Abstract
Cancer-related fatigue has been shown to be a significant side effect that influences a person’s wellbeing, during treatment, and after treatment. It is recorded that cancer patients have also been shown experiencing spiritual distress. The study aims to determine the connection between spiritual well-being and cancer-related fatigue among patients suffering from breast cancer during chemotherapy treatment. 112 patients who were undergoing chemotherapy treatment were recruited in this study using a correlational design. The instruments used in assessing spiritual well-being and fatigue are Functional Assessment of Chronic Illness Therapy - Spirituality (FACIT-Sp) and FACIT-Fatigue Scales. Data were analyzed using the Spearman Correlation analysis. Mean spiritual well-being score was 35.91 (SD = 6.89), and the mean fatigue score was 33.04 (SD = 9.58). There were a moderate and significant correlation between fatigue scores and spiritual well-being (r = .364, p < 0.001). Breast cancer patients who had higher spiritual well-being that means they would alleviate fatigue symptoms. Therefore, nurses should consider that increasing spiritual well-being would reduce fatigue and vice versa.
References
Ahmad, F., binti Muhammad, M., & Abdullah, A. A. (2011). Religion and Spirituality in Coping with Advanced Breast Cancer: Perspectives from Malaysian Muslim Women. Journal of Religion and Health, 50(1), 36-45. https://doi.org/10.1007/s10943-010-9401-4
Aisyah, P. S. (2017). The Correlation Between Being Deeply Absorbed In Shalat With Adaptation To Illness In Breast Cancer Patients Undergoing Chemotherapy. Proceeding INC 2016, 1(1).
Borneman, T., Irish, T., Sidhu, R., Koczywas, M., & Cristea, M. (2014). Death awareness, feelings of uncertainty, anad hope in advanced lung cancer patients: can they coexist? International Journal of Palliative Nursing, 20(6). https://doi.org/10.12968/ijpn.2014.20.6.271
Bower, J. E. (2008). Behavioral Symptoms in Patients With Breast Cancer and Survivors. Journal of Clinical Oncology, 26(5), 768-777. https://doi.org/10.1200/jco.2007.14.3248
Bredle, J. M., Salsman, J. M., Debb, S. M., Arnold, B. J., & Cella, D. (2011). Spiritual Well-Being as a Component of Health-Related Quality of Life: The Functional Assessment of Chronic Illness Therapy—Spiritual Well-Being Scale (FACIT-Sp). Religions, 2(1), 77.
https://doi.org/10.3390/rel2010077
Cella, D. F., Tulsky, D. S., Gray, G., Sarafian, B., Linn, E., Bonomi, A., . . . Brannon, J. (1993). The Functional Assessment of Cancer Therapy scale: development and validation of the general measure. Journal of Clinical Oncology, 11(3), 570-579. https://doi.org/10.1200/jco.1993.11.3.570
Clay, K. S., Talley, C., & Young, K. B. (2010). Exploring spiritual wellâ€being among survivors of colorectal and lung cancer. Journal of Religion & Spirituality in Social Work: Social Thought, 29(1), 14-32. https://dx.doi.org/10.1080%2F15426430903479247
