Gutierrez-Rojas Angie, Manco-Herrera Christian, Nuñez-Escarcena Ximena, Loayza-Ramirez Libya, Sanca-Valeriano Silvia, Rodriguez-Pantigoso Wuilbert, Espinola-Sanchez Marcos
Instituto Peruano de Oncología & Radioterapia, Lima, Peru.
Facultad de Ciencias de la Salud, Universidad Privada del Norte, Lima, Peru.
BMC Palliat Care. 2025 May 14;24(1):136. doi: 10.1186/s12904-025-01768-5.
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.
This study assessed the influence of spirituality on psychological resilience in cancer patients undergoing chemotherapy and/or radiotherapy.
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.
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.
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.
Including spiritual assessments, especially spiritual beliefs, in clinical practice may enhance personalized approaches to optimize psycho-oncological care.
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。
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。
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。
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。
灵性，尤其是精神信仰，对癌症患者的心理韧性有积极影响，与教育水平无关。这些发现强化了在心理肿瘤护理中整合精神方法以促进患者情绪健康的必要性。然而，需要进一步研究以深化这种关系并探索其在不同临床背景下的影响。
在临床实践中纳入精神评估，尤其是精神信仰评估，可能会增强个性化方法以优化心理肿瘤护理。
