Religion, spirituality, and physical health in cancer patients: A meta-analysis.
Religion, spirituality, and physical health in cancer patients: A meta-analysis.
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癌症患者的宗教，灵性和身体健康：一项荟萃分析。
DOI：
10.1002/cncr.29353
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发表时间：
2015-11-01
期刊：
影响因子：
6.2
通讯作者：
Salsman JM
中科院分区：
文献类型：
--
作者：
Jim HS;Pustejovsky JE;Park CL;Danhauer SC;Sherman AC;Fitchett G;Merluzzi TV;Munoz AR;George L;Snyder MA;Salsman JM
虽然宗教/灵性(R/S)本身对许多癌症患者来说很重要，但大量研究已经检验了R/S是否也与更好的身体健康结果有关。这些文献的特点是样本成分、R/S和身体健康指标的异质性。为了综合以前的发现，我们对癌症患者中R/S和患者报告的身体健康之间的关系进行了荟萃分析。在PubMed、SqucINFO、CINAHL和Cochrane图书馆上搜索得到2073篇摘要，这些摘要由成对的评分者独立评估。Meta分析对101个独特样本中的497个效应大小进行了分析，这些样本涵盖了超过32,000名成年癌症患者。R/S测量分为情感维度、行为维度、认知维度和其他维度。身体健康指标分为身体健康、功能健康和身体症状。用具有稳健方差估计的广义估计方程计算平均估计相关系数(Fisher‘s z)。总体R/S与总体身体健康相关(z=.153，p<；.001)；这种关系不受社会人口学或临床变量的调节。情感R/S与躯体幸福感(z=.167，p&t；.001)、功能幸福感(z=.343，p&t；.001)和躯体症状(z=.282，p&t；.001)相关。认知R/S与身体幸福感(z=.079，p<；0.05)和功能幸福感(z=.090，p<；.01)相关。‘其他’R/S与功能幸福感相关(z=0.100，p<；0.05)。目前的荟萃分析结果表明，较大的R/S与患者报告的较好的身体健康有关。这些结果强调了照顾患者的宗教和精神需求作为全面癌症护理的一部分的重要性。
Whereas religion/spirituality (R/S) is important in its own right for many cancer patients, a large body of research has examined whether R/S is also associated with better physical health outcomes. This literature has been characterized by heterogeneity in sample composition, measures of R/S, and measures of physical health. In an effort to synthesize previous findings, we conducted a meta-analysis of the relationship between R/S and patient-reported physical health in cancer patients. A search of PubMed, PsycInfo, CINAHL, and Cochrane Library yielded 2,073 abstracts, which were independently evaluated by pairs of raters. Meta-analysis was conducted on 497 effect sizes from 101 unique samples encompassing over 32,000 adult cancer patients. R/S measures were categorized into affective, behavioral, cognitive, and ‘other’ dimensions. Physical health measures were categorized into physical well-being, functional well-being, and physical symptoms. Average estimated correlations (Fisher's z) were calculated using generalized estimating equations with robust variance estimation. Overall R/S was associated with overall physical health (z=.153, p<.001); this relationship was not moderated by sociodemographic or clinical variables. Affective R/S was associated with physical well-being (z=.167, p<.001), functional well-being (z=.343, p<.001), and physical symptoms (z=.282, p<.001). Cognitive R/S was associated with physical well-being (z=.079, p<.05) and functional well-being (z=.090, p<.01). ‘Other’ R/S was associated with functional well-being (z=.100, p<.05). Results of the current meta-analysis suggest that greater R/S is associated with better patient-reported physical health. These results underscore the importance of attending to patients’ religious and spiritual needs as part of comprehensive cancer care.