Factors related to spiritual well-being in the last days of life in three East Asian countries: An international multicenter prospective cohort study
Background: Some factors associated with spiritual well-being in dying patients have previously been reported. However, there has been no cross-cultural study comparing factors related to spiritual well-being. The current investigation may shed light on this under-investigated area through a compari...
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| Veröffentlicht in: | Palliative medicine 2021-09, Vol.35 (8), p.1564-1577 |
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| creator | Hiratsuka, Yusuke Suh, Sang-Yeon Kim, Sun-Hyun Cheng, Shao-Yi Yoon, Seok-Joon Koh, Su-Jin Park, Shin Ae Seo, Ji-Yeon Kwon, Jung Hye Park, Jeanno Park, Youngmin Hwang, Sun Wook Lee, Eon Sook Ahn, Hong-Yup Hui, David Chen, Ping-Jen Yamaguchi, Takashi Morita, Tatsuya Tsuneto, Satoru Mori, Masanori Inoue, Akira |
| description | Background:
Some factors associated with spiritual well-being in dying patients have previously been reported. However, there has been no cross-cultural study comparing factors related to spiritual well-being. The current investigation may shed light on this under-investigated area through a comparison of diverse factors.
Aim:
We aimed to (1) examine factors associated with spiritual well-being in the last days and (2) compare those factors across three East Asian countries.
Design:
This is an international multicenter prospective cohort study.
Setting/participants:
Newly admitted inpatients with far advanced cancer in palliative care units in Japan, Korea and Taiwan were enrolled. Each patient was classified into one of two groups based on spiritual well-being score in the last days of life. Univariate and multivariate analyses were performed to identify the factors related to better spiritual well-being score in each country.
Results:
A total of 1761 patients treated at 37 palliative care units from January 2017 to September 2018 were analyzed. Seven variables were significant in Japan, three in Korea, and five in Taiwan. “Good death scale [acceptance],” “fatigue” and “expressed wish for hastened death” were unique in Japan. “Visit from a pastoral care worker within 48 h of death” was unique in Korea. “Patient’s preferences for place of death,” “dyspnea” and “continuous deep sedation” were unique in Taiwan.
Conclusions:
This study found novel factors related to spiritual well-being in the last days of life, several of which differed according to country. Recognition of factors associated with spiritual well-being can improve the quality of palliative care. |
| doi_str_mv | 10.1177/02692163211022179 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2543708762</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_02692163211022179</sage_id><sourcerecordid>2543708762</sourcerecordid><originalsourceid>FETCH-LOGICAL-c368t-64d1c31feabcc64f541da6e9727a44611e231d8f73e77f6763f082ddd65ddbd13</originalsourceid><addsrcrecordid>eNp1kUFrFDEcxYModlv9AF4k4MXL1PyTTDLjbSltFQq9tOBtyCb_tCmzkzXJVPaD-H3NsFVB6SmQ93sveTxC3gE7BdD6E-Oq56AEB2Ccg-5fkBVIrRsm2LeXZLXozQIckeOcHxgDwZR8TY6EBNmJvl2RnxfGlpgyTTiago6WSPMupFBmM9IfOI7NBsN0R8NEyz3S0eRCndlnGj0dg8eDkBDp-SKtczATtXGeSgqYP9P1VImCaTIlxKlmbuexBIvLHd2lmHdoS3jE6rmPqdBcZrd_Q155M2Z8-3SekNuL85uzL83V9eXXs_VVY4XqSqOkAyvAo9lYq6RvJTijsNdcGykVAHIBrvNaoNZeaSU867hzTrXObRyIE_LxkFs_8n3GXIZtyLaWNhPGOQ-8lUKzTite0Q__oA9xrq3GhdK8k9C3qlJwoGxtlhP6YZfC1qT9AGxYNhv-26x63j8lz5stuj-O3yNV4PQAZHOHf599PvEX9nigtA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2572841956</pqid></control><display><type>article</type><title>Factors related to spiritual well-being in the last days of life in three East Asian countries: An international multicenter prospective cohort study</title><source>Access via SAGE</source><source>MEDLINE</source><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><creator>Hiratsuka, Yusuke ; Suh, Sang-Yeon ; Kim, Sun-Hyun ; Cheng, Shao-Yi ; Yoon, Seok-Joon ; Koh, Su-Jin ; Park, Shin Ae ; Seo, Ji-Yeon ; Kwon, Jung Hye ; Park, Jeanno ; Park, Youngmin ; Hwang, Sun Wook ; Lee, Eon Sook ; Ahn, Hong-Yup ; Hui, David ; Chen, Ping-Jen ; Yamaguchi, Takashi ; Morita, Tatsuya ; Tsuneto, Satoru ; Mori, Masanori ; Inoue, Akira</creator><creatorcontrib>Hiratsuka, Yusuke ; Suh, Sang-Yeon ; Kim, Sun-Hyun ; Cheng, Shao-Yi ; Yoon, Seok-Joon ; Koh, Su-Jin ; Park, Shin Ae ; Seo, Ji-Yeon ; Kwon, Jung Hye ; Park, Jeanno ; Park, Youngmin ; Hwang, Sun Wook ; Lee, Eon Sook ; Ahn, Hong-Yup ; Hui, David ; Chen, Ping-Jen ; Yamaguchi, Takashi ; Morita, Tatsuya ; Tsuneto, Satoru ; Mori, Masanori ; Inoue, Akira ; the EASED Investigators ; and the EASED Investigators</creatorcontrib><description>Background:
Some factors associated with spiritual well-being in dying patients have previously been reported. However, there has been no cross-cultural study comparing factors related to spiritual well-being. The current investigation may shed light on this under-investigated area through a comparison of diverse factors.
Aim:
We aimed to (1) examine factors associated with spiritual well-being in the last days and (2) compare those factors across three East Asian countries.
Design:
This is an international multicenter prospective cohort study.
Setting/participants:
Newly admitted inpatients with far advanced cancer in palliative care units in Japan, Korea and Taiwan were enrolled. Each patient was classified into one of two groups based on spiritual well-being score in the last days of life. Univariate and multivariate analyses were performed to identify the factors related to better spiritual well-being score in each country.
Results:
A total of 1761 patients treated at 37 palliative care units from January 2017 to September 2018 were analyzed. Seven variables were significant in Japan, three in Korea, and five in Taiwan. “Good death scale [acceptance],” “fatigue” and “expressed wish for hastened death” were unique in Japan. “Visit from a pastoral care worker within 48 h of death” was unique in Korea. “Patient’s preferences for place of death,” “dyspnea” and “continuous deep sedation” were unique in Taiwan.
Conclusions:
This study found novel factors related to spiritual well-being in the last days of life, several of which differed according to country. Recognition of factors associated with spiritual well-being can improve the quality of palliative care.</description><identifier>ISSN: 0269-2163</identifier><identifier>EISSN: 1477-030X</identifier><identifier>DOI: 10.1177/02692163211022179</identifier><identifier>PMID: 34148395</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Advance directives ; Cancer ; Cohort analysis ; Comparative studies ; Cross cultural studies ; Death & dying ; Dyspnea ; Fatigue ; Humans ; Neoplasms ; Palliative Care ; Pastoral care ; Place of death ; Prospective Studies ; Republic of Korea ; Sedation ; Spiritual well being ; Spirituality ; Terminal Care ; Treatment preferences ; Well being</subject><ispartof>Palliative medicine, 2021-09, Vol.35 (8), p.1564-1577</ispartof><rights>The Author(s) 2021</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c368t-64d1c31feabcc64f541da6e9727a44611e231d8f73e77f6763f082ddd65ddbd13</citedby><cites>FETCH-LOGICAL-c368t-64d1c31feabcc64f541da6e9727a44611e231d8f73e77f6763f082ddd65ddbd13</cites><orcidid>0000-0003-2334-3893 ; 0000-0002-4143-4054 ; 0000-0003-3060-0245 ; 0000-0003-2733-6607 ; 0000-0001-7636-0801</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/02692163211022179$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/02692163211022179$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,30999,43621,43622</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34148395$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hiratsuka, Yusuke</creatorcontrib><creatorcontrib>Suh, Sang-Yeon</creatorcontrib><creatorcontrib>Kim, Sun-Hyun</creatorcontrib><creatorcontrib>Cheng, Shao-Yi</creatorcontrib><creatorcontrib>Yoon, Seok-Joon</creatorcontrib><creatorcontrib>Koh, Su-Jin</creatorcontrib><creatorcontrib>Park, Shin