{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T01:28:10Z","timestamp":1787966890139,"version":"build-2784847793"},"reference-count":40,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T00:00:00Z","timestamp":1765411200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T00:00:00Z","timestamp":1767830400000},"content-version":"vor","delay-in-days":28,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Palliat Care"],"DOI":"10.1186\/s12904-025-01946-5","type":"journal-article","created":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T02:45:19Z","timestamp":1765421119000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Narrative-based study of spiritual health in advanced cancer patients: insights from Macao\u2019s cultural context with broader implications for Asia and beyond"],"prefix":"10.1186","volume":"25","author":[{"given":"Waichi","family":"Lo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhimin","family":"Luo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,12,11]]},"reference":[{"key":"1946_CR1","doi-asserted-by":"publisher","DOI":"10.1136\/ebnurs-2019-103207","author":"M Acorn","year":"2019","unstructured":"Acorn M. The integration of personal narratives into hospital-based palliative care can relieve patient psychosocial and existential suffering. Evid Based Nurs. 2019. https:\/\/doi.org\/10.1136\/ebnurs-2019-103207.","journal-title":"Evid Based Nurs"},{"issue":"6","key":"1946_CR2","doi-asserted-by":"publisher","first-page":"93","DOI":"10.6224\/JN.61.6.93","volume":"61","author":"JF Cheng","year":"2021","unstructured":"Cheng JF, Lin YC, Huang PH, Wei CH, Sun JL. Spiritual care model for terminal cancer patients. J Nurs. 2021;61(6):93\u20137. https:\/\/doi.org\/10.6224\/JN.61.6.93.","journal-title":"J Nurs"},{"issue":"3","key":"1946_CR3","doi-asserted-by":"publisher","first-page":"205","DOI":"10.1037\/gpr0000077","volume":"20","author":"LS George","year":"2016","unstructured":"George LS, Park CL. Meaning in life as comprehension, purpose, and mattering: toward integration and new research questions. Rev Gen Psychol. 2016;20(3):205\u201320. https:\/\/doi.org\/10.1037\/gpr0000077.","journal-title":"Rev Gen Psychol"},{"key":"1946_CR4","unstructured":"World Health Organization. Cancer. 2022 Feb 3.https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/cancer. Accessed 14 Nov 2025."},{"issue":"cited 2025 Use","key":"1946_CR5","first-page":"Availablefromht","volume":"Feb 1","author":"World Health Organization","year":"2024","unstructured":"World Health Organization. Global cancer burden growing, amidst mounting need for services. Internet. 2024;Feb 1(cited 2025 Use Todays Date):Availablefromhttpswwwwhointnewsitem01\u201302.","journal-title":"Internet"},{"issue":"3","key":"1946_CR6","doi-asserted-by":"publisher","first-page":"227","DOI":"10.25259\/IJPC_343_2024","volume":"31","author":"FU Sahan","year":"2025","unstructured":"Sahan FU, Yildirim S, Kasalt\u0131 T, Koc G. The relationship between spiritual care needs, psychological distress and quality of life in women with gynaecological cancer: a cross-sectional study. Indian J Palliat Care. 2025;31(3):227. https:\/\/doi.org\/10.25259\/IJPC_343_2024.","journal-title":"Indian J Palliat Care"},{"issue":"1","key":"1946_CR7","doi-asserted-by":"publisher","first-page":"7","DOI":"10.1080\/0284186X.2021.1992008","volume":"61","author":"S Vehling","year":"2022","unstructured":"Vehling S, Mehnert-Theuerkauf A, Philipp R, H\u00e4rter M, Kraywinkel K, Kuhnert R, et al. Prevalence of mental disorders in patients with cancer compared to matched controls\u2013secondary analysis of two nationally representative surveys. Acta Oncol. 