Association of spiritual well-being with quality of life among undergraduate nursing students

Objective:The study was conducted with the aim of determining the spiritual well-being(SWB)of nursing students and its association with quality of life(QOL).Materials and Methods:A cross-sectional analytical study was conducted with a sample size of 504 nursing students collected from January 2023 to March 2023 in the nursing institutes of Khyber Pakhtunkhwa,Pakistan,using convenient sampling techniques.A Spiritual Health and Life-Orientation Measure(SHALOM)questionnaire for SWB and K-27 QOL(K-27 QOL)instrument were used for data collection that contains three parts.Results:The number of female participants was in the majority(50.4%)compared to male nurses(49.6%).The overall mean score of SWB of the students was 3.79±0.48,while the mean K-27 QOL score was 3.73±0.57.There were significant differences between the groups of gender(P=0.001),while no significant difference within the groups of semester(P=0.061)and college status(0.285).In QOL,there were significant differences within the groups of semester(P=0.000)and college status(P=0.036)while no significant difference in gender category(P=0.480).SHALOM score is positively and moderately correlated with QOL score(r=0.597,P<0.05).Conclusion:Spiritual practices are one of the important factors that are associated positively with QOL,therefore to enhance the QOL,it will require spiritual practices.

Efficacy of the structured life review and the short-term life review on the spiritual well-beingof terminally ill cancer patients

GOALS: The aims of this study were to evaluate the treatment efficacy of the structured life review interviews and the Short-Term Life Review on the spiritual well-being of terminally ill cancer patients, in order to improve patients’ quality of life. SUBJECTS and METHODS: Participants were patients in palliative care units in Japan. In the study 1, the structured life review interviews were conducted with 12 patients. They completed the QOL scale of the SELT-M (Skalen zur Erfassung von Lebens qualitat bei Tumor- kranken–Modified Version) questionnaire before and after the interviews. In the study 2, the Short-Term Life Review was conducted with 30 patients. They reviewed their lives in the first session and they confirmed the contents in the album based on the life review in the second session. Duration of the treatment was one week. Measurement instruments included Func- tional Assessment Chronic Illness Therapy- Spiritual (FACIT-Sp). RESULTS: After the structured life review, the mean overall QOL score and Spirituality subscale score of the SELT-M significantly increased, from 2.57 ± 0.61 to 3.58 ± 1.0 (p=0.013) and 2.57 ± 0.61 to 3.14 ± 2.25 (P=0.023), respectively. After the Short-Term Life Review, the mean FACIT-Sp scores significantly increased from 16 ± 8.2 to 24 ± 7.1. CONCLUSION: Both the structured life review and the Short-Term Life Review may be effective in improving the spiritual well-being of terminally ill cancer patients, being higher feasibility for the Short-Term Life Review. We need to use these therapies understanding characteristics of each therapy.

Relationship between spiritual well-being and Health-Related Quality of Life and some related factors in patients with AIDS/HIV

Objective:The study of effective factors on the quality of life(QoL),as an important criterion,in the outcome of new therapeutic and preventive strategies in human immunodeficiency virus(HIV)has been considered by researchers.To study the relationship between spiritual well-being and Health-Related Quality of Life(HRQoL)and some related factors in patients with Acquired Immunodeficiency Syndrome([AIDS]/HIV).Methods:In this cross-sectional study,224 people were selected as the study population(112 were male and 112 were female)from patients with AIDS/HIV at the Behavioral Counseling Center of Shiraz with available sampling method.The research tool was Palutzian&Ellison well-being scale and QoL Questionnaire(SF-36).Data were analyzed using Pearson correlation test.Results:There was a significant direct relationship between physical function dimensions(P=0.003).There was a significant relationship between general well-being,mental well-being,and total spiritual well-being(P<0.001).There was a statistically significant relationship between the dimensions of QoL and spiritual well-being with some age section of the patients,and their occupation and education(P<0.001).Conclusions:Spirituality has an impact on the QoL dimensions.Therefore,HIV positive people’s quality of life could be improved by the possibility of the spiritual well-being promotion as a method of adaptation with the disease.