Dahlia, D., Karim, D., & Damanik, S. R. H. (2019). Gambaran fatigue pada pasien kanker post kemoterapi (An Overview of fatigue in post chemotherapy cancer patients). Jurnal Ners Indonesia, 10(1), 80-93. http://dx.doi.org/10.31258/jni.10.1.80-93
Dodd, M. J., Cho, M. H., Cooper, B. A., & Miaskowski, C. (2010). The effect of symptom clusters on functional status and quality of life in women with breast cancer. European Journal of Oncology Nursing, 14(2), 101-110. http://dx.doi.org/10.1016/j.ejon.2009.09.005
Ellison, L. L. (2006). A review of the spiritual well-being scale. News Notes, 44(1), 1-10
Garssen, B., Uwland-Sikkema, N. F., & Visser, A. (2015). How Spirituality Helps Cancer Patients with the Adjustment to their Disease. Journal of Religion and Health, 54(4), 1249-1265. https://doi.org/10.1007/s10943-014-9864-9
Gilliam, L. A., & St. Clair, D. K. (2011). Chemotherapy-induced weakness and fatigue in skeletal muscle: the role of oxidative stress. Antioxidants & Redox Signaling, 15(9), 2543-2563. https://doi.org/10.1089/ars.2011.3965
Gomez, R., & Fisher, J. W. (2003). Domains of spiritual well-being and development and validation of the Spiritual Well-Being Questionnaire. Personality and Individual Differences, 35(8), 1975-1991. http://dx.doi.org/10.1016/S0191-8869(03)00045-X
Hsieh, F.-C., Miao, N.-F., Tseng, I.-J., Chiu, H.-L., Kao, C.-C., Liu, D., . . . Chou, K.-R. (2019). Effect of home-based music intervention versus ambient music on breast cancer survivors in the community: A feasibility study in Taiwan. European Journal of Cancer Care, 28(4). https://doi.org/10.1111/ecc.13064
Kandasamy, A., Chaturvedi, S., & Desai, G. (2011). Spirituality, distress, depression, anxiety, and quality of life in patients with advanced cancer. Indian Journal of Cancer, 48(1), 55. https://doi.org/10.4103/0019-509x.75828
Kinkead, B., Schettler, P. J., Larson, E. R., Carroll, D., Sharenko, M., Nettles, J., . . . Rapaport, M. H. (2018). Massage therapy decreases cancer-related fatigue: Results from a randomized early phase trial. Cancer, 124(3), 546-554. https://doi.org/10.1002/cncr.31064
Komariah, M., Adriani, D., Indrayani, D., & Gartika, N. (2020). Kebutuhan Spiritual pada Pasien dengan Kanker Stadium Akhir (Spiritual Needs of Patients with End-Stage Cancer). Jurnal Keperawatan Silampari, 4(1), 1-10. https://doi.org/10.31539/jks.v4i1.1221
Komariah, M., Hatthakit, U., & Boonyoung, N. (2020). Impact of Islam-Based Caring Intervention on Spiritual Well-Being in Muslim Women with Breast Cancer Undergoing Chemotherapy. Religions, 11(7), 361. https://doi.org/10.3390/rel11070361
Komariah, M., & Ibrahim, K. (2019). Training dan Coaching pada Pasien Kanker Payudara untuk Meningkatkan Ketaatan Melakukan Praktek Keagamaan (Training and Coaching for Breast Cancer Patients to Increase Adherence to doing Religious Practices). Media Karya Kesehatan, 2(2). https://doi.org/10.24198/mkk.v2i2.23024
Lestari, P., Nuraeni, A., & Setyorini, D. (2018). Spiritual Distress In Breast Cancer Patients. Journal of Nursing Care, 1(2).