Ae</creatorcontrib><creatorcontrib>Seo, Ji-Yeon</creatorcontrib><creatorcontrib>Kwon, Jung Hye</creatorcontrib><creatorcontrib>Park, Jeanno</creatorcontrib><creatorcontrib>Park, Youngmin</creatorcontrib><creatorcontrib>Hwang, Sun Wook</creatorcontrib><creatorcontrib>Lee, Eon Sook</creatorcontrib><creatorcontrib>Ahn, Hong-Yup</creatorcontrib><creatorcontrib>Hui, David</creatorcontrib><creatorcontrib>Chen, Ping-Jen</creatorcontrib><creatorcontrib>Yamaguchi, Takashi</creatorcontrib><creatorcontrib>Morita, Tatsuya</creatorcontrib><creatorcontrib>Tsuneto, Satoru</creatorcontrib><creatorcontrib>Mori, Masanori</creatorcontrib><creatorcontrib>Inoue, Akira</creatorcontrib><creatorcontrib>the EASED Investigators</creatorcontrib><creatorcontrib>and the EASED Investigators</creatorcontrib><title>Factors related to spiritual well-being in the last days of life in three East Asian countries: An international multicenter prospective cohort study</title><title>Palliative medicine</title><addtitle>Palliat Med</addtitle><description>Background:
Some factors associated with spiritual well-being in dying patients have previously been reported. However, there has been no cross-cultural study comparing factors related to spiritual well-being. The current investigation may shed light on this under-investigated area through a comparison of diverse factors.
Aim:
We aimed to (1) examine factors associated with spiritual well-being in the last days and (2) compare those factors across three East Asian countries.
Design:
This is an international multicenter prospective cohort study.
Setting/participants:
Newly admitted inpatients with far advanced cancer in palliative care units in Japan, Korea and Taiwan were enrolled. Each patient was classified into one of two groups based on spiritual well-being score in the last days of life. Univariate and multivariate analyses were performed to identify the factors related to better spiritual well-being score in each country.
Results:
A total of 1761 patients treated at 37 palliative care units from January 2017 to September 2018 were analyzed. Seven variables were significant in Japan, three in Korea, and five in Taiwan. “Good death scale [acceptance],” “fatigue” and “expressed wish for hastened death” were unique in Japan. “Visit from a pastoral care worker within 48 h of death” was unique in Korea. “Patient’s preferences for place of death,” “dyspnea” and “continuous deep sedation” were unique in Taiwan.
Conclusions:
This study found novel factors related to spiritual well-being in the last days of life, several of which differed according to country. Recognition of factors associated with spiritual well-being can improve the quality of palliative care.</description><subject>Advance directives</subject><subject>Cancer</subject><subject>Cohort analysis</subject><subject>Comparative studies</subject><subject>Cross cultural studies</subject><subject>Death & dying</subject><subject>Dyspnea</subject><subject>Fatigue</subject><subject>Humans</subject><subject>Neoplasms</subject><subject>Palliative Care</subject><subject>Pastoral care</subject><subject>Place of death</subject><subject>Prospective Studies</subject><subject>Republic of Korea</subject><subject>Sedation</subject><subject>Spiritual well being</subject><subject>Spirituality</subject><subject>Terminal Care</subject><subject>Treatment preferences</subject><subject>Well