Impact of spiritual care on the spiritual and mental health and quality of life of patients with advanced cancer

BACKGROUND Cancer is a growing threat to human health.Due to the double torment of cancer and cancer treatment,patients with advanced cancer generally have a low quality of life.At present,there is a lack of systematic spiritual care plans for patients with advanced cancer as well as systematic guidance plans on the specific clinical application of spiritual care for advanced cancer patients.We hypothesized that our care plan would be effective in improving the spiritual and mental health and quality of life of patients with advanced cancer.AIM To construct a spiritual care plan suitable for Chinese patients with advanced cancer through literature analysis.METHODS From February to December 2018,through purpose sampling,we selected 100 advanced cancer patients from the Oncology Department and Hospice Ward of a tertiary hospital in Liaoning Province who met the study standards.Patients were randomly divided into experimental and control groups,with 50 cases in each group.The control group received the current routine care,while the experimental group received the advanced cancer spiritual care intervention in addition to routine care.RESULTS After the intervention,the overall spiritual health score for the experimental group was higher than that of the control group(4.68±1.36 vs 3.63±1.71).The difference between the groups was statistically significant(P<0.05).The proportion of anxiety-free patients in the experimental group was 95.45%,which was significantly higher than the 60.98%in the control group.Moreover,the proportion of non-depressed patients in the experimental group was 97.73%,which was significantly higher than the 85.37%in the control group(P<0.05).The overall quality of life score for the experimental group was significantly higher than that of the control group(5.36±1.16 vs 4.39±1.36,P<0.05).CONCLUSION Our spiritual care plan for patients with advanced cancer could improve their spiritual health and quality of life and reduce negative mental health symptoms.

Factors influencing spiritual wellbeing among pancreatic ductal adenocarcinoma patients receiving chemotherapy

BACKGROUND Spiritual wellbeing emphasizes optimistic and positive attitudes while selfregulating negative emotions when coping with stress.However,there have only been a few small studies of spiritual wellbeing of pancreatic ductal adenocarcinoma(PDAC)patients undergoing chemotherapy.The core factors influencing spiritual wellbeing in this clinical population are still unclear.AIM To identify factors influencing spiritual wellbeing among patients with PDAC receiving chemotherapy.METHODS A total of 143 PDAC patients receiving chemotherapy were enrolled from January to December 2022.Patients completed general information questionnaires including:Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being 12 Item Scale(FACIT-Sp-12),European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30(EORTC QLQ-C30)and Zung’s Self-rating Anxiety Scale(SAS).Independent sample t-test,one-way analysis of variance,Pearson’s correlation analysis,and multiple linear regression analysis were adopted for statistical analyses.P<0.05(two-tailed)was considered statistically significant for all tests.RESULTS Total spiritual wellbeing(FACIT-Sp-12)score was 32.16±10.06 points,while dimension sub-scores were 10.85±3.76 for faith,10.55±3.42 for meaning,and 10.76±4.00 for peace.Total spiritual wellbeing score was negatively correlated with SAS score for anxiety and with the symptom domain of EORTC QLC-C30.Conversely,spiritual wellbeing score was positively correlated with global health status and EORTC QLQ-C30 role functioning domain score.Multivariate regression analysis identified educational level,health insurance category,symptom domain,functional role domain,and global health status as significant independent factors influencing spiritual wellbeing among PDAC patients undergoing chemotherapy(R2=0.502,P<0.05).CONCLUSION Individualized spiritual support is needed for PDAC patients.Health,daily functioning,emotional,cognitive,and social function status should be taken into account to promote implementation of spirituality in nursing practice.

Henry David Thoreau's Spiritual World

Henry David Thoreau was wholeheartedly in love with nature and he devoted almost all his life time to observation,appreciation and study of nature.Thus he formed a deep understanding of nature.In 1845,Thoreau began a two-year and twomonth residence at Walden Pond.His life was lonely but full of fragrance.He wanted to live meaningfully,confront the essential facts of life and live a simple life.Based on the review of the literature related to this topic,this paper aims to study Henry David Thoreau’s spiritual world,especially reflected in his famous book—Walden.

