Mehta Neel H, Prajapati Megh, Aeleti Rishi, Kinariwala Kush, Ohri Karina, McCabe Sean, Buller Zachary, Leskinen Sandra, Nawabi Noah L, Bhatt Vatsal, Yerigeri Keval, Babaria Vivek
Department of Neurosurgery, Massachusetts General Hospital and Harvard Medical School, Boston, MA 02115, USA.
Department of Biomedical Engineering, Cornell University, Ithaca, NY 14850, USA.
J Clin Med. 2024 Aug 18;13(16):4871. doi: 10.3390/jcm13164871.
: Diagnosis with a brain tumor is a critical event in the lives of patients and their families due to poor medical prognoses and complex clinical care. Spiritual care interventions have been known to have meaningful effects in morbid diagnoses and palliative medicine, but their role in the neuro-oncologic patient's experience is poorly understood. This systematic review explores the role of spirituality and its relevance to patient care in the diverse setting of brain tumors. : A comprehensive systematic review was conducted following PRISMA-SR guidelines. PUBMED was queried for studies on spirituality and neuro-oncology. Identified studies included RCTs, interviews, surveys, and case reports that examined spirituality in neuro-oncological clinical care, quality of life, and patient experience. Of 214 articles identified, 21 studies met the inclusion criteria, and the results were narratively synthesized. : Spirituality may play a significant role in mental well-being by reconciling existential questions faced by both patients and caregivers, and can serve as a valuable resource to improve mental well-being and reduce rates of palliative caregiver burnout. However, the paucity of studies examining the education and integration of spiritual awareness within the clinical literature warrants further study. : While spiritual care interventions may improve the quality of life and mental wellness of patients and their caregivers, it is unclear how spiritual awareness and education should best be implemented. Further research is needed to better understand how key components of spiritual awareness can be integrated into medical education to deepen the patient-physician relationship and improve clinical experiences.
由于预后不佳和临床护理复杂，脑肿瘤的诊断对患者及其家属来说是人生中的关键事件。已知精神关怀干预在疾病诊断和姑息治疗中具有重要作用，但人们对其在神经肿瘤患者体验中的作用了解甚少。本系统评价探讨了灵性在脑肿瘤多样化背景下的作用及其与患者护理的相关性。
按照PRISMA-SR指南进行了全面的系统评价。在PUBMED上检索了关于灵性与神经肿瘤学的研究。纳入的研究包括随机对照试验、访谈、调查和病例报告，这些研究考察了神经肿瘤临床护理中的灵性、生活质量和患者体验。在检索到的214篇文章中，有21项研究符合纳入标准，并对结果进行了叙述性综合分析。
灵性可能通过化解患者和护理人员面临的生存问题，在心理健康方面发挥重要作用，并可作为改善心理健康和降低姑息护理人员倦怠率的宝贵资源。然而，临床文献中关于灵性意识教育与整合的研究较少，值得进一步研究。
虽然精神关怀干预可能会提高患者及其护理人员的生活质量和心理健康，但尚不清楚应如何最好地实施灵性意识和教育。需要进一步研究，以更好地理解如何将灵性意识的关键要素融入医学教育，以深化医患关系并改善临床体验。
