The Relationship between Contextual Factors and Spiritual Needs with Spiritual Well - Being in Patients with Diabetic Diseases

Diabetes, as the most common chronic metabolic disease, causes a crisis i n the physical, psychological and spiritual aspects, which increases the use of spiritual resource as a coping mechanism . Spiritual health is one of the variables that enhance the dimension of spirituality the physical, psychological and spiritual aspects . Spiritual health coordinates different aspects of human life and it is necessary to adapt to the disease . This study aimed to investigating the relationship between spirituality needs and contextual Factors with spirituality well being in cancer patients .

This descriptive study is Descriptive - correlation . The participants were 113 patients with cancer diseases (female 65, male 48) from Sari city selected through convenience sampling . The data were collected using the spirituality W ell - Being scale, spirituality needs scale, Contextual Dimension scale . For data analysis, Stepwise regression analysis and SPSS 21 were used .

There was a significant and positive correlation between scores on the components of Spiritual Needs an d spirituality well - being, so that subscales of the Spiritual Needs such as "Religious needs" (P<0 . 001), "Exis tentialistic needs” (P<0 . 001), " need for Inner peace” (P<0 . 001) and "Actively Giving needs” (P<0 . 001) had positive correlation with Spirituality well being . And among all components of Spiritual Needs, Religious needs, Existentialistic needs, Actively Giving needs had a more predictive power in family flexibility . And also there were a significant correlation between dimension of “behavioral "(P<0 . 001), "Political"(P<0 . 001), “Governmental "(P<0 . 001), "public health" (P<0 . 001), “Medical "(P<0 . 001), "Employment" (P<0 . 001) with spirituality well - being and among all these factors had the highest degree of variance in spirituality well - being .

 All participants signed informed consent form before data collection .

It is concluded that Spiritual needs and contextual dimension, as two psychological constructs, can play a significant role in creating spirituality well - being . Therefore, developing plans and approaches to address the patients' spiritual - religious needs and environmental factors influencing the disease to promote spiritual well - being of diabetic patients can be beneficial .