Alaloul Fawwaz, Schreiber Judith A, Al Nusairat Taghreed S, Andrykowski Michael A
Author Affiliations: School of Nursing, University of Louisville, Kentucky (Drs Alaloul and Schreiber); King Hussein Cancer Foundation, Amman, Jordan (Mrs Al Nusairat); College of Medicine, University of Kentucky, Lexington (Dr Andrykowski).
Cancer Nurs. 2016 Sep-Oct;39(5):E39-47. doi: 10.1097/NCC.0000000000000312.
A cancer diagnosis and treatment can be a stressful, life-altering experience that can pose a threat to life and raise existential challenges. Spirituality may influence the process of coping with the stress of the cancer experience. Studies of the role of spirituality for Muslim cancer patients and survivors are limited.
The aim of this study was to understand the role of spirituality in the cancer experience among Arab Muslim hematopoietic stem cell transplant (HSCT) survivors.
In this qualitative, descriptive study, 63 HSCT survivors (mean, 20.2 months) responded to 2 open-ended, self-report questions on the role of spirituality in their HSCT experience. Thematic analysis was used to identify themes related to spirituality.
Three dimensions that helped patients cope with their experiences were identified: sickness viewed in light of belief in God, use of religious/spiritual resources, and support from family and community. Two general themes described changes in their faith as a result of having the HSCT procedure: strengthening of faith in God and greater reliance on religious/spiritual activities.
Spirituality was important to the Arab Muslim survivors in coping with cancer and HSCT treatment. Muslim cancer survivors are often deeply connected to their religion.
Healthcare providers in the United States and other Western countries need to be aware of the unique religious and spiritual needs of Muslim cancer survivors in order to provide them with culturally sensitive care. More research on the spiritual needs of Muslim cancer patients and survivors residing in Western countries is needed.
癌症诊断和治疗可能是一段压力巨大、改变人生的经历,会对生命构成威胁并引发生存挑战。精神信仰可能会影响应对癌症经历压力的过程。关于精神信仰对穆斯林癌症患者及幸存者作用的研究有限。
本研究旨在了解精神信仰在阿拉伯穆斯林造血干细胞移植(HSCT)幸存者的癌症经历中所起的作用。
在这项定性描述性研究中,63名HSCT幸存者(平均20.2个月)回答了两个关于精神信仰在其HSCT经历中作用的开放式自我报告问题。采用主题分析法来确定与精神信仰相关的主题。
确定了帮助患者应对其经历的三个维度:根据对上帝的信仰看待疾病、利用宗教/精神资源以及来自家庭和社区的支持。两个总体主题描述了由于进行HSCT手术而导致的他们信仰上的变化:对上帝信仰的强化以及对宗教/精神活动的更多依赖。
精神信仰对阿拉伯穆斯林幸存者应对癌症和HSCT治疗很重要。穆斯林癌症幸存者通常与他们的宗教紧密相连。
美国和其他西方国家的医疗服务提供者需要意识到穆斯林癌症幸存者独特的宗教和精神需求,以便为他们提供具有文化敏感性的护理。需要对居住在西方国家的穆斯林癌症患者及幸存者的精神需求进行更多研究。