Simple Life Review for Terminally Ill Cancer Patients with Low Cognitive Function

Objective: The aims of the study were to develop a Simple Life Review Interview as psychotherapy for terminally ill cancer patients with slight cognitive impairment, and to examine the feasibility and effects of this approach on spiritual well-being and quality of life. Methods: The participants were 5 terminally ill cancer patients in a palliative care unit. They completed questionnaires for the Functional Assessment of Chronic Illness Therapy-Spiritual (FACIT-Sp) scale, Good Death Inventory (Hope, Burden, Human Relationship, Respect as an Individual), and Distress and Impact Thermometer. Results: The Simple Life Review Interview consisted of viewing a DVD and reviewing the patient's life using questions that are applicable to terminally ill cancer patients with slight cognitive impairment. Overall, the FACIT-Sp score and the scores for Hope, Human Relationship, and Respect as an Individual on the Good Death Inventory increased, while the Burden score and the Distress and Impact Thermometer score decreased. However, there were some exceptions to these results. Conclusion: The Simple Life Review is feasible for terminally ill cancer patients with some cognitive impairments, and might be effective for improving spiritual well-being, Good Death, and psychological distress in these patients.

Rags to Riches:Positive Psychological Attributes and Spiritual Factors Creating Meaning

In mainstream media,the common perception is that“rags to riches”stories only consist of becoming“rich and famous”.This paper aims to reflect on the phenomenological experiences of 19 South Africans who significantly were able to move beyond their own significant low point experiences(imaginary:“rags”)into high point experiences(imaginary:“riches”).The presence of a meaningful experience indicates a turning point divide between low and high.Having the right positive psychological attributes supports the change required to move beyond your circumstances.The study explored the deeper internal psychological attributes within a person along with spiritual factors that could affect change in a person’s life to have an improved and fulfilling life.An existential-phenomenological-humanistic approach,from a positive psychological theoretical viewpoint,was used.The attributes were identified as themes through thematic analysis.The study found that meaning was the most prevalent feature in all respondents’lives to indicate a turn away from,sometimes intense,negative experiences.The presence of a positive mind-set(including positive attitude,self-thought,and self-talk)played a dominant role in affecting change,while the presence of faith and religious belief indicated the spiritual factors associated with change.

Spirituality from Sunrise to Sunset

This paper describes the spirituality of the faculty and student respondents. The questionnaire solicited the respondents＇ perceptions of themselves and their feelings. They identified persons, symbols, object, and activities that give meaning to their lives, their relationship with others, and the ＂Divine＂. Results showed that the respondents described themselves as ＂a person with dignity＂, ＂a child of God＂ whose primary purpose is to love and to serve. Family members, good fi＇iends and supervisors are people who remind them of God＇s love and compassion. Symbols of cross, crucifix, heart; Church and chapels; Prayers, Mass, Retreats and Recollections are activities that reminded the respondents of God＇s presence inside the university.

Investigation of the Effect of Acceptance and Commitment Psychotherapy (ACT) on Quality of Life of Adult Women Suffering from Obesity

Background and Purpose: Quality of life as an important factor in health is very important. This study is looking for an appropriate and effective treatment for improving quality of life. This research aims to study the psychological effect of acceptance and commitment therapy (ACT) on quality of life of adult women suffering from obesity. Methods and Materials: This research is a kind of half-trail, with pattern of pre-test, post-test and group control. Statistical population includes all over-weight women with body mass index (BMI) range (30 - 40) who participated in family training sessions held in Shahin Shahr city. 40 patients who had the characteristics for sampling were selected and randomly placed in test and control groups (each group 20 people). Participants in each group before and after intervention quality of life questionnaire with 100 question sample World Health Organization Quality of Life (WHOQOL)-100 were evaluated. 12 sessions of acceptance and commitment therapy in group was used. The obtained data were analyzed with the use of Sciences Statistical Package for the Social (SPSS) 18 statistical software and methods of analysis of covariance. Findings: After selection of adult women having a BMI between 30 and 40 based on availability who had attended the meeting of family education, by invitation and voluntary, they were randomized into experimental and control groups. Intervention was done for experimental group. Due to the result of covariance analysis on the post-test stage, examination group showed significant improvement in variants physical health dimensions, level of independence in social and environmental relationships and spirituality (p < 0.01). Conclusion: According to the findings of this research based on the impact of acceptance and commitment intervention on promotion and improving in quality of life, this treatment can be used for improving the variants in women suffering from over-weight and obesity.

