INFLUENCE OF SPIRITUALITY AND RELIGIOSITY IN CANCER TREATMENT: A SYSTEMATIC REVIEW

Patricia Maluf CURY, Jusciele Brogin MORELI, Silvio de Melo SCANDIUZZI, Giulia Aparecida REGIANI

Resumen


Objective: To evaluate the influence of spirituality and religiosity in the treatment of cancer patients and the therapeutic response.

Methology: Systematic review study using PubMed, SciELO, and VHL databases to search for studies published from 2012 to 2022. The research was conducted considering the terms “spirituality”, “religiosity”, “cancer”, “influence” and “treatment”. The quality of articles was assessed using the Study Quality Assessment Tool from the Department of Health and Human Services (NHLBI).

Results: A total of 82 studies were identified; 10 studies were eligible and included. Standard cancer care (n=7), Palliative care (n=2), and standard cancer care and Palliative care (n=1) were the types of treatment received by study participants. S/R was used as a coping strategy for the disease during treatment, regardless of type, and influenced a better quality of life, general health status, and physical and emotional symptoms. The predictors associated with coping strategies were religion, mood, behavioral disconnection, maladaptive coping, religious practices, faith, social support, family caregiver, and trust in beliefs.

Contribution: S/R consists of a strategy for coping with cancer throughout the treatment and illness process. Still poorly integrated into the care of cancer patients, its influence on treatment was directly related to the benefits achieved with the improvement in quality of life, general health, and physical and emotional symptoms. It is expected that the use of S/R as a coping strategy for cancer patients can have a positive impact on predictors related to response assessment.

Keywords: Cancer patients; Religiosity; Spirituality; Treatment; Quality-of-life.

RESUMO 

Objetivo: Avaliar a influência da espiritualidade e religiosidade no tratamento de pacientes com câncer e na resposta terapêutica.

Metodologia: Estudo de revisão sistemática utilizando as bases de dados PubMed, SciELO e BVS para busca de estudos publicados de 2012 a 2022. A pesquisa foi realizada considerando os termos “espiritualidade”, “religiosidade”, “câncer”, “influência” e “tratamento”. A qualidade dos artigos foi avaliada por meio do Study Quality Assessment Tool do Departamento de Saúde e Serviços Humanos (NHLBI).

Resultados: Foram identificados 82 estudos; 10 estudos foram elegíveis e incluídos. Cuidados padrão de câncer (n=7), cuidados paliativos (n=2) e cuidados padrão de câncer e cuidados paliativos (n=1) foram os tipos de tratamento recebidos pelos participantes do estudo. A S/R foi utilizada como estratégia de enfrentamento da doença durante o tratamento, independentemente do tipo, e influenciou na melhor qualidade de vida, estado geral de saúde e sintomas físicos e emocionais. Os preditores associados às estratégias de enfrentamento foram religião, humor, desconexão comportamental, enfrentamento mal adaptativo, práticas religiosas, fé, apoio social, cuidador familiar e confiança nas crenças.

Contribuição: S/R consiste em uma estratégia de enfrentamento do câncer ao longo do processo de tratamento e adoecimento. Ainda pouco integrado ao cuidado de pacientes com câncer, sua influência no tratamento esteve diretamente relacionada aos benefícios alcançados com a melhora da qualidade de vida, saúde geral e sintomas físicos e emocionais. Espera-se que o uso de S/R como estratégia de enfrentamento para pacientes com câncer possa ter um impacto positivo nos preditores relacionados à avaliação da resposta.

Palavras-chave: Pacientes com câncer; Religiosidade; Espiritualidade; Tratamento; Qualidade de vida.

 

 


Palabras clave


Cancer patients; Religiosity; Spirituality; Treatment; Quality-of-life.

Texto completo:

PDF (Português (Brasil))

Referencias


Siegel RL, Miller KD, Fuchs HE, et al: Cancer statistics, 2022. CA Cancer J Clin 72:7-33, 2022

Tsimberidou AM, Fountzilas E, Nikanjam M, et al: Review of precision cancer medicine: Evolution of the treatment paradigm. Cancer Treat Rev 86:102019, 2020

Teunissen SC, Wesker W, Kruitwagen C, et al: Symptom prevalence in patients with incurable cancer: a systematic review. J Pain Symptom Manage 34:94-104, 2007

Gayatri D, Efremov L, Kantelhardt EJ, et al: Quality of life of cancer patients at palliative care units in developing countries: systematic review of the published literature. Qual Life Res 30:315-343, 2021

Powers-James C, Alvarez A, Milbury K, et al: The Influence of Spirituality and Religiosity on US Oncologists' Personal Use of and Clinical Practices Regarding Complementary and Alternative Medicine. Integr Cancer Ther 19:1534735420945769, 2020

Arbinaga F, Mendoza-Sierra MI, Bohorquez MR, et al: Spirituality, Religiosity and Coping Strategies Among Spanish People Diagnosed with Cancer. J Relig Health 60:2830-2848, 2021

