THE RELATIONSHIP BETWEEN SPIRITUALITY AND QUALITY OF LIFE IN CHILDREN WITH CANCER AT YKAKI YOGYAKARTA

Arum Putri Sejati; Armenia Diah Sari; Sharifah Shafinaz Sh Abdullah; Istinengtiyas Tirta Suminar

doi:10.31983/juk.v6i1.14595

Authors

Arum Putri Sejati Universitas Asyiyah Yogyakarta
Armenia Diah Sari Universitas Aisyiyah Yogyakarta
Sharifah Shafinaz Sh Abdullah Universiti Teknologi Mara
Istinengtiyas Tirta Suminar Universitas Asyiyah Yogyakarta

DOI:

https://doi.org/10.31983/juk.v6i1.14595

Keywords:

spirituality, Quality of life, Children, Cancer

Abstract

Children with cancer face physical and psychological challenges that can affect their quality of life. Spirituality is considered an internal resource that may help them cope with chronic illness. This study aimed to examine the relationship between spirituality and quality of life among children with cancer at the Yogyakarta Childhood Cancer Foundation (YKAKI). A quantitative correlational design with a cross-sectional approach was used, involving 33 participants selected through total sampling. Data were collected using validated spirituality and quality of life questionnaires and analyzed with the Spearman Rank correlation test. The results showed that most children had high spirituality, while their quality of life was generally moderate. Statistical analysis revealed a significant positive relationship between spirituality and quality of life (p < 0.05), indicating that higher spirituality is associated with better quality of life. Spirituality serves as an adaptive coping mechanism that supports psychological well-being, highlighting the need for holistic care integrating spiritual aspects in supporting children with cancer.

References

Azzah, F. L., Sari2, W., Pamungkas, R. A., Rosya, E., & Asmirajanti, M. (2020). Hubungan Dukungan Orang Tua Dengan Kualitas Hidup Pada Anak Dengan Kanker di Rumah Sakit Anak Dan Bunda Harapan Kita.

Cruz, K. L. T., Santos, I. C. S., de Jesus Alves de Baptista, C. R., & Mattiello-Sverzut, A. C. (2024). Quality of life assessment instruments in children and adolescents with neuromuscular diseases: a systematic scoping review. In Health and Quality of Life Outcomes (Vol. 22, Number 1). BioMed Central Ltd. https://doi.org/10.1186/s12955-024-02232-3

International Agency for Research on Cancer. (2020). Global Cancer Observatory. https://gco.iarc.fr

Juškauskienė, E., Riklikienė, O., & Fisher, J. (2023). Spiritual Well-Being and Related Factors in Children With Cancer. Journal of Pediatric Hematology/Oncology Nursing, 40(6), 420–431. https://doi.org/10.1177/27527530231168592

Kasse, T., Zenebe, S., Agegnehu, Y., & Lonsako, A. A. (2024). Factors influencing health-related quality of life in children with asthma: insights from Addis Ababa public hospitals. Frontiers in Public Health, 12. https://doi.org/10.3389/fpubh.2024.1478707

Lam, W., Li, S. F., Yi, Y. Z., Ho, K. Y., Lam, K. K. W., Leung, D. Y. P., Chan, K. Y. Y., Ho, J. M. C., Chan, S. C. W., Wang, H. X., Zhou, L., Yin, Y., & Wong, F. K. Y. (2022). Symptom Burden of Children with Cancer and Parental Quality of Life: The Mediating Role of Parental Stress. International Journal of Environmental Research and Public Health, 19(16). https://doi.org/10.3390/ijerph19169840

Liu, Q., Ho, K. Y., Lam, K. K. W., Lam, W. Y. Y., Cheng, E. H. L., Ching, S. S. Y., & Wong, F. K. Y. (2022). A Descriptive and Phenomenological Exploration of the Spiritual Needs of Chinese Children Hospitalized with Cancer. International Journal of Environmental Research and Public Health, 19(20). https://doi.org/10.3390/ijerph192013217

Pratiwi, E., Mulatsih, S., & Setiyarini, S. (2018). Spirituality relationship to the quality of life of children with cancer in Dr. Sardjito general hospital. International Journal Of Community Medicine And Public Health, 5(3), 880. https://doi.org/10.18203/2394-6040.ijcmph20180741

Purnamawati, I. D. (2024). Validity and Reliability of the Peds QLᵀᴹ 4.0 Generic Core Scale in Indonesian Version in Children with ChronicKidney Disease Undergoing Hemodialysis in the Dialysis Unit of Cipto Mangunkusumo Hospital. Holistic Nursing Plus, 2(2), 82–90. https://doi.org/10.58439/hnp.v2i2.256

Robinson, C., Hyde, B., Forlin, C., & Best, M. (2025). The experience and expression of spirituality in childhood: A systematic review and qualitative synthesis of the literature. Journal for the Study of Spirituality. https://doi.org/10.1080/20440243.2025.2475058

Santos Ferreira, M., Pereira, D. G., & Caldeira, S. (2026). Spirituality in children with life-limiting, life-threatening and/or complex chronic conditions: A scoping review. In Journal of Pediatric Nursing (Vol. 86, pp. 526–534). W.B. Saunders. https://doi.org/10.1016/j.pedn.2025.11.031

Szilagyi, C., Lion, A. H., Varner Perez, S. E., Koch, S., Oyedele, O., Slaven, J. E., Montz, K., Haase, J. E., & Puchalski, C. M. (2022). Interprofessional spiritual care education in pediatric hematology-oncology: A pilot study. Pediatric Blood and Cancer, 69(3). https://doi.org/10.1002/pbc.29515

Utami, K. C., & Puspita, L. M. (2020). Gambaran dukungan keluarga dan kualitas hidup anak kanker di Yayasan Peduli Kanker Anak Bali. Community of Publishing in Nursing (COPING), 8(2), 149–154. https://ejournal.poltekkes-denpasar.ac.id/index.php/COPING

Wahyuni, S., & Studi Keperawatan, P. (2025). Studi tentang Faktor yang Mempengaruhi Kualitas Hidup Pasien Anak dengan Penyakit Kronis.

Wang, M., Bi, Y., Fan, Y., Fu, X., & Jin, Y. (2025). Global incidence of childhood cancer by subtype in 2022: a population-based registry study. EClinicalMedicine, 89. https://doi.org/10.1016/j.eclinm.2025.103571

World Health Organization. (2023). Childhood Cancer. https://www.who.int/news-room/fact-sheets/detail/childhood-cancer