J Gen Intern Med. 2020 Jul;35(7):2146-2161. doi: 10.1007/s11606-020-05741-1. Epub 2020 Feb 24.
The Role of Spirituality in Patients Undergoing Hematopoietic Stem Cell Transplantation: a Systematic Mixed Studies Review.
Journal of general internal medicine
Li-Yuan Zheng, Hua Yuan, Zi-Jun Zhou, Bao-Xing Guan, Ping Zhang, Xiu-Ying Zhang
Affiliations
Affiliations
- Department of Fundamental Nursing, School of Nursing , Jilin University, Changchun, 130021, Jilin, People's Republic of China.
- Department of Surgical Nursing, School of Nursing, Jilin University, Changchun, 130021, Jilin, People's Republic of China.
- Jilin Cancer Hospital, 1018 Huguang Street, Changchun, 130021, Jilin, People's Republic of China.
- Intensive Care Unit, First Hospital of Jilin University, Changchun, 130021, Jilin, People's Republic of China.
- School of Nursing, Southern Medical University, Guangzhou, 510515, Guangdong, People's Republic of China.
- Department of Fundamental Nursing, School of Nursing , Jilin University, Changchun, 130021, Jilin, People's Republic of China. [email protected].
PMID: 32096081
PMCID: PMC7351920 DOI: 10.1007/s11606-020-05741-1
Abstract
BACKGROUND: Hematopoietic stem cell transplantation (HSCT) has become the standard treatment for many diseases, but it is an intense and distinctive experience for patients. HSCT-related mortality is present throughout the whole process of transplantation, from pretransplantation to recovery. Long-term rehabilitation and the uncertain risk of death evoke feelings of vulnerability, helplessness, and intense fear. Zimmermann et al. proposed that spiritual well-being is an important dimension of quality of life and that patients at the end stage of life require spiritual support in addition to physical care, psychological care, and social support. Therefore, the purpose of this review is to examine the role of spirituality in the process of HSCT.
METHOD: A systematic mixed studies review (SMSR) was based on Pluye and Hong's framework to understand the role of spirituality in patients' experiences while undergoing HSCT. We use the preferred reporting items for systematic reviews and meta-analyses (PRISMA) statement to report the results of integration.
RESULTS: Fifteen original qualitative studies, 19 quantitative studies, and one mixed method study were included in the systematic mixed studies review. The evidence from the review revealed the following three themes: the spiritual experiences of HSCT patients, the spiritual coping styles of HSCT patients, and the spiritual need changes brought about by HSCT.
DISCUSSION: Few medical institutions currently offer spiritual healing, although HSCT patients with different cultural backgrounds may have different spiritual experiences and spiritual coping styles. Psychotherapists or nurses should be considered to provide spiritual care for patients undergoing HSCT, to help patients cope with disease pressures, promote HSCT patients' comfort, and improve their quality of life.
Keywords: hematopoietic stem cell transplantation; quality of life; spirituality; systematic mixed studies review
References
- Palliat Support Care. 2007 Mar;5(1):41-9 - PubMed
- Eur J Cancer Care (Engl). 2016 Nov;25(6):1044-1055 - PubMed
- Psychooncology. 2010 Jun;19(6):565-72 - PubMed
- Semin Oncol Nurs. 2009 May;25(2):139-50 - PubMed
- J Support Oncol. 2012 Mar-Apr;10(2):81-7 - PubMed
- J Cancer Surviv. 2008 Jun;2(2):104-15 - PubMed
- J Health Care Chaplain. 2012;18(1-2):3-22 - PubMed
- JAMA Intern Med. 2013 Jun 24;173(12):1109-17 - PubMed
- BMC Med Res Methodol. 2008 Jul 10;8:45 - PubMed
- J Nurs Res. 2012 Jun;20(2):99-109 - PubMed
- J Support Oncol. 2010 May-Jun;8(3):119-25 - PubMed
- J Clin Nurs. 2018 Apr;27(7-8):e1508-e1518 - PubMed
- Holist Nurs Pract. 2013 Jul-Aug;27(4):207-16 - PubMed
- Psychooncology. 2017 Feb;26(2):270-277 - PubMed
- Clin J Oncol Nurs. 2012 Aug;16(4):E142-9 - PubMed
- Support Care Cancer. 2013 Apr;21(4):993-1001 - PubMed
- PLoS Med. 2009 Jul 21;6(7):e1000097 - PubMed
- Support Care Cancer. 2013 Apr;21(4):1137-44 - PubMed
- Blood. 2010 Mar 25;115(12):2508-19 - PubMed
- J Psychosom Res. 2005 Nov;59(5):337-46 - PubMed
- J Cancer Surviv. 2012 Mar;6(1):82-94 - PubMed
- Cancer Nurs. 2005 Mar-Apr;28(2):148-57 - PubMed
- Oncol Nurs Forum. 2016 Nov 1;43(6):772-780 - PubMed
- Psychooncology. 2010 Jul;19(7):777-81 - PubMed
- Annu Rev Public Health. 2014;35:29-45 - PubMed
- Rehabil Psychol. 2010 May;55(2):204-10 - PubMed
- Cancer Nurs. 2001 Aug;24(4):308-14 - PubMed
- Eur J Cancer Care (Engl). 2007 Mar;16(2):156-63 - PubMed
- J Health Care Chaplain. 2017 Jul-Sep;23(3):98-112 - PubMed
- Nurs Health Sci. 2010 Dec;12(4):485-92 - PubMed
- Cancer Nurs. 2016 Sep-Oct;39(5):E39-47 - PubMed
- J Pain Symptom Manage. 2011 Jun;41(6):986-94 - PubMed
- Biol Blood Marrow Transplant. 2010 Aug;16(8):1171-9 - PubMed
- J Nurs Res. 2015 Dec;23(4):290-7 - PubMed
- J Pastoral Care Counsel. 2018 Sep;72(3):180-189 - PubMed
- J Psychosoc Oncol. 2011;29(4):394-414 - PubMed
- Psychooncology. 2001 Mar-Apr;10(2):114-23 - PubMed
- Biol Blood Marrow Transplant. 2014 Aug;20(8):1242-7 - PubMed
- Cancer Nurs. 2018 Jan/Feb;41(1):11-22 - PubMed
- Cancer Nurs. 2013 Mar-Apr;36(2):E1-7 - PubMed
- Health Psychol. 2015 Sep;34(9):920-8 - PubMed
- J Psychosoc Oncol. 2015;33(6):635-54 - PubMed
MeSH terms
Publication Types