Document Type : Original Article

Authors

Abstract

BACKGROUND: Diagnosing cancer, as a life‑threatening event, in children and adolescents stops
the normal course of life for all family members. Spirituality, which plays an essential role in coping
with illness and death, can increase resistance against psychological crises induced by cancer
diagnosis and treatment. This study aims to discover the spiritual needs of mothers having children
with cancer aged 1–12 years old.
MATERIALS AND METHODS: In this qualitative study, the conventional content analysis approach
was used. The research environment was three pediatric oncology wards of Amir Hospital in Shiraz,
Iran. Data were collected from September 2019 to March 2020 through face‑to‑face semi‑structured
in‑depth interviews. Fifteen participants including 12 mothers and 3 nurses were interviewed through
purposive method considering maximal variation. The interviews were recorded, transcribed, and
subjected to a qualitative analysis. Credibility, dependability, confirmability, and transferability of
data were confirmed.
RESULTS: The mean (± standard deviation) age of the mothers was 35.76 (±5.96) years old. The
spiritual needs of the mothers were classified into three categories, including religious well‑being,
existential well‑being, and growth and excellence as well as seven subcategories. Religious well‑being
included subcategories of direct and indirect connection with God, existential well‑being included
subcategories of need for hope, multifaceted support, and rethinking, growth, and excellence consisted
of subcategories of devoting yourself and surrender.
CONCLUSION: Mothers of children with cancer face important spiritual needs. Therefore, it is
necessary for the treatment team to identify these needs and use them to provide appropriate
spiritual care.

