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OBJECTIVES: To examine the spiritual well-being (SWB) and predicting the factors of SWB among Thai patients with non-communicable diseases (NCDs).
MATERIALS AND METHODS: The sample was 155 patients with NCDs in Ubon Ratchathani Province, Thailand. Multistage cluster random sampling was used for the sample selection. The study was conducted from May 1, 2021 to July 31, 2021. Research instruments consisted of a personal characteristics questionnaire, a personal faith questionnaire, a spiritual contentment questionnaire, a religious practice questionnaire, a social support questionnaire, a perceived severity of illness questionnaire, a meaning of life questionnaire, and SWB questionnaire. The data were analyzed by using descriptive statistics, Pearson correlation coefficient, and factors predicting SWB taken together as a Multiple Regression Analysis (MRA) was used.
RESULTS: The total score of SWB was at a high level (3.93 ± 0.44). Factors related to SWB were personal faith (r = 0.35; p < 0.01), spiritual contentment (r = 0.33; p < 0.01) religious practice (r = 0.37; p < 0.01), social support (r = 0.42; p < 0.01), and meaning of life (r = 0.35; p < 0.01). Predicting the factors of SWB comprised social support (β = .345; p = 0.00) and religious practice (β = .282; p = 0.00). These predictors accounted for 24.8% of the variance in SWB. CONCLUSION: Factors related to SWB were personal faith, spiritual contentment, religious practice, social support, and meaning of life. Therefore, assessing and providing spiritual care related to these factors is important in promoting SWB among patients with NCDs.
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World Health Organization. Noncommunicable diseases; 2021. (Accessed August 25, 2021, at https://www.who.int/ news-room/fact-sheets/detail/noncommunicable-diseases).
Bureau of Non Communicable Diseases. Number and mortality rate of NCDs 2016-2018 (total 4 diseases/hypertension/diabetes/ischemic heart disease/cerebrovascular disease/bronchitis/emphysema); 2019. (Accessed August 25, 2021, at http:// www.thaincd. com /2016/mission/documents-etail. php?id=13653&tid=32&gid=1-020).
Division of Non Communicable Disease. Number and inpatient rates in 2016-2018 (hypertension, diabetes mellitus, coronary heart disease, cerebrovascular disease, and chronic obstructive pulmonary disease; 2022. (Access July 7, 2022, at http:// www.thaincd.com/2016/mission/ documents-detail. php?id=13684&tid=32&gid=1-020).
Uphof EP, Newbould L, Walker I, et al. A systematic review and meta-analysis of the prevalence of common mental disorders in people with non-communicable diseases in Bangladesh, India, and Pakistan. J Glob Health 2019; 9(2): 1-21. doi: 10.7189/jogh.09.020417.
Choo CC, Chew PKH, Ho RC. Controlling Noncommunicable diseases in transitional economies: mental illness in suicide attempters in Singaporean exploratory analysis. Biomed Res Int 2019;2019: 4652846. doi: 10.1155/2019/4652846.
Chaker L, Falla A, van der Lee SJ, et al. The global impact of non-communicable diseases on macro-economic productivity: a systematic review. Eur J Epidemiol 2015; 30: 357-95. doi: 10.1007/s10654-015-0026-5.
Kundu MK, Hazra S, Pal D, et al. A review on noncommunicable diseases (NCDs) burden, its socio-economic impact and the strategies for prevention and control of NCDs in India. Indian J Public Health 2018;62(4): 302-4. doi: 10.4103/ijph. IJPH_324_16.
Department of Disease Control. Situation on NCDs prevention and control in Thailand; 2018. (Accessed August 25, 2021, at http://www.thaincd.com/document/file/download/papermanual/NCDUNIATF61.pdf.).
Martins H, Caldeira S. Spiritual distress in cancer patients: A synthesis of qualitative studies. Religions 2018; 9: 285. doi:10.3390/rel9100285.
Pinho CM, Gomes ET, Trajano MFC, et al. Impaired religiosity and spiritual distress in people living with HIV/AIDS. Rev Gaucha Enferm 2017; 38(2): e67712. doi: 10.1590/1983- 1447.2017.02.67712.
Velosa T, Caldeira S, Capelas ML. Depression and spiritual distress in adult palliative patients: A cross-sectional study. Religions 2017;8(156):1-18. doi:10.3390/rel8080156.
