The effect of spirituality assistance on improving life quality in cancer children

Etik Pratiwi, Giri Susilo Adi


Background: Cancer is a disease with a high mortality rate.1 States that the death rate from cancer can reach 45% in 2007. Emotional and spiritual dysfunction in children and adolescents can lead to symptoms of depression and is one of the risk factors for suicide.6

Methods: This research is a type of mixed research (mix method), with a sequential explanatory strategy. This strategy is a method of approach by conducting quantitative data collection as the main method then followed by qualitative data collection.

Results: There were 30 children who were used as respondents in this study, the majority of whom were male and aged over 13 years. The majority of children experience leukemia. The results of data analysis showed the influence of spirituality assistance on quality of life. The value of the total quality of life of the total respondents conducted by spirituality assistance increased in value by 8,962, from an average value of 75,055 to 84,017. The p value for total quality of life is 0,000.

Conclusions: There is an influence of spirituality accompaniment on the quality of life for children with cancer. Children can be invited to worship together with parents, this is an effective coping to motivate them to survive in carrying out their lives and activities everyday even in conditions of illness.


Spirituality assistance, Quality of life, Child cancer

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Adegbolaa M. Spirituality and quality of life in chronic illness. J Theory Constr Test. 2006;10:42.

Kamper R, Cleve LV, Savedra. Children with advance cancer: responses to a spiritual quality of live interview. J Spec Pediatr Nurs. 2010;15:301-6.

Carman K, Maternity and Pediatric Nursing. 2nd ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams and Wilkins; 2013.

Gamayanti IL. Stres, Koping, dan Pencapaian Adaptasi Anak Yang Menderita Leukemia Limfoblastik Akut. Doktor, Universitas Gadjah Mada; 2006.

McNeil SB. Spirituality in adolescents and young adults with cancer:a review of literature. J Pediatr Oncol Nurs. 2015:55-63.

Burns C, Brady M, Dunn AB. Pediatric Primary care a handbook for nurse practitioners: value and belief. United States America: Elsevier; 2004: 481-487.

Sitaresmi MN, Mostert S, Gundy CM, Veerman SA. Health-related quality of Life assessment in Indonesia childhood acute lymphoblastic leukemia. J BioMed Central. 2008:6:2-8.

Creswell JW. Research Design Pendekatan Kualitatif, Kuantitatif, dan Mixed: Prosedur-Prosedur Metode Campuran. Yogyakarta: Pustaka Pelajar; 2012: 316-317.

David F. Psychology, Religion and Spirituality. In: Blackwell W, eds. British Psychological: Society and Blackwell Publishing; 2003.

Taylor C, Lilis C, LE M. Fundamental of Nursing: The Art and Science of Nursing Care. Philadelphia, New York: Lippincott; 1997.

Garssen B, Uwland-Sikkema NF, Visser A. How Spirituality Helps Cancer Patients with the Adjustment to their Disease. J Relig Health. 2015;54(4):1249-65.

Varni JW, Limbers CA, Burwinkle TM. Parent proxy-report of their children's health-related quality of life:an analysis of using the PedsQL 4.0 Generic Core Scale. Health Qual Life Outcomes. 2007;5:2.

Ventegdot S, Merrick J, Andersen NJ. Quality of life theory. The IQOL theory: an integrative theory of the global quality of life concept. Sci World J. 2003;3:1030-40.

Argiles JM. Cancer-associated malnutrition. Eur J Oncol Nurs. 2005;9:39-50.