2022;61(1):7\u201313. https:\/\/doi.org\/10.1080\/0284186X.2021.1992008.","journal-title":"Acta Oncol"},{"key":"1946_CR8","doi-asserted-by":"publisher","unstructured":"Fereidouni Z, Abnavi SD, Ghanbari Z, Gashmard R, Zarepour F, Samani NK, et al. The impact of cancer on mental health and the importance of supportive services. Galen Med J. 2024;13:e3327. https:\/\/doi.org\/10.31661\/gmj.v13i.3327.","DOI":"10.31661\/gmj.v13i.3327"},{"issue":"13","key":"1946_CR9","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare13131554","volume":"13","author":"ME Meneses-La-Riva","year":"2025","unstructured":"Meneses-La-Riva ME, Fern\u00e1ndez-Bedoya VH, Suyo-Vega JA, Ocupa-Cabrera HG, Ocupa-Meneses GDD. Spiritual care and spiritual perspective: assessing oncology patients\u2019 perspectives and their implications for healthcare management. Healthcare. 2025;13(13):1554. https:\/\/doi.org\/10.3390\/healthcare13131554.","journal-title":"Healthcare"},{"issue":"2","key":"1946_CR10","doi-asserted-by":"publisher","first-page":"157","DOI":"10.1177\/1043659614526758","volume":"26","author":"SW Ho","year":"2015","unstructured":"Ho SW, Sanders GF. Preferences on end-of-life decisions among older Chinese in Macau. J Transcult Nurs. 2015;26(2):157\u201363. https:\/\/doi.org\/10.1177\/1043659614526758.","journal-title":"J Transcult Nurs"},{"issue":"8","key":"1946_CR11","doi-asserted-by":"publisher","first-page":"1448","DOI":"10.1111\/1467-9566.12601","volume":"39","author":"E Harrop","year":"2017","unstructured":"Harrop E, Noble S, Edwards M, Sivell S, Moore B, Nelson A. Managing, making sense of and finding meaning in advanced illness: a qualitative exploration of the coping and wellbeing experiences of patients with lung cancer. Sociol Health Illn. 2017;39(8):1448\u201364. https:\/\/doi.org\/10.1111\/1467-9566.12601.","journal-title":"Sociol Health Illn"},{"issue":"16","key":"1946_CR12","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare12161584","volume":"12","author":"G Bacoanu","year":"2024","unstructured":"Bacoanu G, Poroch V, Ani\u021bei MG, Poroch M, Froicu EM, Hanganu B, et al. Spiritual care for cancer patients at the end-of-life. Healthcare. 2024;12(16):1584. https:\/\/doi.org\/10.3390\/healthcare12161584.","journal-title":"Healthcare"},{"issue":"6","key":"1946_CR13","doi-asserted-by":"publisher","first-page":"642","DOI":"10.1089\/jpm.2014.9427","volume":"17","author":"CM Puchalski","year":"2014","unstructured":"Puchalski CM, Vitillo R, Hull SK, Reller N. Improving the spiritual dimension of whole person care: reaching National and international consensus. J Palliat Med. 2014;17(6):642\u201356. https:\/\/doi.org\/10.1089\/jpm.2014.9427.","journal-title":"J Palliat Med"},{"issue":"12","key":"1946_CR14","doi-asserted-by":"publisher","first-page":"1109","DOI":"10.1001\/jamainternmed.2013.903","volume":"173","author":"TA Balboni","year":"2013","unstructured":"Balboni TA, Balboni M, Enzinger AC, Gallivan K, Paulk ME, Wright A, et al. Provision of spiritual support to patients with advanced cancer by religious communities and associations with medical care at the end of life. JAMA Intern Med. 2013;173(12):1109\u201317. https:\/\/doi.org\/10.1001\/jamainternmed.2013.903.","journal-title":"JAMA Intern Med"},{"key":"1946_CR15","doi-asserted-by":"publisher","unstructured":"Jin YF, He HH, Qian MF, Zhou J, Xie JM. Practice and discussion of application of narrative nursing in treatment of cancer patients. Hosp Manag Forum. 2024;41(5):75-9.https:\/\/doi.org\/10.3969\/j.issn.1671-9069.2024.05.020.","DOI":"10.3969\/j.issn.1671-9069.2024.05.020"},{"key":"1946_CR16","doi-asserted-by":"publisher","first-page":"197","DOI":"10.12677\/NS.2022.112035","volume":"11","author":"J Yu","year":"2022","unstructured":"Yu J, Tian P, Li L. Research progress of narrative nursing clinical application. Nurs Sci. 2022;11:197\u2013202. https:\/\/doi.org\/10.12677\/NS.2022.112035.","journal-title":"Nurs Sci"},{"issue":"2","key":"1946_CR17","doi-asserted-by":"publisher","first-page":"163","DOI":"10.1016\/j.jpainsymman.2009.12.019","volume":"40","author":"T Borneman","year":"2010","unstructured":"Borneman T, Ferrell B, Puchalski CM. Evaluation of the FICA tool for spiritual assessment. J Pain Symptom Manage. 