Research on spirit and culture of the elderly life under the multiple responsibility

With the transformation of population age structure and the extension of life expectancy, China has entered a rapid aging period. With development of social economy and the social security systcn~ the elderly spiritual and cultural needs is becoming more and more importantly. To the government, enterprise, society community, family and themselves, enriching the spirit and culture of the elderly life is a higher level of challenge.

数字技术促进精神生活共同富裕的机理、风险及其防范

精神生活共同富裕内在地蕴含人民精神生活富有、人民精神生活发展平衡两个层面的本质规定性。当前,数字技术的广泛应用已经渗透到人民精神生产、分配、交往、消费等实践环节,加速了精神生活富有、精神生活发展平衡理想精神图景的到来。从精神生活共同富裕的本质规定出发,结合人民精神生活实践的运行逻辑,探讨数字技术促进精神生活共同富裕的内在机理,可以发现,数字技术能够提高精神生产效率,助力满足精神生活的多维需要;能够优化精神文化资源配置方式,助力促进精神文化产品的全民享有;能够打造多维高效的交往矩阵,助力凝聚社会成员的价值共识;能够优化精神消费生态,助力推动精神消费的理性自觉。同时,数字技术促进精神生活共同富裕过程中面临数字垄断可能提高精神生产的成本、数字壁垒可能扩大精神产品分配的不公正性、“信息茧房”“数字鸿沟”可能影响精神交往互动深度、数字依赖可能导致精神消费异化等风险。因此,防范数字技术促进精神生活共同富裕过程中可能产生的风险,需要提升数字文化产品和服务的供给能力,提高人们的数字素养和能力,强化社会主义核心价值观对数字技术和精神生活的引领,健全数字技术促进精神生活共同富裕的制度机制。

新时代民众精神富有“坐标系”的构建与形塑

中国特色社会主义进入新时代,人们的物质生活更为丰裕,解答人的精神困惑、提升人的精神境界、促进人的精神富有,成为新的时代命题。作为实现精神富有的主体力量,人的精神生活内容和精神(生活)动力,构成了精神富有的坐标系。从人的主体性出发,消费性、建设性、创造性的精神生活,作为人对自身精神生活内容的获取、追求与创造,构成精神富有坐标系的横向内容维度。现实性、发展性、价值性的精神动力,作为满足基本的个人现实需要、指引正确的群体发展方向、助力强国建设和民族复兴的重要驱动力,构成精神富有坐标系的纵向动力维度。和而不同、永无止境是精神富有的未来样态。不断丰富人民精神世界,增强人民精神力量,使人民精神生活内容充沛,实现精神富有动力充足,有助于形成共同致力于中华民族伟大复兴的强大力量。

思想政治教育促进残疾人精神生活共同富裕的时代意蕴和实践理路

精神生活的共同富裕是共同富裕的重要内容,残疾人作为社会成员的重要组成部分,与全国人民一道实现精神生活共同富裕是我国社会主义制度的必然要求。从现实角度来看,应更加注重思想政治教育促进残疾人精神生活共同富裕的先导性作用。思想政治教育促进残疾人精神生活的共同富裕是中国式现代化的目标使然,是全体人民共同富裕的理想应然,是科学社会主义在中国不断向好发展的逻辑必然。思想政治教育不仅为促进残疾人精神生活共同富裕提供理论指导,同时也为其提供科学的实践方向指引和精神动力支持。

精神生活共同富裕的目标体系与实践理路

精神生产作为唯物史观的重要范畴,既是人类社会生产实践的基本形式之一,也是精神生活共同富裕的起点和基石。马克思主义精神生产理论认为,精神生产具有物质制约性、相对独立性、历史继承性、民族开放性和自由超越性等规律特征,精神生产直接关系着人们的精神生活质量与精神生活共同富裕。作为一项整体、系统、稳步推进的工程,精神生活共同富裕的目标体系涵盖其基础目标、中心目标、阶段目标和终极目标。从实践理路方面审视,需要在精神生产活动的完整过程中推进共建共享共赢共富。要深化精神生产改革、优化精神分配机制、夯实精神交往基础、提高精神消费能力,实现精神生产的共建、精神分配的共享、精神交往的共赢以及精神消费的共富,使人们拥有丰盈的精神生活、积极的精神状态、进取的精神面貌和崇高的精神境界。

