Factors Associated with Pain in Palliative Patients and the Role of Spiritual Services in Pain Management

Shatri, Hamzah; Putranto, Rudi; Irawan, Cosphiadi; Adli, Mizanul; Agung, Ratih Arianita; Abdullah, Vera; Elita, Dina

Jurnal SINTA 1

Factors Associated with Pain in Palliative Patients and the Role of Spiritual Services in Pain Management

ACTA MEDICA INDONESIANA · Vol. 51 No. 4 (2020)

ISSN: 2338-2732, 0125-9326
Terbit: 2020-02-10
Penerbit: The Indonesian Society of Internal Medicine
Bahasa: eng

Abstrak

Background: pain is one of the most often symptoms experienced by patients with advanced or chronic diseases which can cause a decrease in the quality of life of palliative patients. Pain in palliative patients has not yet received enough attention, especially factors associated with pain and its management. This study aimed to determine the factors associated with pain in palliative patients and also assess whether there is a two-way relationship between psychological factors and pain. In addition, we will also see whether spiritual services play a role in relieving pain. Methods: cross-sectional study were used and secondary data were obtained from medical records of 285 palliative patients at Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia. The data were processed to determine the psycho-socio-demographic characteristics, the reciprocal relationships of psychological and pain aspects, and the relationship of pharmacological therapy (opioids), non-pharmacological therapy (spiritual services), and combination of both therapies in pain management. Results: of the 285 palliative patients, 60.3% had pain, which was found more in cancer patients (74.4% vs 25.6%). Pain was found more in patients aged 41-60 years (51.1%), women (51.2%), and unemployed (30.2%). The severity of the pain was found to be significant in patients with depressive symptoms (p=0.045), while patients with anxiety symptoms (p=0.155) and sleep disorders (p=0.619) had no significant relationship. Pain experienced by palliative patients was not statistically significant in causing depression (p=0.058), anxiety (p=0.107), and sleep disorder (p=0.639). Moreover, pain management with opioids, spiritual services, or combination of them turned out to have significant results (p=0.022). Conclusion: pain in palliative patients is mainly experienced by cancer patients and the elderly. Psychological factors affect the condition of pain, so the management that includes biopsychosocial aspect will be able to reduce pain significantly.

Kata kunci

Jaringan kolaborasi para penulis

40 penulis · 248 tautan kepenulisan bersama · 1 lintas organisasi · menampilkan 40 yang paling banyak terhubung

Arahkan kursor atau ketuk sebuah nama untuk menyorot rekan penulisnya. Klik dua kali untuk membuka halaman penulis.

University of Indonesia
Universitas Teknologi Sumbawa
Afiliasi tidak diketahui

Organisasi berbeda
Organisasi sama
Afiliasi tidak diketahui
Garis lebih tebal = lebih banyak artikel bersama · lingkaran lebih besar = lebih banyak artikel

Tampilkan sebagai tabel

Rekan penulis	Organisasi	Artikel bersama
Edward Faisal	Afiliasi tidak diketahui	19
Ikhwan Rinaldi	Afiliasi tidak diketahui	13
Siti Setiati	Afiliasi tidak diketahui	11
Murdani Abdullah	Afiliasi tidak diketahui	10
Cleopas Martin Rumende	Afiliasi tidak diketahui	10
Kuntjoro Harimurti	Afiliasi tidak diketahui	9
Iris Rengganis	Afiliasi tidak diketahui	9
Alvina Widhani	Afiliasi tidak diketahui	8
Imam Subekti	Afiliasi tidak diketahui	7
Em Yunir	University of Indonesia	7
Pringgodigdo Nugroho	Afiliasi tidak diketahui	7
Idrus Alwi	Afiliasi tidak diketahui	7
Raden Irawati Ismail	Afiliasi tidak diketahui	7
Dadang Makmun	Afiliasi tidak diketahui	6
Yanuar Ardani	Afiliasi tidak diketahui	6
Vinandia Irvianita	Afiliasi tidak diketahui	6
Eka Ginanjar	Afiliasi tidak diketahui	6
Rudy Hidayat	Afiliasi tidak diketahui	5
Petrin R Lukman	Afiliasi tidak diketahui	5
Achmad Fauzi	Afiliasi tidak diketahui	4
Leonard Nainggolan	Afiliasi tidak diketahui	4
Muchtaruddin Mansyur	Afiliasi tidak diketahui	3
Rahmat Cahyanur	Afiliasi tidak diketahui	3
Dono Antono	Afiliasi tidak diketahui	3
Sally Aman Nasution	Afiliasi tidak diketahui	3
Ari Fahrial Syam	Afiliasi tidak diketahui	3
Maruhum Bonar Hasiholan Marbun	Afiliasi tidak diketahui	3
Aru W Sudoyo	Afiliasi tidak diketahui	2
Djumhana Atmakusumah	Afiliasi tidak diketahui	2
Abdulmuthalib Abdulmuthalib	Afiliasi tidak diketahui	2
Lisnawati Lisnawati	Universitas Teknologi Sumbawa	2
Ika P Wijaya	Afiliasi tidak diketahui	2
Gurmeet Singh	Afiliasi tidak diketahui	2

