Kim Jeongsuk, Hulett Jennifer, Heiney Sue P
Author Affiliations: School of Social Work, University of North Carolina at Chapel Hill (Dr Kim); School of Nursing, University of Missouri (Dr Hulett), Columbia; and College of Nursing, University of South Carolina (Dr Heiney), Columbia.
Cancer Nurs. 2021;44(4):E181-E192. doi: 10.1097/NCC.0000000000000809.
Religious and spiritual beliefs including forgiveness are an important aspect of cancer survivorship; however, the relationship between forgiveness and health is not well understood.
The aim of this study was to conduct a scoping review that examines and maps the current research regarding relationships between forgiveness and health outcomes in individuals with cancer.
We searched 5 electronic databases using key search terms related to forgiveness and cancer. Using a scoping review framework, we synthesized the existing literature regarding forgiveness and health among individuals with cancer and examined forgiveness as a process for coping with cancer.
We located 277 articles for review; 24 met inclusion criteria. Forgiveness in interpersonal relationships emerged more often as forgiveness coping than other types of forgiveness. Most studies reported a positive association between forgiveness and mental health. Fewer studies were available regarding relationships between forgiveness and physical health, and findings were mixed.
Forgiveness in interpersonal relationships is a spiritual concern for individuals with cancer. Addressing forgiveness needs may promote mental health in cancer survivors. More empirical evidence is needed to understand the role of forgiveness in physical health in individuals with cancer.
Acknowledging forgiveness beliefs is a psychosocial-spiritual intervention that nurses can provide to support mental health in individuals with cancer. The potential role of forgiveness in physical health for individuals with cancer requires further study.
包括宽恕在内的宗教和精神信仰是癌症幸存者的一个重要方面；然而，宽恕与健康之间的关系尚未得到充分理解。
本研究的目的是进行一项范围综述，以审视和梳理目前关于癌症患者宽恕与健康结果之间关系的研究。
我们使用与宽恕和癌症相关的关键检索词在5个电子数据库中进行检索。使用范围综述框架，我们综合了关于癌症患者宽恕与健康的现有文献，并将宽恕作为应对癌症的一个过程进行审视。
我们找到277篇文章以供综述；24篇符合纳入标准。人际关系中的宽恕比其他类型的宽恕更常作为宽恕应对方式出现。大多数研究报告宽恕与心理健康之间存在正相关。关于宽恕与身体健康之间关系的研究较少，且结果不一。
人际关系中的宽恕是癌症患者的一个精神关注点。满足宽恕需求可能会促进癌症幸存者的心理健康。需要更多实证证据来了解宽恕在癌症患者身体健康中的作用。
承认宽恕信念是护士可以提供的一种社会心理-精神干预措施，以支持癌症患者的心理健康。宽恕在癌症患者身体健康中的潜在作用需要进一步研究。