马克思自由时间理论与精神生活共同富裕的实现

在马克思的理论中,自由时间指不被生活资料的直接生产占去,劳动者可以自由支配、在其中自主活动,并能够用于自我发展的时间,其价值旨向在于促进人的自由全面发展。在资本主义社会中,劳动者深受工作日延长与劳动强度增加的双重挤压,不仅无法在劳动中享受自由,而且在资本的规训中丧失生命活动原有的丰富性。劳动时间与自由时间之间对立的扬弃关键在于资本主义生产方式的彻底变革。当前,精神生活共同富裕的实现需要有充裕的自由时间,并把这种自由时间的运用作为必要的基础。然而,由于工作与生活边界的模糊化,消费主义下的空虚与不安,加上不稳定的生活状态,自由时间量的增长与质的提升都面临挑战。在新时代新征程中,不断满足人民群众多样化、多层次、多方面的精神文化需求,需要坚持数字经济赋能社会高质量发展,以保障自由时间量的增长,将社会主义核心价值观融入日常生活,以实现自由时间质的丰盈,引导人民群众在体面劳动中提升精神境界,创造新的美好生活。

传承红色基因促进人民精神生活共同富裕的价值释义与实践路径

中国共产党在一百多年发展历程中锻造了独有精神特质的红色基因,蕴含着胸怀理想、坚定信念的优秀品格,弘扬正气、甘于奉献的道德精神,自信自强、守正创新的奋斗品质,永葆初心、担当使命的人民情怀。进入新时代,红色基因已沉淀为丰富人民精神世界的重要文化因子。传承红色基因与促进人民精神生活共同富裕有着相互作用、辩证统一的互动规律,传承红色基因可以为促进人民精神生活共同富裕提供真理力量、注入精神动能、坚定情感认同、建构价值基础。传承红色基因要在筑牢精神高地、创新现实载体、打造数字化供给、夯实制度保障上下功夫,为促进人民精神生活共同富裕铸牢精神之魂、立稳精神支柱、把稳思想之舵。

泛娱乐化冲击下青年精神生活面临的挑战及其应对

丰富青年精神世界、促进青年精神富有是实现新时代人的全面发展的价值诉求。然而,泛娱乐化却将多样态、层次化的精神需求异化为以消遣、消费和享受为特征的感性需要,致使青年精神生活陷入幻化、物化与虚无化困境。对此,应以有效满足青年日益增长的精神文化需求、实现青年的全面发展为目标,以高阶精神需求统合娱乐消遣需要,打破娱乐文化的价值迷思,提升“幸福感”;以社会协同治理护佑精神价值,超越物质主义的幸福观,提升“意义感”;以人的现代化发展建构青年主体人格,超越解构主义的叙事逻辑,提升“自主性”,助力青年精神生活回归本真。

短视频“泛娱乐化”现象对大学生精神生活的影响与重构

短视频“泛娱乐化”现象的产生具有信息技术、意识形态、哲学、社会心理等多重背景。调查显示,受短视频“泛娱乐化”现象的影响,大学生呈现出理想信念矮化、思想观念虚化、政治素养弱化、审美情趣庸俗化等现象。资本的逻辑本性、学生娱乐性需求扩大、课堂教学娱乐化倾向是该现象在大学生中盛行的生成机理。为重构大学生精神生活,政府、社会、高校应加强对大学生的引导,提升大学生精神生活质量。

新时代青年精神生活治理的问题意识、价值取向及文化逻辑

中国特色社会主义进入新时代,我国社会主要矛盾已经转化为人民日益增长的美好生活需要和不平衡不充分的发展之间的矛盾。健康、丰富、充实的精神生活是青年美好生活的重要维度。从青年美好生活需要的视角出发,现实生活中精神生活层面存在的问题成为影响青年美好生活,影响青年获得感、幸福感和安全感的重要因素,构成了青年精神生活治理的逻辑起点。精神生活治理具有显著的人民性,人民是精神生活治理的实践主体、价值主体和评价主体,精神生活治理必须坚持以人民为中心的价值取向。精神生活的发展离不开文化的影响,青年精神生活治理也需要深刻的文化自觉。文化对精神生活有教育引导、凝聚共识和约束规范等功能,因而要通过发挥文化的作用,不断满足青年的精神文化需要,促进青年美好生活的实现。