Farah Abbasian - Department of Nursing, Shahrood Islamic Azad University, Shahrood, Iran.
Naimsadat kia - Social Health Determinants Research Center, Faculty of Medicine, Semnan University of Medical Sciences, Semnan, Iran.
Majid Mirmohammadkhani - Social Health Determinants Research Center, Faculty of Medicine, Semnan University of Medical Sciences, Semnan, Iran.
Farahnaz Ghahremanfard - Department of Internal Medicine, Semnan University of Medical Sciences, Semnan, Iran
Elaheh Ghods - Social Health Determinants Research Center, Faculty of Medicine, Semnan University of Medical Sciences, Semnan, Iran.

Background and Objectives: Cancer as a frightening disease may affect people's confidence in their abilities, sense of controlling over their lives, and in other words self-esteem. Spiritual health as the main aspect of health can be an important source for calmness, decrease in existential distress, improvement of self-esteem and coping with the disease. This study was conducted to investigate the correlation between spiritual health and self-esteem in Iranian cancer patients. Methods: This cross-sectional study was accomplished by obtaining Rosenberg Self-Esteem and Paloutzian & Ellison scales questionnaire from a  convenience sample of ۱۷۰ cancer patients who were referred for chemotherapy to hospitals of SEMNAN University of Medical Sciences. Data were analyzed by SPSS using one-way analysis of variance and Pearson correlation, and level of significance (P) was considered <۰.۰۵. Results: Study group has shown a mean self-esteem score of ۱۸.۵±۳.۵ and ۹۸.۱±۱۳.۲ for spiritual well- being. There was a direct correlation between spiritual health and self- esteem after adjustment for sex, age, education level and marital status (r=۰.۵۵). Conclusion: This study demonstrated that spiritual health was significantly associated with self-esteem in cancer patients. Considering critical conditions of cancer patients and their urgent need for maintaining and improving spiritual well-being, enhancement of spiritual health and self-esteem should be further emphasized in the treatment programs of these patients such that they and their families that represent a large population can be assisted to overcome the critical conditions.

Health, Neoplasms, Self Concept, Spirituality.