being</subject><issn>0269-2163</issn><issn>1477-030X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNp1kUFrFDEcxYModlv9AF4k4MXL1PyTTDLjbSltFQq9tOBtyCb_tCmzkzXJVPaD-H3NsFVB6SmQ93sveTxC3gE7BdD6E-Oq56AEB2Ccg-5fkBVIrRsm2LeXZLXozQIckeOcHxgDwZR8TY6EBNmJvl2RnxfGlpgyTTiago6WSPMupFBmM9IfOI7NBsN0R8NEyz3S0eRCndlnGj0dg8eDkBDp-SKtczATtXGeSgqYP9P1VImCaTIlxKlmbuexBIvLHd2lmHdoS3jE6rmPqdBcZrd_Q155M2Z8-3SekNuL85uzL83V9eXXs_VVY4XqSqOkAyvAo9lYq6RvJTijsNdcGykVAHIBrvNaoNZeaSU867hzTrXObRyIE_LxkFs_8n3GXIZtyLaWNhPGOQ-8lUKzTite0Q__oA9xrq3GhdK8k9C3qlJwoGxtlhP6YZfC1qT9AGxYNhv-26x63j8lz5stuj-O3yNV4PQAZHOHf599PvEX9nigtA</recordid><startdate>202109</startdate><enddate>202109</enddate><creator>Hiratsuka, Yusuke</creator><creator>Suh, Sang-Yeon</creator><creator>Kim, Sun-Hyun</creator><creator>Cheng, Shao-Yi</creator><creator>Yoon, Seok-Joon</creator><creator>Koh, Su-Jin</creator><creator>Park, Shin Ae</creator><creator>Seo, Ji-Yeon</creator><creator>Kwon, Jung Hye</creator><creator>Park, Jeanno</creator><creator>Park, Youngmin</creator><creator>Hwang, Sun Wook</creator><creator>Lee, Eon Sook</creator><creator>Ahn, Hong-Yup</creator><creator>Hui, David</creator><creator>Chen, Ping-Jen</creator><creator>Yamaguchi, Takashi</creator><creator>Morita, Tatsuya</creator><creator>Tsuneto, Satoru</creator><creator>Mori, Masanori</creator><creator>Inoue, Akira</creator><general>SAGE Publications</general><general>Sage Publications Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-2334-3893</orcidid><orcidid>https://orcid.org/0000-0002-4143-4054</orcidid><orcidid>https://orcid.org/0000-0003-3060-0245</orcidid><orcidid>https://orcid.org/0000-0003-2733-6607</orcidid><orcidid>https://orcid.org/0000-0001-7636-0801</orcidid></search><sort><creationdate>202109</creationdate><title>Factors related to spiritual well-being in the last days of life in three East Asian countries: An international multicenter prospective cohort study</title><author>Hiratsuka, Yusuke ; Suh, Sang-Yeon ; Kim, Sun-Hyun ; Cheng, Shao-Yi ; Yoon, Seok-Joon ; Koh, Su-Jin ; Park, Shin Ae ; Seo, Ji-Yeon ; Kwon, Jung Hye ; Park, Jeanno ; Park, Youngmin ; Hwang, Sun Wook ; Lee, Eon Sook ; Ahn, Hong-Yup ; Hui, David ; Chen, Ping-Jen ; Yamaguchi, Takashi ; Morita, Tatsuya ; Tsuneto, Satoru ; Mori, Masanori ; Inoue, Akira</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c368t-64d1c31feabcc64f541da6e9727a44611e231d8f73e77f6763f082ddd65ddbd13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Advance directives</topic><topic>Cancer</topic><topic>Cohort analysis</topic><topic>Comparative studies</topic><topic>Cross cultural studies</topic><topic>Death & dying</topic><topic>Dyspnea</topic><topic>Fatigue</topic><topic>Humans</topic><topic>Neoplasms</topic><topic>Palliative Care</topic><topic>Pastoral care</topic><topic>Place of death</topic><topic>Prospective Studies</topic><topic>Republic of Korea</topic><topic>Sedation</topic><topic>Spiritual well being</topic><topic>Spirituality</topic><topic>Terminal Care</topic><topic>Treatment preferences</topic><topic>Well being</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hiratsuka, Yusuke</creatorcontrib><creatorcontrib>Suh, Sang-Yeon</creatorcontrib><creatorcontrib>Kim, Sun-Hyun</creatorcontrib><creatorcontrib>Cheng, Shao-Yi</creatorcontrib><creatorcontrib>Yoon, Seok-Joon</creatorcontrib><creatorcontrib>Koh, Su-Jin</creatorcontrib><creatorcontrib>Park, Shin Ae</creatorcontrib><creatorcontrib>Seo, Ji-Yeon</creatorcontrib><creatorcontrib>Kwon, Jung Hye</creatorcontrib><creatorcontrib>Park, Jeanno</creatorcontrib><creatorcontrib>Park, Youngmin</creatorcontrib><creatorcontrib>Hwang, Sun Wook</creatorcontrib><creatorcontrib>Lee, Eon Sook</creatorcontrib><creatorcontrib>Ahn, Hong-Yup</creatorcontrib><creatorcontrib>Hui, David</creatorcontrib><creatorcontrib>Chen, Ping-Jen</creatorcontrib><creatorcontrib>Yamaguchi, Takashi</creatorcontrib><creatorcontrib>Morita, Tatsuya</creatorcontrib><creatorcontrib>Tsuneto, Satoru</creatorcontrib><creatorcontrib>Mori, Masanori</creatorcontrib><creatorcontrib>Inoue, Akira</creatorcontrib><creatorcontrib>the EASED Investigators</creatorcontrib><creatorcontrib>and the EASED Investigators</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Palliative medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hiratsuka, Yusuke</au><au>Suh, Sang-Yeon</au><au>Kim, Sun-Hyun</au><au>Cheng, Shao-Yi</au><au>Yoon, Seok-Joon</au><au>Koh, Su-Jin</au><au>Park, Shin Ae</au><au>Seo, Ji-Yeon</au><au>Kwon, Jung Hye</au><au>Park, Jeanno</au><au>Park, Youngmin</au><au>Hwang, Sun Wook</au><au>Lee, Eon Sook</au><au>Ahn, Hong-Yup</au><au>Hui, David</au><au>Chen, Ping-Jen</au><au>Yamaguchi, Takashi</au><au>Morita, Tatsuya</au><au>Tsuneto, Satoru</au><au>Mori, Masanori</au><au>Inoue, Akira</au><aucorp>the EASED Investigators</aucorp><aucorp>and the EASED Investigators</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Factors related to spiritual well-being in the last days of life in three East Asian countries: An international multicenter prospective cohort study</atitle><jtitle>Palliative medicine</jtitle><addtitle>Palliat Med</addtitle><date>2021-09</date><risdate>2021</risdate><volume>35</volume><issue>8</issue><spage>1564</spage><epage>1577</epage><pages>1564-1577</pages><issn>0269-2163</issn><eissn>1477-030X</eissn><abstract>Background:
Some factors associated with spiritual well-being in dying patients have previously been reported. However, there has been no cross-cultural study comparing factors related to spiritual well-being. The current investigation may shed light on this under-investigated area through a comparison of diverse factors.
Aim:
We aimed to (1) examine factors associated with spiritual well-being in the last days and (2) compare those factors across three East Asian countries.
Design:
This is an international multicenter prospective cohort study.
Setting/participants:
Newly admitted inpatients with far advanced cancer in palliative care units in Japan, Korea and Taiwan were enrolled. Each patient was classified into one of two groups based on spiritual well-being score in the last days of life. Univariate and multivariate analyses were performed to identify the factors related to better spiritual well-being score in each country.
Results:
A total of 1761 patients treated at 37 palliative care units from January 2017 to September 2018 were analyzed. Seven variables were significant in Japan, three in Korea, and five in Taiwan. “Good death scale [acceptance],” “fatigue” and “expressed wish for hastened death” were unique in Japan. “Visit from a pastoral care worker within 48 h of death” was unique in Korea. “Patient’s preferences for place of death,” “dyspnea” and “continuous deep sedation” were unique in Taiwan.
Conclusions:
This study found novel factors related to spiritual well-being in the last days of life, several of which differed according to country. Recognition of factors associated with spiritual well-being can improve the quality of palliative care.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>34148395</pmid><doi>10.1177/02692163211022179</doi><tpages>14</tpages><orcidid>https://orcid.org/0000-0003-2334-3893</orcidid><orcidid>https://orcid.org/0000-0002-4143-4054</orcidid><orcidid>https://orcid.org/0000-0003-3060-0245</orcidid><orcidid>https://orcid.org/0000-0003-2733-6607</orcidid><orcidid>https://orcid.org/0000-0001-7636-0801</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0269-2163 |
| ispartof | Palliative medicine, 2021-09, Vol.35 (8), p.1564-1577 |
| issn | 0269-2163 1477-030X |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2543708762 |
| source | Access via SAGE; MEDLINE; Applied Social Sciences Index & Abstracts (ASSIA) |
| subjects | Advance directives Cancer Cohort analysis Comparative studies Cross cultural studies Death & dying Dyspnea Fatigue Humans Neoplasms Palliative Care Pastoral care Place of death Prospective Studies Republic of Korea Sedation Spiritual well being Spirituality Terminal Care Treatment preferences Well being |
| title | Factors related to spiritual well-being in the last days of life in three East Asian countries: An international multicenter prospective cohort study |
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