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中文癌症患者的灵性概念:范围综述。

The concept of spirituality in the context of Chinese patients with cancer: A scoping review.

机构信息

Graduate School of Comprehensive Human Sciences, University of Tsukuba, Tsukuba, Japan.

Institute of Medicine, University of Tsukuba, Tsukuba, Japan.

出版信息

J Adv Nurs. 2023 Sep;79(9):3258-3273. doi: 10.1111/jan.15741. Epub 2023 Jun 22.

Abstract

AIM

To elucidate how the concept of spirituality has been addressed in studies with Chinese people with cancer.

DESIGN

A scoping review.

METHODS

Patterns in conceptual definitions of spirituality and indicators for measuring spirituality were analysed.

DATA SOURCES (INCLUDE SEARCH DATES): Literature published from inception to August 2022 was searched in five electronic databases (CINAHL, PubMed, Web of Science, PsycINFO and a Chinese database).

RESULTS

Using data from 10 qualitative studies, a new taxonomy of concepts of spirituality among Chinese people with cancer was derived, consisting of four categories: Creation of meaning, Connection, Transcendence and Existence. A total of 12 instruments developed outside of Chinese contexts and used to measure dimensions of spirituality across 27 quantitative studies were compared to the taxonomy developed in this review, and patterns were identified according to the dimensions of spirituality. Several instruments required modifications or additional explanations in questions regarding God/Higher Power and religion.

CONCLUSION

The four categories of spirituality classified in the current review are considered universal across all cultural contexts. Spirituality is multidimensional and functional concept, and the components of the instruments differed depending on which dimension of spirituality was being measured.

IMPACT

The findings of this study suggest that for measuring spirituality in research and clinical settings with Chinese people with cancer, it is important to use culturally appropriate scales that are consistent with the dimensions of spirituality being measured.

IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Even instruments developed outside of the Chinese context could be used for Chinese people with cancer if appropriately selected for their intended use.

REPORTING METHOD

This paper adheres to the EQUATOR guidelines and has no direct patient or public contribution.

摘要

目的

阐明在针对中国癌症患者的研究中,灵性概念是如何被阐述的。

设计

范围综述。

方法

分析了灵性概念的概念定义和测量灵性的指标模式。

资料来源(包括检索日期):从建库到 2022 年 8 月,在 5 个电子数据库(CINAHL、PubMed、Web of Science、PsycINFO 和一个中文数据库)中检索文献。

结果

使用来自 10 项定性研究的数据,推导出了中国癌症患者灵性概念的新分类法,包括四个类别:意义的创造、联系、超越和存在。共有 12 种在中文语境之外开发并用于衡量 27 项定量研究中灵性维度的工具与本综述中开发的分类法进行了比较,并根据灵性维度确定了模式。一些关于上帝/更高力量和宗教的问题需要对工具进行修改或额外解释。

结论

本综述中分类的四个灵性类别被认为在所有文化背景下都是普遍存在的。灵性是一个多维度和功能的概念,并且工具的组成部分因所测量的灵性维度而异。

对专业人员和/或患者护理的影响:即使是在中文背景之外开发的工具,如果为其预期用途进行了适当选择,也可以用于中国癌症患者。

报告方法

本文遵循 EQUATOR 指南,没有直接涉及患者或公众的贡献。

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