Firkins Jenny L, Tomic Ivana, Hansen Lissi, Woodrell Christopher D
School of Nursing, Oregon Health & Science University, 3455 SW US Veterans Hospital Road, Portland, OR, 97239, USA.
Icahn School of Medicine at Mount Sinai, Brookdale Department of Geriatrics and Palliative Medicine, One Gustave L. Levy Place, Box 1070, New York, NY, 10029, USA.
Support Care Cancer. 2025 Mar 4;33(3):246. doi: 10.1007/s00520-025-09306-y.
Cancer is a leading cause of morbidity and mortality worldwide. Although people are living longer with cancer, cancer has the potential to impact survivors' quality of life (QOL) negatively. Spirituality encompasses the concepts of transcendence, meaningfulness, faith, connectedness, and integrative energy. Spirituality is a part of everyday existence across cultures and religions and part of the human experience. Yet little has been published on spirituality in cancer survivorship. We could not find any previous reviews that examined the literature on the potential relationship between QOL and spirituality in cancer survivorship. Thus, this systematic review and meta-analysis aim to examine the current literature to more fully understand the relationship between spirituality and QOL.
Using PRISMA guidelines, a systematic review and meta-analysis were conducted to examine the relationship between spirituality and QOL in cancer survivorship in studies sourced from PubMed, CINHAL, and PsycINFO databases.
Twenty-six articles published between 2005 and 2024 were included for review. All studies demonstrated a significant, positive correlation between QOL and spirituality, with r values ranging from 0.15 to 0.817.
Our findings suggest a positive correlation between higher spirituality and increased QOL among cancer survivors. Future research is needed to improve the understanding of this relationship and its mediators so that supportive oncologic interventions can be modified to address unmet needs and spiritual suffering. By better understanding the relationship between spirituality and QOL, we can move towards supporting the highest level of QOL possible for cancer survivors.
癌症是全球发病和死亡的主要原因。尽管癌症患者的寿命在延长，但癌症仍有可能对幸存者的生活质量（QOL）产生负面影响。灵性涵盖超越、意义、信仰、联系和整合能量等概念。灵性是跨文化和宗教的日常存在的一部分，也是人类经历的一部分。然而，关于癌症幸存者灵性的文献报道很少。我们找不到之前任何审查癌症幸存者生活质量与灵性之间潜在关系的文献综述。因此，本系统综述和荟萃分析旨在研究当前文献，以更全面地了解灵性与生活质量之间的关系。
根据PRISMA指南，进行了一项系统综述和荟萃分析，以研究来自PubMed、CINHAL和PsycINFO数据库的研究中癌症幸存者灵性与生活质量之间的关系。
纳入了2005年至2024年发表的26篇文章进行综述。所有研究均表明生活质量与灵性之间存在显著的正相关，r值范围为0.15至0.817。
我们的研究结果表明，癌症幸存者中较高的灵性与较高的生活质量之间存在正相关。需要进一步的研究来增进对这种关系及其调节因素的理解，以便调整支持性肿瘤干预措施，以满足未满足的需求和缓解精神痛苦。通过更好地理解灵性与生活质量之间的关系，我们可以朝着支持癌症幸存者尽可能高的生活质量迈进。
