Faculty of Health Sciences, School of Nursing, University of Ottawa, 451 Smyth Road, Ottawa, Ontario, K1H 8M5, Canada.
Faculty of Health Sciences, School of Rehabilitation Sciences, University of Ottawa, Ottawa, Ontario, Canada.
Support Care Cancer. 2019 Aug;27(8):2969-2976. doi: 10.1007/s00520-018-4609-z. Epub 2018 Dec 19.
Advancements in cancer survivorship care have shown that holistic approaches, tailored to people's unique survivorship needs, can decrease cancer burden and enhance well-being and quality of life. The purpose of this study was to explore the meanings of spirituality in cancer survivorship for First Nations people, the largest Indigenous population in Canada, and describe how spiritual practices are incorporated into healing.
This study is part of a larger arts-based project about cancer survivorship with First Nations people. Thirty-one cancer survivors discussed spirituality as part of their cancer survivorship experiences. Data were generated through sharing sessions (n = 8) and individual interviews (n = 31). Qualitative descriptive analysis was conducted.
Three themes emerged about the meaning of spirituality in cancer survivorship. Spirituality was expressed as a complex phenomenon that (1) interconnected self with traditional roots and culture, (2) merged the body and mind, and (3) gave meaning, strength, and faith in the cancer journey. First Nations people incorporated spirituality into cancer survivorship by giving thanks, attending places of spiritual connectedness, singing, praying, speaking to the Creator, and engaging the sun and moon.
First Nations cancer survivors have viewed cancer as an opportunity for emotional and spiritual growth that enabled healing. Understanding the role of spirituality in cancer survivorship is important to develop and deliver culturally safe health services that reduce the burden of cancer and ultimately improve outcomes for First Nations people in Canada.
癌症生存护理的进步表明，针对人们独特的生存需求的整体方法可以减轻癌症负担，增强幸福感和生活质量。本研究的目的是探索第一民族（加拿大最大的原住民群体）人群在癌症生存中灵性的含义，并描述如何将精神实践融入康复过程中。
本研究是关于第一民族人群癌症生存的艺术项目的一部分。31 名癌症幸存者讨论了他们癌症生存经历中的灵性。通过分享会议（n=8）和个人访谈（n=31）生成数据。进行了定性描述性分析。
有三个主题涉及癌症生存中灵性的含义。灵性被表达为一种复杂的现象，（1）将自我与传统根源和文化联系起来，（2）将身心融合在一起，（3）在癌症旅程中赋予意义、力量和信仰。第一民族人群通过感恩、参加精神联系的地方、唱歌、祈祷、与造物主对话以及与太阳和月亮互动，将灵性融入癌症生存中。
第一民族癌症幸存者将癌症视为情感和精神成长的机会，从而实现康复。了解灵性在癌症生存中的作用对于开发和提供文化安全的卫生服务以减轻癌症负担并最终改善加拿大第一民族人群的结局非常重要。
