Relawati Ambar, Rochmawati Erna, Primanda Yanuar, Kamil Abdu Rahim, Haris Fahni, Sutrisno Resti Yulianti, Firmawati Erfin
School of Nursing, Faculty of Medicine, and Health Science, Universitas Muhammadiyah Yogyakarta, Kasman Singodimejo Postgraduate Building, Level 2, Jl Brawijaya, Tamantirto, Kasihan, Bantul, Special Region of Yogyakarta, 55183, Indonesia.
Faculty of Nursing, Universitas Muhammadiyah Jakarta, Cempaka Putih Tengah I St., Cempaka Putih, Jakarta Pusat, DKI Jakarta, 10510, Indonesia.
J Relig Health. 2025 Jun 14. doi: 10.1007/s10943-025-02333-3.
This study aimed to systematically assess the evidence regarding the efficacy of spiritual interventions on quality of life and spiritual well-being among patients with cancer. PubMed, CINAHL, PsycINFO, Embase, MEDLINE (via EBSCOhost), and Web of Science databases were searched. Studies were included if these reported spiritual interventions for adult patients with cancer. Quality assessment of the included studies were conducted using the Critical Appraisal Tool for Randomized Controlled Trials from Joanna Briggs Institute. The review was registered in PROSPERO (CRD42021277873). A total of ten randomized controlled trials that enrolled 1332 patients with cancer were included. Spiritual interventions of the included studies involve: meaning-centered, mindfulness, dignity therapy, yoga, spiritual counseling, and body-mind-spirit group therapy. The length of the interventions ranged from 2 to 12 sessions. Further analysis shows spiritual interventions improve spiritual well-being (N = 479, 95% CI = 0.36 to 1.97, p < 0.0001), and Quality of Life (N = 706, 95% CI = 0.07 to 0.40, p = 0.004). Spiritual interventions are proved to be effective to improve spiritual well-being and quality of life. It is important for nurses and healthcare professionals to integrate spiritual interventions to improve the quality of care including patients' spiritual well-being and quality of life.
本研究旨在系统评估有关精神干预对癌症患者生活质量和精神健康疗效的证据。检索了PubMed、CINAHL、PsycINFO、Embase、MEDLINE（通过EBSCOhost）和Web of Science数据库。纳入的研究需报告针对成年癌症患者的精神干预。使用乔安娜·布里格斯研究所的随机对照试验批判性评估工具对纳入研究进行质量评估。该综述已在PROSPERO（CRD42021277873）注册。共纳入了10项随机对照试验，涉及1332名癌症患者。纳入研究的精神干预包括：意义中心疗法、正念疗法、尊严疗法、瑜伽、精神咨询和身心灵团体疗法。干预疗程从2节到12节不等。进一步分析表明，精神干预可改善精神健康（N = 479，95%置信区间 = 0.36至1.97，p < 0.0001）和生活质量（N = 706，95%置信区间 = 0.07至0.40，p = 0.004）。事实证明，精神干预对改善精神健康和生活质量有效。护士和医护人员将精神干预纳入其中以提高护理质量，包括患者的精神健康和生活质量，这很重要。