Lewis, S., Salins, N., Rao, M., & Kadam, A. (2014). Spiritual well-being and its influence on fatigue in patients undergoing active cancer directed treatment: A correlational study. Journal of Cancer Research and Therapeutics, 10(3), 676-680. https://doi.org/10.4103/0973-1482.138125
Loh, K. Y. (2004). Spiritual distress in a terminally ill patient with breast cancer. International Journal of Palliative Nursing, 10(3), 131-132. https://doi/10.12968/ijpn.2004.10.3.12466
Manning-Walsh, J. K. (2005). Psychospiritual Well-Being and Symptom Distress in Women With Breast Cancer. Oncol Nurs Forum, 32(3), 7-543. https://doi.org/10.1188/04.onf.e56-e65
Naraphong, W., Lane, A., Schafer, J., Whitmer, K., & Wilson, B. R. A. (2015). Exercise intervention for fatigue-related symptoms in Thai women with breast cancer: A pilot study. Nursing & Health Sciences, 17(1), 33-41. https://doi.org/10.1111/nhs.12124
National Comprehensive Cancer Network. (2009). NCCN Practice Guidelines in Oncology: Cancer Related Fatigue. Retrieved July 8, 2018, from https://www.nccn.org/patients/resources/life_with_cancer/managing_symptoms/fatigue.aspx
Nuraeni, A., Ibrahim, K., & Rizmadewi, H. (2013). Makna spiritualitas pada klien dengan sindrom koroner akut (Meaning of spirituality in clients with acute coronary syndrome). Jurnal Keperawatan Padjadjaran, 1(2). https://doi.org/10.24198/jkp.v1i2.55
Nuraeni, A., Nurhidayah, I., Hidayati, N., Sari, C. W. M., & Mirwanti, R. (2015). Kebutuhan spiritual pada pasien kanker (Spiritual needs in cancer patients). Jurnal Keperawatan Padjadjaran, 3(2). https://doi.org/10.24198/jkp.v3i2.101
Nurhasanah. (2014). Analisa kualitas hidup pasien kanker payudara pada setiap siklus kemoterapi di ruang Kemotherapy RSP [Analyze the Quality of Life of Breast Cancer Patients on Each Cycle of Chemotherapy at Chemotherapy Unit of the Teaching Hospital]. [Unpublished Master’s thesis, Universitas Padjadjaran] Universitas Padjadjaran. Bandung, Indonesia.
Sari, N. P. W. P. (2019). Physical wellbeing in cervical and breast cancer survivors: a cross-sectional study in Surabaya, Indonesia. Indonesian Journal of Cancer, 12(3), 80-87. http://dx.doi.org/10.33371/ijoc.v12i3.614
Schmidt, M. E., Wiskemann, J., Armbrust, P., Schneeweiss, A., Ulrich, C. M., & Steindorf, K. (2015). Effects of resistance exercise on fatigue and quality of life in breast cancer patients undergoing adjuvant chemotherapy: A randomized controlled trial. International Journal of Cancer, 137(2), 471-480. https://doi.org/10.1002/ijc.29383
Suara, E., Mardiyono, M., & Anggorowati, A. (2017). Relationship between demographic characteristics and spiritual wellbeing Among cancer survivors. Belitung Nursing Journal, 3(4), 405-411. https://doi.org/10.33546/bnj.74
Taylor, E. J. (1993). Factors associated with meaning in life among people with recurrent cancer. Oncology Nursing Forum, 20(9), 1399-405.
Villagomeza, L. R. (2005). Spiritual Distress in Adult Cancer Patients: Toward Conceptual Clarity. Holistic Nursing Practice, 19(6), 285-294. https://doi.org/10.1097/00004650-200511000-00010
Wahyuningsih, F. E., Sofro, M. A. U., & Dwidiyanti, M. (2019). Spiritual Well being of Breast Cancer Patients Undergoing Chemotherapy through Mindfulness Based Spiritual. Media Keperawatan Indonesia, 2(3), 83-89. http://dx.doi.org/10.26714/mki.2.3.2019.83-89
Wilding, C., Muirâ€Cochrane, E., & May, E. (2006). Treading lightly: Spirituality issues in mental health nursing. International Journal of Mental Health Nursing, 15(2), 144-152. http://dx.doi.org/10.1111/j.1447-0349.2006.00414.x
Yellen, S. B., Cella, D. F., Webster, K., Blendowski, C., & Kaplan, E. (1997). Measuring fatigue and other anemia-related symptoms with the Functional Assessment of Cancer Therapy (FACT) measurement system. Journal of Pain and Symptom Management, 13(2), 63-74. https://doi.org/10.1016/s0885-3924(96)00274-6
Zimmaro, L. A., Carson, J. W., Olsen, M. K., Sanders, L. L., Keefe, F. J., & Porter, L. S. (2019). Greater mindfulness associated with lower pain, fatigue, and psychological distress in women with metastatic breast cancer. Psycho-Oncology, 29(2), 263-270. https://doi.org/10.1002/pon.5223

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Copyright (c) 2021 Jurnal Keperawatan Padjadjaran