Providing total care for terminal cancer patients is the moral responsibility of medical professionals. This study was done to investigate the spiritual needs and clinical manifestations of terminal cancer patients. Twenty one terminal cancer patients were intensively interviewed with an interview guide by their primary care nurses. The results showed that 57.1 % of interviewed patients couldn't describe what spirituality is. Otherwise, the spiritual needs of patients were arisen apparently after interview (from 9.5% to 61.9%). Meanwhile, ”the spiritual needs” and ”negative emotional status” assessed by nurses also increased from 66.6% and 42.9% to 76.2% and 76.2% before and after interview. The results of interview showed that (1)Nearly half of patients (47.6%) have changed their religious activities, (2)The most significant others were spouse and children,.(3)Hope and power originated from families(33.3%)and religion(23.8%), (4)Of those interviewed, 47.6% had modified their meaning and value of life; unfortunately, in half of respondents, it :hanged to negative preception (23.8%). The study showed that terminal cancer patients have potential spiritual needs and a tool for assessment of spiritual needs would help medical professionals to perceive spiritual needs and properly provide spiritual support for dying patients.
