Pemenuhan Spiritual Pada Pasien Kanker : Literature Review

Background: Cancer treatment can not only focus on the quantity or physicality of the patient, but also pay attention to factors of quality of life, pain, stress, anxiety, fatigue, fear of death, and depression in patients who are often missed in the treatment of cancer patients. Spiritual needs are important needs to be met in patients with cancer in addition to other aspects of the need, because this disease can affect all aspects of the sufferer's life both physical, psychological and spiritual. Objective:this study aims to determine the spiritual fulfillment in cancer patients.  Method : This research is a literature review with the process of collecting data through 3 databases namely Pubmed , EBSCO and Proquest . Search Literature with the word key " Spiritual experience Spiritual meaning OR AND Cancer Patients" article published in the 5 years of the last is from the year 2015 to 2019 with the criteria of inclusion Results: The literature search results found 169,139 journals, Pubmed found 583, Ebsco 12,582, Proquest 155,974, the entire database was categorized with inclusion criteria and only 14 articles met the criteria. Conclusion: spiritual fulfillment can improve the quality of life of cancer patients, by increasing spiritual aspects can provide peace, comfort for cancer patients. So the importance of spiritual needs in health care. 

Those who endorsed religiousness tended to cite faith as a source of strength, whereas many who declined this self-identity explicitly questioned their pre-existing beliefs. Regardless of self-identified "religiousness" or "spirituality," most participants endorsed quests for meaning, purpose, and/or legacy, and all included constructs of hope in their narratives.

Bai et al., 2015
Exploring the relationship between spiritual well-being and quality of life among patients newly diagnosed with advanced cancer The purpose of our study was to examine spiritual well-being and quality of life as well as their interrelationship in 52 patients with advanced cancer after 100 days since the diagnosis at one and three months post-baseline The study was designed as a secondary data analysis of a cluster randomized clinical trial involving patients with stage 3 or 4 cancer undergoing treatment.
Our results confirm that patients newly diagnosed with advanced cancer experienced an existential crisis, improved, and then stabilized over time Descriptive analysis was conducted to assess demographic, clinical, and psychosocial characteristics for African Black patients. Wald Chi-square test was used to examine theassociation between each variable and the outcome variable, religiosity score.

Results:
Overall levels of spirituality were high and ranged from 11 to 36. participants endorsed that they were aware of the presence of God in their life (98.5% agreed/strongly agreed) and that they had a personal relationship with God (97.5% agree/strongly agree). The aim of the current study, First, to describe the most common signs of spiritual distress . As part of that aim, we planned to explore gender differences in spirituality. Second, we wanted to formulate concrete recommendations to empower palliative care professionals and volunt-eers in India to more efficiently address spiritual distress.
Data from 300 adult cancer patients who had completed a questionnaire with 36 spirituality items were analyzed. We calculated frequencies and percentages, and we compared responses of male and female participants using Chi-squared tests.
Most participants believed in God or a higher power . Women were more likely to consider illness their fate, be worried about the future of their children or spouse and be angry about what was happening to them. revealing contrasting relations of faith with QOL. Cluster 1, Cluster 3, and Cluster 4 represented high, medium, and low levels of overall QOL, respectively, with correspondingly, medium, and low levels of peace, meaning, and faith. Cluster 2 was distinguished from other clusters by its medium levels of overall QOL, peace, and meaning and low level of faith.