Keywords

  1. Borjalilu S, Sharif Z, Sabbagh‑Bani‑Azad M, Afzali M,
    Koochakzadeh L, Afzali M. The information: Needs of parents
    of children with cancer: A qualitative study. J Qual Res Health
    Sci 2017;6:228‑3.
    2. Javedanpour Z, Sadat Hosseini A, Cheraghi MA, Mehran A.
    Comparison of the spiritual care needs of mothers of less than
    14‑year‑old children suffering from cancer in the diagnostic and
    terminal stages of the disease. Med Ethics J 2017;11:45‑56.
    3. Nemati S, Rassouli M, Ilkhani M, Baghestani AR. Perceptions
    of family caregivers of cancer patients about the challenges of
    caregiving: A qualitative study. Scand J Caring Sci 2018;32:309‑16.
    4. Abdoljabbari M, Sheikhzakaryaee N, Atashzadeh‑Shorideh.
    F. Taking refuge in spirituality, a main strategy of parents of
    children with cancer: A qualitative study. Asian Pac J Cancer
    Prev 2018;19:2575‑80.
    5. Zafarian Moghadam E, Behnam Vashani H, Reihani T, Namazi
    Zadegan S. The effect of spiritual education on depression, anxiety
    and stress of caregivers of children with leukemia. J Tanin Salamat
    2016;4:1‑7.
    6. Robert R, Stavinoha P, Jones BL, Robinson J, Larson K, Hicklen R,
    et al. Spiritual assessment and spiritual care offering as a standard
    of care in pediatric oncology: A recomendation informed by a
    systematic literature. Pediatr Blood Cancer 2019;66:1‑9.
    7. SadatiAK, LankaraniKB, GharibiV, Exiri FardM, EbrahimzadehN,
    Tahmasebi S. Religion as an empowerment context in the narrative
    of women with breast cancer. J Relig Health 2015;54:1068‑79.
    8. Sankhe A, Dalal K, Agarwal V, Sarve P. Spiritual care therapy
    on quality of life in cancer patients and their caregivers:
    A prospective non‑randomized single‑cohort study. JRelig Health
    2017;56:725‑31.
    9. Salakari MR, Surakka T, Nurminen R, Pylkkanen L. Effects of
    rehabilitation among patients with advances cancer: A systematic
    review. Acta Oncol 2015;54:618‑28.
    10. Darby K, Nash P, Nash S. Parents’ spiritual and religious needs
    in young oncology. Cancer Nurs Pract 2014;13:16‑22.
    11. Modanloo S, Rohani C, Farahani Shirin Abadi A, Pourhossein
    Gholi A. Assessment of family function among parents of children
    with cancer. IJNR 2015;10:56‑65.
    12. Garssen B, Visser A. The association between religion/spirituality
    and mental health in cancer. Cancer 2016;122:2440‑8.
    13. Kamian S, Taghdisi MH, Azam K, Estebsari F, Ranjbaran S,
    Geravand A. Evaluating effectiveness of spiritual health education
    on increasing hope among breast cancer patients. Iran J Health
    Educ Health Promot 2014;2:208‑14.
    14. Fetriyah UH, Mahmuda RA, Damayanti A, Firdaus S. Religiosity,
    social support and anxiety in mothers of children with acute
    lymphoblastic leukemia. Adv Health Sci Res 2019;15:116‑22.
    15. Borjalilu S, Shahidi S, Mazaheri MA, Emami AH. Spiritual care
    training for mothers of children with cancer: Effects of quality
    of care and mental health of caregivers. Asia Pac J Cancer Prev
    2016;17:545‑52.
    16. Irajpour A, Moghimian M, Arzani H. Spiritual aspect of care for
    chronic Muslim patients: A qualitative study. JEHP 2018;7:1‑7.
    17. Sheikhzakaryaee N, Atashzadeh‑Shoorideh F, Ahmadi F, Fani M.
    Psychological limbo as a barrier to spiritual care for parents of
    children with cancer: A qualitative study. Asian Pac J Cancer Prev
    2018;19:1063‑8.
    18. Nikfarid L, Rassouli M, Borimnejad L, Alavimajd H. Religious
    coping in Iranian mothers of children with cancer: A qualitative
    content analysis. J Pediatr Oncol Nurs 2017;35:188‑98.
    19. Hasanpour M, Sadeghi N, Haidarzadeh M. Parental needs in
    infants end of life and bereavement in NICU: A qualitative study.
    JEHP 2016;5:1‑20.
    20. Robinson MR, Thiel MM, Backus MM, Meyer EC. Matters of
    spirituality at the end of life in the pediatric intensive care unit.
    Pediatrics 2006;118:719‑72.
    21. Graneheim UH, Lundman B. Qualitative content analysis in
    nursing resaerch: Concept, procedures and measures to achieve
    trustworthiness. Nurse Educ Today 2004;24:105‑12.
    22. Lincoln YS, Guba EG. Naturalistic InquiryThousand Oaks. CA:
    SAGE; 1985.
    23. Safee Rad I, Karimi L, Shomoossi N, Ahmadi Tahour M. The
    relationship between spiritual well‑being and mental health of
    university students. J Sabzevar Univ Med Sci 2011;17:274‑80.
    24. Hekmatpou D, Eghbali A, Memari F. The experiences of parents
    of children with leukemia: A qualitative research. J Arak Univ
    Med Sci 2013;15:28‑40.
    25. Hunsberger J, Cheng M, Aslakson R. Spirituality and religiosity
    during the perioperative period for cancer patients and their
    family: An integrative systematic review. J Palliat Med 2014;1:8‑15.
    26. Hamilton JB, Galbraith KV, Best NC, Worthy VC, Moore LA.
    African‑American cancer survivors’ use of religious beliefs to
    positively influence the utilization of cancer care. J Relig Health
    2015;54:1856‑69.
    27. Atashzadeh‑Shoorideh F, Sheikh Zakaryaee N, Fani M. The
    barriers and facilitators in providing spiritual care for parents
    who have children suffering from cancer. J Fam Med Prim Care
    2018;7:1319‑26.
    28. SadeghiN, HasanpourM, HeidarzadehM, Aliakbar AlamolhodaA,
    Waldman E. Spiritual needs of families with bereavement and loss
    of an infant in the neonatal intensive care unit: A qualitative study.
    J Pain Symptom Manage 2016;52:35‑42.
    29. Meert KL, Schim SM, Briller SH. Parental bereavement needs in
    the pediatric intensive care unit: Review of available measures.
    J Palliat Med 2011;14:951‑64.
    30. Rosenbaum JL, Smith JR, ZollfrankR. Neonatal end‑oflifespiritual
    support care. J Perinat Neonatal Nurs 2011;25:61‑9.
  2. 31. Hullmann SE, Fedele DA, Molzon ES, Mayes S, Larry L.
    Posttraumatic growth and hope in parents of children with cancer.
    J Psychosoc Oncol 2014;32:696‑707.
    32. Taylor EJ, Petersen C, Oyedele O, Haase J. Spirituality and
    spiritual care of adolescents and young adults with cancer. Paper
    presented at the Seminars in oncology nursing. Semin Oncol Nurs
    2015;31:227‑41.
    33. Saifan A, Masa’ Deh R, Hall C, Collier J. Experience of
    Jordanian mothers and fathers of children with cancer. J Am Sci
    2014;10:29‑39.
    34. Abdoli S, Ashktorab T, Ahmadi F, Parvizy S, Dunning T. Religion,
    faith and the empowerment process: Stories of Iranian people
    with diabetes. Int J Nurs Pract 2011;17:289‑98.
    35. Akhbardeh M. Role of spiritual beliefs and prayer in health
    promotion of chronic patients: A qualitative study. Q Quran Med
    2011;1:5‑9.