Afiliasi berasal dari OpenAlex; metadata OAI-PMH jurnal tidak memuatnya. Penulis tanpa ID OpenAlex dicocokkan berdasarkan nama, sehingga dua orang bisa tergabung atau satu orang bisa terpisah.

Sumber metadata: OAI-PMH (metadata jurnal) http://www.actamedindones.org/index.php/ijim/oai, pertama di-harvest 8 Nov 2026, terakhir terlihat 8 Nov 2026.

Metadata asli (oai_dc)

<oai_dc:dc xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/  http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
	<dc:title xml:lang="en-US">Factors Associated with Pain in Palliative Patients and  the Role of Spiritual Services in Pain Management</dc:title>
	<dc:creator>Shatri, Hamzah</dc:creator>
	<dc:creator>Putranto, Rudi</dc:creator>
	<dc:creator>Irawan, Cosphiadi</dc:creator>
	<dc:creator>Adli, Mizanul</dc:creator>
	<dc:creator>Agung, Ratih Arianita</dc:creator>
	<dc:creator>Abdullah, Vera</dc:creator>
	<dc:creator>Elita, Dina</dc:creator>
	<dc:subject xml:lang="en-US">opioid</dc:subject>
	<dc:subject xml:lang="en-US">pain</dc:subject>
	<dc:subject xml:lang="en-US">palliative care</dc:subject>
	<dc:subject xml:lang="en-US">spiritual service</dc:subject>
	<dc:description xml:lang="en-US">Background: pain is one of the most often symptoms experienced by patients with advanced or chronic diseases which can cause a decrease in the quality of life of palliative patients. Pain in palliative patients has not yet received enough attention, especially factors associated with pain and its management. This study aimed to determine the factors associated with pain in palliative patients and also assess whether there is a two-way relationship between psychological factors and pain. In addition, we will also see whether spiritual services play a role in relieving pain. Methods: cross-sectional study were used and secondary data were obtained from medical records of 285 palliative patients at Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia. The data were processed to determine the psycho-socio-demographic characteristics, the reciprocal relationships of psychological and pain aspects, and the relationship of pharmacological therapy (opioids), non-pharmacological therapy (spiritual services), and combination of both therapies in pain management. Results: of the 285 palliative patients, 60.3% had pain, which was found more in cancer patients (74.4% vs 25.6%). Pain was found more in patients aged 41-60 years (51.1%), women (51.2%), and unemployed (30.2%). The severity of the pain was found to be significant in patients with depressive symptoms (p=0.045), while patients with anxiety symptoms (p=0.155) and sleep disorders (p=0.619) had no significant relationship. Pain experienced by palliative patients was not statistically significant in causing depression (p=0.058), anxiety (p=0.107), and sleep disorder (p=0.639). Moreover, pain management with opioids, spiritual services, or combination of them turned out to have significant results (p=0.022). Conclusion: pain in palliative patients is mainly experienced by cancer patients and the elderly. Psychological factors affect the condition of pain, so the management that includes biopsychosocial aspect will be able to reduce pain significantly.</dc:description>
	<dc:publisher xml:lang="en-US">The Indonesian Society of Internal Medicine</dc:publisher>
	<dc:date>2020-02-10</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>http://www.actamedindones.org/index.php/ijim/article/view/1096</dc:identifier>
	<dc:source xml:lang="en-US">Acta Medica Indonesiana; Vol. 51 No. 4 (2019): Acta Medica Indonesiana; 296</dc:source>
	<dc:source>2338-2732</dc:source>
	<dc:source>0125-9326</dc:source>
	<dc:language>eng</dc:language>
	<dc:relation>http://www.actamedindones.org/index.php/ijim/article/view/1096/pdf</dc:relation>
	<dc:rights xml:lang="en-US">Copyright (c) 2020 Acta Medica Indonesiana</dc:rights>
</oai_dc:dc>