Spiritual Well-Being and Correlated Factors in Subjects With Advanced COPD or Lung Cancer.
BACKGROUND
Spiritual care for patients with COPD has rarely been discussed, and thus much remains unknown about their needs. The aims of this study were to identify the factors associated with spiritual well-being and to compare the levels of spiritual well-being between subjects with advanced COPD and those with inoperable lung cancer.


METHODS
A total of 96 subjects with COPD or lung cancer participated in this study, which was conducted between December 2014 and April 2016. Measures included the Japanese version of the 12-item Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being (FACIT-Sp-12) scale, the McGill Quality of Life Questionnaire (MQOL), the modified Medical Research Council (mMRC) dyspnea scale, and various other medico-social factors.


RESULTS
No significant differences were found between subjects with COPD and those with lung cancer in median FACIT-Sp-12 scores (COPD, 27; lung cancer, 26;P= .81). However, significant differences were found in the 2 MQOL domains, suggesting that subjects with COPD had a better psychological state (P= .01) and that subjects with lung cancer had a better support state (P= .002). Multiple regression analysis revealed that mMRC was significantly associated with FACIT-Sp-12 scores in subjects with COPD.


CONCLUSIONS
These results suggest that subjects with advanced COPD experience spiritual well-being similar to that of subjects with inoperable lung cancer.
Department of Respiratory Medicine and Medical Oncology takaaki_hase@bird.ocn.ne.jp.|Palliative Care Center.|Division of Palliative Care and Psycho-oncology, Nagoya City University Hospital, Nagoya, Japan.
Takaaki
T
Hasegawa
Department of Nursing, Gifu Municipal Hospital, Gifu, Japan.
Momoko
M
Kawai
Palliative Care Center.|Department of Nursing, Gifu Municipal Hospital, Gifu, Japan.
Nanori
N
Kuzuya
Department of Respiratory Medicine and Medical Oncology.
Yohei
Y
Futamura
Department of Respiratory Medicine and Medical Oncology.
Akane
A
Horiba
Department of Respiratory Medicine and Medical Oncology.|Palliative Care Center.
Takashi
T
Ishiguro
Department of Respiratory Medicine and Medical Oncology.
Tsutomu
T
Yoshida
Department of Respiratory Medicine and Medical Oncology.
Toshiyuki
T
Sawa
Palliative Care Center.
Yasuyuki
Y
Sugiyama
D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000523:psychology*; D008297:Male; D008875:Middle Aged; D029424:Pulmonary Disease, Chronic Obstructive / Q000523:psychology*; D011788:Quality of Life; D012720:Severity of Illness Index; D029181:Spirituality; D018709:Statistics, Nonparametric; D011795:Surveys and Questionnaires
COPD; dyspnea; lung cancer; palliative care; quality of life; spiritual well-being