health, And Self-efficacy For Appropriate Medication Use Among African- American Women With Hypertension

Background: African American (AA) women are disproportionately affected by hypertension and are less likely to adhere to their medication regimen when compared to White and Hispanic women. Very little is known about social factors associated with medication adherence among AA women. Spiritual well-being (SWB), religious well-being (RWB), and social determinants of health (SDOH) may be associated with self-efficacy for appropriate medication use (SEAM). Purpose: The purpose of the study is to: (1) examine the relationships among SDOH, namely age, education level, household income, and marital and insurance status, and SWB and RWB; (2) examine the relationships between SDOH and SEAM; and (3) assess the potential associations of SWB and RWB with SEAM. Methods: The study employed a cross-sectional correlational design. An online survey was used to collect data. A purposive sample of 187 AA women with hypertension diagnosis over 1 year was recruited. SWB and RWB were measured using the Spiritual Well-Being Scale, and SEAM was measured using the Self-Efficacy for Appropriate Medication Use Scale. SDOH were adopted from Healthy People 2030. Linear regression analysis was conducted to assess the adjusted association of SWB and RWB with SEAM, and p &lt; .05 was considered significant. Results: The women of the study were middle aged (M = 57.34 years, SD = 12.89) and had moderate SWB and RWB scores. Only age and education were positively associated with SEAM ( p &lt; .001 and p = .025, respectively). There was no association of SWB or RWB with SEAM. Discussion and Conclusion: SWB and RWB scores did not predict SEAM in this sample of AA women with hypertension. However, this could be due to lack of power due to a small sample size. Older age and higher education level were associated with higher self-efficacy. Interventions to improve adherence to antihypertension drug treatments aimed at younger AA women with lower educational attainment could help in improving care and reducing disparities in health outcomes for this population.