2010;40(2):163\u201373. https:\/\/doi.org\/10.1016\/j.jpainsymman.2009.12.019.","journal-title":"J Pain Symptom Manage"},{"issue":"1","key":"1946_CR18","doi-asserted-by":"publisher","first-page":"1","DOI":"10.18196\/afkaruna.v18i1.14495","volume":"18","author":"NH Ihsan","year":"2022","unstructured":"Ihsan NH, Rahmadi MA, Jamal J. Spirituality as the foundation of the hierarchy of needs in the humanistic psychology of Abraham Maslow and Sufi psychology of said Nursi. Afkaruna. 2022;18(1):1\u201328. https:\/\/doi.org\/10.18196\/afkaruna.v18i1.14495.","journal-title":"Afkaruna"},{"key":"1946_CR19","unstructured":"Macau Cancer Registry Annual Report. Macau Health Bureau. 2022.https:\/\/www.ssm.gov.mo\/docs\/32159\/32159_95809ce5b2644139b18fb364fcce4473_000.pdf. Accessed 14 Nov 2025."},{"key":"1946_CR20","doi-asserted-by":"publisher","first-page":"e2200266","DOI":"10.1200\/GO.22.00266","volume":"9","author":"M Mori","year":"2023","unstructured":"Mori M, Lin CP, Cheng SY, Suh SY, Takenouchi S, Ng R, et al. Communication in cancer care in Asia: a narrative review. JCO Glob Oncol. 2023;9:e2200266. https:\/\/doi.org\/10.1200\/GO.22.00266.","journal-title":"JCO Glob Oncol"},{"key":"1946_CR21","doi-asserted-by":"publisher","DOI":"10.22452\/jummec.sp2023no1.4","author":"MA Mohamad","year":"2023","unstructured":"Mohamad MA, Othman N. Enhancing spiritual well-being among cancer patients through relationships with oneself, others, and God. J Health Transl Med. 2023. https:\/\/doi.org\/10.22452\/jummec.sp2023no1.4.","journal-title":"J Health Transl Med"},{"key":"1946_CR22","volume-title":"Qualitative inquiry and research design: Choosing among five approaches","author":"JW Creswell","year":"2007","unstructured":"Creswell JW. Qualitative inquiry and research design: Choosing among five approaches. 2nd ed. Thousand Oaks: Sage Publications; 2007.","edition":"2nd ed"},{"key":"1946_CR23","doi-asserted-by":"publisher","DOI":"10.4135\/9781412985253","volume-title":"Narrative research: Reading, analysis, and interpretation","author":"A Lieblich","year":"1998","unstructured":"Lieblich A, Tuval-Mashiach R, Zilber T. Narrative research: Reading, analysis, and interpretation. Thousand Oaks: Sage Publications; 1998."},{"key":"1946_CR24","volume-title":"Narrative knowing and the human sciences","author":"DE Polkinghorne","year":"1988","unstructured":"Polkinghorne DE. Narrative knowing and the human sciences. Albany: State University of New York; 1988."},{"key":"1946_CR25","volume-title":"Narrative analysis","author":"CK Riessman","year":"1993","unstructured":"Riessman CK. Narrative analysis. Newbury Park: Sage; 1993."},{"key":"1946_CR26","unstructured":"Tyrrell P, Harberger S, Schoo C, Siddiqui W. Kubler-Ross Stages of Dying and Subsequent Models of Grief. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2023. https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK507885\/. Accessed 14 Nov 2025."},{"issue":"2","key":"1946_CR27","doi-asserted-by":"publisher","first-page":"E487","DOI":"10.1097\/NCC.0000000000000940","volume":"45","author":"N Huda","year":"2022","unstructured":"Huda N, Shaw MK, Chang HJ. Psychological distress among patients with advanced cancer: a conceptual analysis. Cancer Nurs. 2022;45(2):E487\u2013503. https:\/\/doi.org\/10.1097\/NCC.0000000000000940.","journal-title":"Cancer Nurs"},{"issue":"9","key":"1946_CR28","doi-asserted-by":"publisher","first-page":"1791","DOI":"10.1002\/pon.5162","volume":"28","author":"J Xiao","year":"2019","unstructured":"Xiao J, Chow KM, Liu Y, Chan CW. Effects of dignity therapy on dignity, psychological well-being, and quality of life among palliative care cancer patients: a systematic review and meta\u2010analysis. Psychooncology. 