精神健康、信仰、生活意义、安宁及生活目的与癌症相关疲劳的关系：系统评价及荟萃分析与荟萃回归
Spiritual well-being, faith, meaning in life, peace, and purpose in life for cancer-related fatigue: systematic review with meta-analysis and meta-regressions.
作者信息
Martinez-Calderon Javier, García-Muñoz Cristina, Cano-García Francisco Javier, Heredia-Rizo Alberto Marcos
机构信息
Instituto de Biomedicina de Sevilla, IBiS, Departamento de Fisioterapia, Universidad de Sevilla, Seville, Spain.
CTS 1110: Understanding Movement and Self in Health From Science (UMSS) Research Group, Andalusia, Spain.
出版信息
J Cancer Surviv. 2024 Apr 18. doi: 10.1007/s11764-024-01579-2.
BACKGROUND
Cancer-related fatigue is associated with spiritual distress. Spiritual well-being, characterized by the presence of factors such as meaning in life or purpose in life, seems to play an important role in the management of symptoms of cancer. Currently, the number of studies evaluating the association between cancer-related fatigue and spiritual well-being is increasing and no systematic review has been conducted.
AIM
To summarize the association between cancer-related fatigue and spiritual well-being, faith, meaning in life, peace, and purpose in life.
DESIGN
A systematic review with meta-analysis.
DATA SOURCES
The CINAHL, Embase, PsycINFO, and PubMed databases were searched from inception to 9 October 2023. We considered studies evaluating the cross-sectional or longitudinal association between cancer-related fatigue and the spiritual factors above mentioned. The Joanna Briggs Institute Checklist for Analytical Cross-Sectional Studies and the Quality in Prognosis Studies tool assessed the methodological quality of cross-sectional and longitudinal studies, respectively. The Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) system rated the certainty of evidence. Meta-analyses, meta-regressions, subgroup meta-analyses, and sensitivity analyses were conducted.
RESULTS
A total of 13 studies were included and no longitudinal findings were found. One meta-analysis showed that cancer-related fatigue may be negatively correlated with spiritual well-being (r = - 0.37 (95%CI - 0.44 to - 0.28) p < 0.01). In addition, another meta-analysis found the correlation between cancer-related fatigue and faith was not statistically significant (r = - 0.25 (95%CI - 0.66 to 0.28) p = 0.36).
CONCLUSIONS
Cancer-related fatigue may be correlated with spiritual well-being. However, the certainty of evidence was very low across the meta-analyzed outcomes.
IMPLICATIONS FOR CANCER SURVIVORS
A negative correlation was observed between spiritual well-being and cancer-related fatigue.
背景
癌症相关疲劳与精神困扰有关。以生活意义或人生目标等因素为特征的精神健康似乎在癌症症状管理中发挥着重要作用。目前，评估癌症相关疲劳与精神健康之间关联的研究数量在增加，且尚未进行系统综述。
目的
总结癌症相关疲劳与精神健康、信仰、生活意义、安宁及人生目标之间的关联。
设计
一项带有荟萃分析的系统综述。
数据来源
检索了CINAHL、Embase、PsycINFO和PubMed数据库，检索时间从建库至2023年10月9日。我们纳入了评估癌症相关疲劳与上述精神因素之间横断面或纵向关联的研究。乔安娜·布里格斯循证卫生保健中心分析性横断面研究核对清单和预 后研究质量工具分别评估横断面和纵向研究的方法学质量。推荐分级、评估、制定与评价（GRADE）系统对证据的确定性进行评级。进行了荟萃分析、荟萃回归、亚组荟萃分析和敏感性分析。
结果
共纳入13项研究，未发现纵向研究结果。一项荟萃分析表明，癌症相关疲劳可能与精神健康呈负相关（r = -0.37（95%CI -0.44至-0.28），p < 0.01）。此外，另一项荟萃分析发现，癌症相关疲劳与信仰之间的相关性无统计学意义（r = -0.25（95%CI -（此处疑似有误，原文多了一个减号）0.66至0.（此处疑似有误，原文多了一个小数点）28），p = 0.36）。
结论
癌症相关疲劳可能与精神健康相关。然而，在荟萃分析的所有结果中，证据的确定性都非常低。
对癌症幸存者的启示
观察到精神健康与癌症相关疲劳之间存在负相关。
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