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Spirituality and quality of life in women with breast cancer: The role of hope and educational attainment

Published online by Cambridge University Press:  25 June 2020

Saeed Pahlevan Sharif ,
Rebecca H. Lehto ,
Mohammadreza Amiri ,
Ashraf Sadat Ahadzadeh ,
Hamid Sharif Nia Open the ORCID record for Hamid Sharif Nia [Opens in a new window] ,
Ali Akbar Haghdoost ,
Fatemeh Khoshnavay Fomani Open the ORCID record for Fatemeh Khoshnavay Fomani [Opens in a new window]  and
Amir Hossein Goudarzian Open the ORCID record for Amir Hossein Goudarzian [Opens in a new window]
Saeed Pahlevan Sharif
Affiliation:
Taylor's Business School, Taylor's University, Subang Jaya, Selangor, Malaysia
Rebecca H. Lehto
Affiliation:
College of Nursing, Michigan State University, East Lansing, MI, USA
Mohammadreza Amiri
Affiliation:
Faculty of Health & Medical Sciences, Taylor's University, Subang Jaya, Selangor, Malaysia
Ashraf Sadat Ahadzadeh
Affiliation:
Department of Journalism, Xiamen University Malaysia, Sepang, Selangor, Malaysia
Hamid Sharif Nia*
Affiliation:
School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran
Ali Akbar Haghdoost
Affiliation:
Social Determinants of Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
Fatemeh Khoshnavay Fomani
Affiliation:
School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
Amir Hossein Goudarzian
Affiliation:
Psychiatric Nursing, Student Research Committee, Mazandaran University of Medical Sciences, Sari, Iran
*
Author for correspondence: Hamid Sharif Nia, School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran. E-mail: h.sharifnia@mazums.ac.ir
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Abstract

Objective

This study investigated relationships among spirituality, hope, and overall quality of life in Muslim women with breast cancer in Malaysia.

Method

A cross-sectional descriptive design with a convenience sample of 145 Malay patients was used. The mediating role of hope in the relationship between spirituality and quality of life as well as the moderating effect of education level on the spirituality hope link were examined.

Results

Participants with higher self-reported spirituality reported more hope (b = 6.345, p < 0.001) and higher levels of quality of life (b = 1.065, p < 0.001). Higher educational attainment weakened relationships between spirituality and hope (b = −1.460, p < 0.001).

Significance of results

The role of advanced education in contributing to lessened hope in relation to spirituality emphasizes the importance of skilled and personalized spiritual counseling in the respective socio-cultural religious context.

Keywords

Breast cancerHopeMuslimQuality of lifeSpirituality
Type
Original Article
Information
Palliative & Supportive Care , Volume 19 , Issue 1 , February 2021 , pp. 55 - 61
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Copyright
Copyright © The Author(s), 2020. Published by Cambridge University Press

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