Chaiyasit Y, Thong-on R, Piboonrungroj P, et al. The roles of spirituality in people living with HIV/AIDS: A qualitative meta-synthesis. BKK Med J 2019; 15(1), 113-20. doi:10.31524/ bkkmedj.2019.02.020.
Chaiyasit Y, Kunakote N, Kotta P, et al. Predicting factors of spiritual well-being among people living with HIV/AIDS. BKK Med J 2020; 16(1): 26-32. doi: 10.31524/bkkmedj.2020.11.006.
Mazzotti E, Mazzuca F, Sebastiani C, et al. Predictors of existential and religious well-being among cancer patients. Support Care Cancer 2011; 19(12); 1931–37. doi: 10.1007/ s00520-010-1033-4.
Bovero A, Tosi C, Botto R, et al. The spirituality in end-of-life cancer patients, in relation to anxiety, depression, coping strategies and the daily spiritual experiences: A cross-sectional study. J Relig Health 2019; 58: 2144–60. doi: 10.1007/ s10943-019-00849-z.
Jugjali R, Yodchai K, Thaniwattananon P. Predicting factors of spiritual well-being in patients receiving hemodialysis. CANNT J 2018; 28(4);21-5.
Song M, Paul S, Ward SE, et al. One-year linear trajectories of symptoms, physical functioning, cognitive functioning, emotional well-being, and spiritual well-being among patients receiving dialysis. Am J Kidney Dis 2018; 72(2): 198-204. doi: 10.1053/j.ajkd.2017.11.016.
Trevino KM, Pargament KI, Cotton S, et al. Religious coping and physiological, psychological, social, and spiritual outcomes in patients with HIV/AIDS: cross-sectional and longitudinal findings. AIDS Behav 2010;14(2):379-89. doi: 10.1007/s10461-007-9332-6.
Sohail MM, Mahmood QK, Sher F, et al. Coping through religiosity, spirituality and social support among Muslim chronic hepatitis patients. J Relig Health 2020;59(6):3126-40. doi: 10.1007/s10943-019-00909-4.
Nimu N, Balthip K, Baupetch A. Predicting factors of spiritual well-being in Muslim patients with chronic diseases in the comeback stage of chronic trajectory illness model. [In Thai]. Songklanagarind J Nurs 2021;41(1):88-103.
O’ Brien ME. Spirituality in nursing: Standing on holy ground. Sudbury, MA: Jones&Bartlett Learning; 2011.
Faul F, Erdfelder E, Lang AG, et al. G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods 2007;39(2):175–91. doi: 10.3758/bf03193146.
Rakhab A, Thaniwattananon P, Nilmanut K, et al. Buddhist practice, health perception and hope in persons with HIV infection/AIDS. [In Thai]. Songkla Med J 2007, 25(4), 259-71.
Netimetee S. Hope, nursing care behaviors, social support, and spiritual well-being in postpartum mothers with HIV infection [Thesis]. Chonburi: Burapha University, [In Thai]; 2004.
Broadbent E, Petrie KJ, Main J, et al. The Brief Illness Perception Questionnaire. J Psychosom Res 2006;60:631-37. doi: 10.1016/j.jpsychores.2005.10.020.
Steger MF, Frazier P, Oishi S, et al. The Meaning in life questionnaire: Assessing the presence of and search for meaning in life. J Couns Psychol 2006;53(1):80-93. doi: 10.1037/0022- 018.104.22.168.
Fowler J. Stages of faith: The psychology of human development and the quest for meaning. San Francisco: Harper Collins; 1981.
Balthip Q, Petchruschatachart U, Piriyakoontorn S, et al. Achieving peace and harmony in life: Thai Buddhists living with HIV/AIDS. Int J Nurs Pract 2013;9(suppl.2):7-14. doi: 10.1111/ijn.12039.
Mueller JR. Spiritual well-being, faith, hope, anxiety, and loneliness in oncology patients: a descriptive correlational study. [Thesis]. Ohio: Cedarville University; 2015. doi: 10.15385/tmsn.2015.1.
Abedi S, Foroughan M, Khanjani MS, et al. Relationship between meaning of life and spiritual well-being in the older people residing in nursing homes Shemiranat, 2014. Salmand: Iranian J Ageing 2016;11(3):456-65