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Spiritual Needs and Influencing Factors among People with Stroke in China:
A Cross-sectional Study

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L. Qin, X. Cao, N. Li, T. Huang, D. Li, and O. Chen 1
School of Nursing, Hunan University of Chinese Medicine, China
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Background: Stroke, a global health concern due to its high incidence, mortality, and disability rates,
often prompts patients to seek meaning, set goals, and fulfill life values and expectations, known as
spiritual needs. These needs correlate with healing abilities. Previous research focus on the same
cultural background, there is a lack of research based on the nuances of Chinese culture and context,
identifying and addressing this research gap is critical to developing holistic care in different cultures
and Settings.

Objective: The objective of this study was 1) to explore the spiritual needs of Chinese stroke patients;
2) to examine the influencing factors, including anxiety, depression, family support and related factors.
Methods: We conducted a cross-sectional questionnaire survey of 422 stroke patients in Changsha
by cluster sampling, measured the patient’s spiritual needs, quality of life, anxiety and depression,
and family support using the Spiritual Needs Questionnaire (SPNQ), the MOS36 item Short Form Health
Survey (SF-36), the Hospital Anxiety and Depression Scale (HADS), and the Family Support Self Rating
Scale (PSS-Fa). Nonparametric tests and multiple linear regression models were used to analyze the
independent relationship among variables and AMOS 24.0 analyzed the mediation.

Results: The spiritual needs of Chinese stroke patients were at an intermediate level. The influencing factors
of spiritual needs included primary economic sources for disease-related expenditures (p=0.044), number
of stroke occurrences (p=0.001), duration of illness (p=0.023), activities of daily living (p=0.006), depression
(p=0.034), and family support (p=0.008). Anxiety (β=0.347, p=0.004), depression (β=0.368, p=0.005), and
Oral Presentation Abstracts
family support (β=0.167, p=0.023) had directly or indirectly affected the spiritual needs of people with stroke.
Quality of life (β=-0.202, p=0.017) had a direct effect on spiritual needs.

Conclusion: The study supports stroke spiritual care, encouraging nurses to identify and address
patients’ spiritual needs, reduce their negative emotions, enhance social support, to promote the
development of spiritual care in China.

Keywords: spiritual needs, stroke, anxiety, depression, family support, quality of life

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Correspondence: Ouying Chen, School of Nursing, Hunan University of Chinese Medicine, China
E-mail: 1577554027@qq.com

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