Questionnaire Survey and Analysis of Spiritual Health, Quality of Life, and Meaning of Life in Chinese Breast Cancer Patients Receiving Chemotherapy: A Cross-Sectional Study
| Author | Fang Zhao | en |
| Author | Yujing Tan | en |
| Author | Enfeng Fu | en |
| Author | Shanshan Zhu | en |
| Author | Lulu Yu | en |
| Author | Huiyi Dong | en |
| Author | Jiani Wang | en |
| Issued Date | 2026-09-30 | en |
| Abstract | Background: Breast cancer patients receiving chemotherapy frequently encounter a range of physical and psychological problems that adversely affect their spiritual well-being, which highlights the importance of exploring the spiritual health in the specific population. Objectives: The study aimed to assess spiritual health, quality of life, and meaning of life in breast cancer patients undergoing chemotherapy in China. Methods: Participants were collected via the simple random sampling (SRS) method from the NCC between January and December 2023. The sampling frame was the list of female breast cancer patients hospitalized for chemotherapy at NCC. Three types of Chinese-version scales were used to assess spiritual health, quality of life and meaning of life, including the Chinese version of the European Quality of Life in Cancer Treatment and Research-Spiritual Health Scale (EORTC QLQ-SWB27), the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-C30 (EORTC QLQ-C30), and the Meaning of Life Scale for Cancer Patients (MiLS). Results: Totally, 242 participants were qualified for the study. After standardized transformation, the average scores were 62.21 ± 11.25 (0 - 100 scale) for spiritual health, 65.40 ± 10.32 (0 - 100 scale) for quality of life, and 109.24 ± 14.71 for meaning of life. A positive, significant correlation was observed among spiritual health (measured by EORTC QLQ-SWB27), quality of life (measured by EORTC QLQ-C30), and meaning of life (measured by MiLS) (all P < 0.01). The total scores of spiritual health were significantly associated with occupational status (P = 0.035) and monthly household income per capita (P = 0.016). The total scores of meaning of life showed a significant correlation with occupational status (P = 0.04). Further multiple linear regression analyses revealed that monthly household income per capita, quality of life (EORTC QLQ-C30 standardized score), and meaning of life significantly affected spiritual health (all P < 0.05). Among them, the weight of monthly household income per capita was highest (β = 1.98, 95% CI = 0.71 - 3.24). Conclusion: Breast cancer patients in China achieved moderate scores in spiritual health, and high scores in quality of life and meaning in life. Monthly household income per capita was identified as the most crucial factor for spiritual health, which recommended considering patients' economic backgrounds before developing medical care in Chinese clinical practice. | en |
| DOI | https://doi.org/10.5812/jnms-167547 | en |
| Keyword | Breast Neoplasms | en |
| Keyword | Chemotherapy | en |
| Keyword | Spiritual Well-Being | en |
| Keyword | Quality of Life | en |
| Keyword | Meaning in Life | en |
| Publisher | Brieflands | en |
| Title | Questionnaire Survey and Analysis of Spiritual Health, Quality of Life, and Meaning of Life in Chinese Breast Cancer Patients Receiving Chemotherapy: A Cross-Sectional Study | en |
| Type | Research Article | en |
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