Badwaik Gunjan, Kadam Priya, Kaliaperumal Chandrasekaran
Department of Paediatric Neurosurgery, Birmingham Children's Hospital, Steelhouse Lane, Birmingham B4 6NH, United Kingdom.
Department of Clinical Neurosciences, Royal Infirmary Edinburgh, 50 Little France Crescent, Edinburgh EH16 4SA, United Kingdom.
Clin Neurol Neurosurg. 2025 Jul;254:108922. doi: 10.1016/j.clineuro.2025.108922. Epub 2025 Apr 28.
This systematic review aims to determine how spirituality influences prehabilitation and post-operative patient outcomes along with their coping mechanisms while undergoing Neurosurgical intervention. We have endeavoured to explore the feasibility of safe integration of this concept into Neurosurgical care provision.
A literature search was carried out and articles were retrieved from PubMed, Science Direct and Cochrane database using specific keywords. We identified a total of 381 studies that fit our criteria and were analysed using PRISMA guidelines.
This review summarises evidence that spirituality significantly impacts multiple domains of neurosurgical patient care. Studies indicate that spirituality fosters meaning, hope, and comfort, aiding patients in coping with neurosurgical conditions like brain and spinal tumours. Patients with higher spirituality exhibited improved postoperative outcomes, including faster recovery, better quality of life, and greater healthcare satisfaction. The ethical necessity of addressing spiritual needs, particularly regarding end-of-life decisions and respecting cultural beliefs was also examined. Some types of spirituality measures showed more positive outcomes in patients than others. While a few studies found no association between quality of life and complementary spiritual therapies, trends have shifted. Neuroimaging research has identified potential neurobiological correlates of spiritual experiences in regions like the parietal lobe and prefrontal cortex. The World Health Organisation (WHO) now includes spirituality in the holistic approach to palliative care for terminal patients.
Current evidence suggests beneficial outcomes from utility of spirituality tools such as meditation, yoga, mantram repetition, exercise, and support groups. These can be safely integrated in provision of a salutogenic approach to improve overall outcome in patients undergoing neurosurgery. This is the first study to focus on spirituality in Neurosurgery aiming for holistic care provision across the globe. We believe that it is feasible to bring in a change to patient's care balancing mind, body and spirit integrated with excellent Neurosurgical care.
本系统评价旨在确定精神性如何影响神经外科手术干预期间的术前康复及术后患者结局，以及他们的应对机制。我们致力于探索将这一概念安全融入神经外科护理的可行性。
进行了文献检索，使用特定关键词从PubMed、科学Direct和Cochrane数据库中检索文章。我们共识别出381项符合我们标准的研究，并使用PRISMA指南进行分析。
本评价总结了证据，表明精神性对神经外科患者护理的多个领域有显著影响。研究表明，精神性能促进意义、希望和安慰，帮助患者应对脑和脊髓肿瘤等神经外科疾病。精神性较高的患者术后结局有所改善，包括恢复更快、生活质量更高和医疗满意度更高。还探讨了满足精神需求的伦理必要性，特别是在临终决策和尊重文化信仰方面。某些类型的精神性测量在患者中显示出比其他类型更积极的结果。虽然一些研究发现生活质量与补充性精神疗法之间没有关联，但趋势已经发生了变化。神经影像学研究已经在顶叶和前额叶皮质等区域确定了精神体验的潜在神经生物学关联。世界卫生组织（WHO）现在将精神性纳入了对晚期患者姑息治疗的整体方法中。
目前的证据表明，冥想、瑜伽、重复曼陀罗、运动和支持小组等精神性工具的应用能带来有益结果。这些可以安全地融入提供一种促进健康的方法，以改善接受神经外科手术患者的总体结局。这是第一项专注于神经外科领域精神性以实现全球整体护理的研究。我们相信，在提供卓越神经外科护理的同时，平衡患者身心和精神的护理方式是可行的。