Koenig HG, McCullough ME, Larson DB: Handbook of religion and health: a century of research reviewed (ed 1st), 2001

Delgado-Guay MO, Palma A, Duarte E, et al: Association between Spirituality, Religiosity, Spiritual Pain, Symptom Distress, and Quality of Life among Latin American Patients with Advanced Cancer: A Multicenter Study. J Palliat Med 24:1606-1615, 2021

Brandão ML, Fritsch TZ, Toebe TRP, et al: Association between spirituality and quality of life of women with breast cancer undergoing radiotherapy. Rev Esc Enfer USP 55, 2021

Paiva BS, Carvalho AL, Lucchetti G, et al: "Oh, yeah, I'm getting closer to god": spirituality and religiousness of family caregivers of cancer patients undergoing palliative care. Support Care Cancer 23:2383-9, 2015

Veit CM, Castro EK: Positive Religious/Spiritual Coping in Women with Breast Cancer: A Qualitative Study. Psico 44:331-341, 2013

Richardson P: Assessment and implementation of spirituality and religiosity in cancer care: effects on patient outcomes. Clin J Oncol Nurs 16:E150-5, 2012

Sousa FFPRD, Freitas SMFM, Farias AGS, et al: Religious/Spiritual Coping by People with Cancer Undergoing Chemotherapy: Integrative Literature Review. Rev SMAD 13:45-51, 2017

National Institute for Health Research (NHS). University of York. PROSPERO: International prospective register of systematic reviews. Available em: https://www.crd.york.ac.uk/prospero/

National Heart Lung, and Blood Institute: Study Quality Assessment Tools, Bethesda: National Heart, Lung, and Blood Institute, 2021

Moher D, Liberati A, Tetzlaff J, et al: Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med 6:e1000097, 2009

Silva LS, Poiares IR, Machado CAM, et al: Religion/spirituality and social support in improving the quality of life of patients with advanced cancer. Rev Enf Ref 5:111-120, 2019

Bussing A, Janko A, Baumann K, et al: Spiritual needs among patients with chronic pain diseases and cancer living in a secular society. Pain Med 14:1362-73, 2013

Vallurupalli M, Lauderdale K, Balboni MJ, et al: The role of spirituality and religious coping in the quality of life of patients with advanced cancer receiving palliative radiation therapy. J Support Oncol 10:81-7, 2012

Miranda SL, Lanna MAL, Felippe WC: Spirituality, Depression, and Quality of Life in the Fight of Cancer: an Exploratory Study. Psic Ciên Prof, 2015, 35:870-885.

Freitas RA, Menezes TMO, Santos LB, et al: Spirituality and religiousity in the experience of suffering, guilt, and death of the elderly with cancer. Rev Bras Enferm, 2020, 73Suppl 3:e20190034.

Souza VM, Frizzo HCF, Paiva MHP, et al: Spirituality, religion and personal beliefs of adolescents with cancer. Rev Bras Enferm, 2015, 68:791-796.

Ferreira LF, Freire AP, Silveira ALC, et al: The Influence of Spirituality and Religiosity in Acceptance of the Disease and Treatment of Oncologic Patients: an Integrative Literature Review. Rev. Bras. Cancerol, 2020, 66.

Brown TJ, Smith TJ, Gupta A: Palliative Care. JAMA Oncol 5:126, 2019

World Health Organization: Definition of Palliative Care. Geneva, 2017. Available: http://www.who.int/cancer/palliative/definition/en/.

Kaasa S, Loge JH, Aapro M, et al: Integration of oncology and palliative care: a Lancet Oncology Commission. Lancet Oncol, 2018, 19:e588-e653.

Santos Neto MFD, Paiva CE, de Lima C, et al: Oncology palliative care: access barriers: bibliometric study. BMJ Support Palliat Care, 2021

Alcorn SR, Balboni MJ, Prigerson HG, et al: "If God wanted me yesterday, I wouldn't be here today": religious and spiritual themes in patients' experiences of advanced cancer. J Palliat Med, 2010, 13:581-8.

Korup A, Sondergaard J, Alyousefi NA, et al: Health professionals' attitudes toward religiosity and spirituality: a NERSH Data Pool based on 23 surveys from six continents. F1000Res, 2021, 10:446.

Rodin D, Balboni M, Mitchell C, et al: Whose role? Oncology practitioners' perceptions of their role in providing spiritual care to advanced cancer patients. Support Care Cancer, 2015, 23:2543-50.

Delgado-Guay MO: Developing a Healing Environment for Broken Souls of Patients With Life-Threatening Illnesses and Their Caregivers. J Pain Symptom Manage 2018, 55:1231-1236.




DOI: http://dx.doi.org/10.21902/RevPercurso.2316-7521.v3i34.6067

Enlaces refback

  • No hay ningún enlace refback.


PERCURSO, e-ISSN: 2316-7521

Rua Chile, 1678, Rebouças, Curitiba/PR (Brasil). CEP 80.220-181

Licença Creative Commons

Este obra está licenciado com uma Licença Creative Commons Atribuição-NãoComercial 4.0 Internacional.