灵性对接受肿瘤治疗的癌症患者心理复原力的影响：一项横断面研究。

The influence of spirituality on psychological resilience in cancer patients undergoing oncological treatment: a cross-sectional study.

作者信息

Gutierrez-Rojas Angie, Manco-Herrera Christian, Nuñez-Escarcena Ximena, Loayza-Ramirez Libya, Sanca-Valeriano Silvia, Rodriguez-Pantigoso Wuilbert, Espinola-Sanchez Marcos

机构信息

Instituto Peruano de Oncología & Radioterapia, Lima, Peru.

Facultad de Ciencias de la Salud, Universidad Privada del Norte, Lima, Peru.

出版信息

BMC Palliat Care. 2025 May 14;24(1):136. doi: 10.1186/s12904-025-01768-5.

DOI:10.1186/s12904-025-01768-5

PMID:40369480

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12077010/

Abstract

INTRODUCTION

Spirituality and resilience have been studied as possible factors influencing psychological adjustment in cancer patients. However, the evidence on their relationship remains inconsistent, and their impact in this context is not fully established.

OBJECTIVE

This study assessed the influence of spirituality on psychological resilience in cancer patients undergoing chemotherapy and/or radiotherapy.

METHODS

This cross-sectional observational study included 170 oncology outpatients who were receiving chemotherapy and/or radiotherapy at a specialized oncology center in Peru. Spirituality was measured with the Spiritual Perspective Scale (SPS) and resilience with the Wagnild and Young Resilience Scale. Spearman correlation coefficient (r) analyses and multiple linear regression models adjusted for age, gender, educational level, socioeconomic status, clinical stage, and comorbidities were applied.

RESULTS

A significant positive correlation was found between spirituality and resilience (r=0.53, p < 0.001). The spiritual beliefs dimension exhibited a stronger association with resilience (r=0.56, p < 0.001) compared to spiritual practices (r=0.28, p < 0.001). In the multivariate analysis, spiritual beliefs (β = 2.38; 95%CI: 1.92-2.83) and a higher educational level (β = 12.61; 95%CI: 6.27-18.95) were significant predictors of higher resilience.

CONCLUSIONS

Spirituality, particularly spiritual beliefs, had a positive influence on resilience in cancer patients, regardless of educational level. These findings enhance the need to integrate the spiritual approach in psycho-oncological care to contribute to patients' emotional well-being. However, further studies are required to deepen this relationship and explore its impact in different clinical contexts.

IMPLICATIONS FOR PRACTICE

Including spiritual assessments, especially spiritual beliefs, in clinical practice may enhance personalized approaches to optimize psycho-oncological care.

摘要

引言

灵性与心理韧性已被作为可能影响癌症患者心理调适的因素进行研究。然而，关于它们之间之间关系二者关系的证据仍不一致，且它们在这一背景下的影响尚未完全明确。

目的

本研究评估灵性对接受化疗和/或放疗的癌症患者心理韧性的影响。

方法

这项横断面观察性研究纳入了170名在秘鲁一家专业肿瘤中心接受化疗和/或放疗的肿瘤门诊患者。采用精神视角量表（SPS）测量灵性，采用瓦格尼尔和扬心理韧性量表测量心理韧性。应用斯皮尔曼相关系数（r）分析以及针对年龄、性别、教育水平、社会经济地位、临床分期和合并症进行调整的多元线性回归模型。

结果

灵性与心理韧性之间存在显著正相关（r = 0.53，p < 0.001）。与精神实践（r = 0.28，p < 0.001）相比，精神信仰维度与心理韧性的关联更强（r = 0.56，p < 0.001）。在多变量分析中，精神信仰（β = 2.38；95%置信区间：1.92 - 2.83）和较高的教育水平（β = 12.61；95%置信区间：6.27 - 18.95）是心理韧性较高的显著预测因素。