Religious/spiritual coping and level of hope in patients with cancer in chemotherapy

Costa, Diogo Timóteo; Silva, Darine Marie Rodrigues da; Cavalcanti, Iago Dillion Lima; Gomes, Eduardo Tavares; Vasconcelos, Juliana Lúcia de Albuquerque; Carvalho, Maria Valéria Gorayeb de

doi:10.1590/0034-7167-2018-0358

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Revista Brasileira de Enfermagem

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ORIGINAL ARTICLE • Rev. Bras. Enferm. 72 (3) • May-Jun 2019 • https://doi.org/10.1590/0034-7167-2018-0358 copy

Religious/spiritual coping and level of hope in patients with cancer in chemotherapy

Coping religioso/espiritual y nivel de esperanza en pacientes con cáncer en quimioterapia

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Aim:

To demonstrate the relationship between religious/spiritual coping and hope in cancer patients undergoing chemotherapy.

Method:

This is a cross-sectional, descriptive study with a quantitative approach performed in a reference outpatient clinic in Caruaru, PE, between August and October 2017. A total of 82 cancer patients undergoing chemotherapy were included in the study, using the brief religious/spiritual coping scale (RCOPE-Brief) and the Herth Hope Scale (HHS).

Results:

The sample presented mean positive RCOPE scores (3.03 ± 0.41) and the level of hope was considered high (42.7 points ± 3.67). Patients who had a high RCOPE score were found to have a higher mean of Herth’s level of hope (44.12 points).

Conclusion:

This study becomes relevant to nursing professionals by encouraging care that takes into account the patient’s spiritual dimension in order to stimulate positive mechanisms of religious coping and, consequently, raise the levels of hope.

Descriptors:
Spirituality; Neoplasms; Psychological adaptation; Hope; Nursing

CRE classification	CRE Domains		Total CRE	p value¹ 1 p-value of chi-square test.
CRE classification	Positive	Negative	Total CRE	p value¹ 1 p-value of chi-square test.
None or negligible	0 (0.0%)	24 (29.3%)	0 (0.0%)	<0.001
Low	7 (8.5%)	51 (62.2%)	0 (0.0%)
Medium	68 (82.9%)	7 (8.5%)	57 (69.5%)
High	7 (8.5%)	0 (0.0%)	25 (30.5%)
Very High	0 (0.0%)	0 (0.0%)	0 (0.0%)
Minimum-maximum	2.06 - 4.12	1.00 - 3.20	2.73 - 4.31	-
Mean ± standard deviation	3.03 ± 0.41	1.79 ± 0.49	3.39 ± 0.27	-

Variables	Mean	Standard deviation	Median	Variation obtained
1. I have a positive outlook toward life.	3.51	0.72	4	1 - 4
2. I have short and/or long range goals.	3.15	0.80	3	1 - 4
3. I feel all alone.	3.41	0.86	4	1 - 4
4. I can see possibilities in the midst of difficulties.	3.38	0.64	3	1 - 4
5. I have a faith that gives me comfort.	3.82	0.50	4	1 - 4
6. I feel scared about my future. 7.	3.46	0.80	4	1 - 4
7. I can recall happy/joyful times.	3.56	0.63	4	1 - 4
8. I have deep inner strength.	3.70	0.56	4	2 - 4
9. I am able to give and receive caring/love.	3.70	0.49	4	2 - 4
10. I have a sense of direction.	3.40	0.74	4	2 - 4
11. I believe that each day has potential.	3.73	0.47	4	2 - 4
12. I feel my life has value and worth.	3.88	0.33	4	3 - 4

Variables	TCRE Classification		p value
Variables	CRET médio	CRET alto	p value
1. I have a positive outlook toward life.	3.46 ± 0.80	3.64 ± 0.49	0.530² 2 p-value of Mann-Whitney test.
2. I have short and/or long range goals.	3.04 ± 0.84	3.40 ± 0.64	0.073² 2 p-value of Mann-Whitney test.
3. I feel all alone.	3.30 ± 0.94	3.68 ± 0.56	0.127² 2 p-value of Mann-Whitney test.
4. I can see possibilities in the midst of difficulties.	3.26 ± 0.64	3.64 ± 0.57	0.009² 2 p-value of Mann-Whitney test.
5. I have a faith that gives me comfort.	3.84 ± 0.41	3.76 ± 0.66	0.786² 2 p-value of Mann-Whitney test.
6. I feel scared about my future. 7.	3.40 ± 0.88	3.60 ± 0.58	0.537² 2 p-value of Mann-Whitney test.
7. I can recall happy/joyful times.	3.53 ± 0.66	3.64 ± 0.57	0.474² 2 p-value of Mann-Whitney test.
8. I have deep inner strength.	3.61 ± 0.59	3.88 ± 0.44	0.021² 2 p-value of Mann-Whitney test.
9. I am able to give and receive caring/love.	3.67 ± 0.51	3.76 ± 0.44	0.467² 2 p-value of Mann-Whitney test.
10. I have a sense of direction.	3.35 ± 0.77	3.52 ± 0.65	0.396² 2 p-value of Mann-Whitney test.
11. I believe that each day has potential.	3.75 ± 0.47	3.68 ± 0.48	0.414² 2 p-value of Mann-Whitney test.
12. I feel my life has value and worth.	3.86 ± 0.35	3.92 ± 0.28	0.445² 2 p-value of Mann-Whitney test.
Total Herth Scale Score	42.07 ± 3.65	44.12 ± 3.37	0.019¹ 1 p-value of Student's t-test.

Rated domain	p value¹ 1 p-value of Pearson correlation test.
Positive CRE	0.213
Negative CRE	-0.055
Total CRE	0.253

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[1] Corresponding Author: Diogo Timóteo Costa. E-mail: diogotcosta2@gmail.com