2019;28(9):1791\u2013802. https:\/\/doi.org\/10.1002\/pon.5162.","journal-title":"Psychooncology"},{"key":"1946_CR29","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejon.2023.102400","volume":"66","author":"J Ke","year":"2023","unstructured":"Ke J, Lin J, Lin X, Chen WT, Huang F. Dyadic effects of family resilience on quality of life in patients with lung cancer and spousal caregivers: the mediating role of dyadic coping. Eur J Oncol Nurs. 2023;66:102400. https:\/\/doi.org\/10.1016\/j.ejon.2023.102400.","journal-title":"Eur J Oncol Nurs"},{"issue":"5","key":"1946_CR30","doi-asserted-by":"publisher","first-page":"1124","DOI":"10.4103\/jcrt.JCRT_382_17","volume":"15","author":"M Safavi","year":"2019","unstructured":"Safavi M, Yahyavi ST, Narab HF, Yahyavi SH. Association between spiritual intelligence and stress, anxiety, and depression coping styles in patients with cancer receiving chemotherapy in university hospitals of Tehran University of Medical Science. J Cancer Res Ther. 2019;15(5):1124\u201330. https:\/\/doi.org\/10.4103\/jcrt.JCRT_382_17.","journal-title":"J Cancer Res Ther"},{"key":"1946_CR31","unstructured":"Wang SK, Jiang CY, Chen XC, Tao R. Meta-Integration of Cancer Patients' Perspective on 'Meaning of Life' in China. Chin Life Death Stud. 2023. http:\/\/journal.huarenshengsixue.com\/hrssx\/article\/abstract\/20220104?st=article_issue. Accessed 14 Nov 2025.\u00a0"},{"issue":"5","key":"1946_CR32","doi-asserted-by":"publisher","first-page":"526","DOI":"10.3761\/j.issn.0254-1769.2024.05.002","volume":"59","author":"YQ Huang","year":"2024","unstructured":"Huang YQ, Tian X, Wang Z, Sun MM, Zhou LQ, Xiao WL. Disease coping experience of patients with advanced cancer from the perspective of sense of coherence: a qualitative study. Chin J Nurs. 2024;59(5):526\u201332. https:\/\/doi.org\/10.3761\/j.issn.0254-1769.2024.05.002.","journal-title":"Chin J Nurs"},{"issue":"2","key":"1946_CR33","doi-asserted-by":"publisher","DOI":"10.1111\/hex.14048","volume":"27","author":"Y He","year":"2024","unstructured":"He Y, Zhao W, Duan A, Xiao H, Zhou X, Zhuo Q. \u2018Only to reconcile with it\u2019. The coping experience amongst middle-aged and older cancer survivors: a qualitative study. Health Expect. 2024;27(2):e14048. https:\/\/doi.org\/10.1111\/hex.14048.","journal-title":"Health Expect"},{"key":"1946_CR34","doi-asserted-by":"publisher","DOI":"10.3870\/j.issn.1001-4152.2023.19.091","author":"X Liu","year":"2023","unstructured":"Liu X, Chen FY, Guo W, Zhang Y, Cui J. Spiritual coping experiences in advanced cancer patients and family caregivers from a dyadic perspective: a qualitative study. J Nurs Sci. 2023. https:\/\/doi.org\/10.3870\/j.issn.1001-4152.2023.19.091.","journal-title":"J Nurs Sci"},{"key":"1946_CR35","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejon.2020.101792","volume":"48","author":"M Zumstein-Shaha","year":"2020","unstructured":"Zumstein-Shaha M, Ferrell B, Economou D. Nurses\u2019 response to spiritual needs of cancer patients. Eur J Oncol Nurs. 2020;48:101792. https:\/\/doi.org\/10.1016\/j.ejon.2020.101792.","journal-title":"Eur J Oncol Nurs"},{"issue":"1","key":"1946_CR36","doi-asserted-by":"publisher","first-page":"13","DOI":"10.6647\/CN.202103_28(1).0002","volume":"28","author":"CH Lin","year":"2021","unstructured":"Lin CH, Lo YC. Development and application of narrative nursing in research, practice and education: a case of Nurse-Patient communication. Changhua Nurs. 2021;28(1):13\u20139. https:\/\/doi.org\/10.6647\/CN.202103_28(1).0002.","journal-title":"Changhua Nurs"},{"key":"1946_CR37","doi-asserted-by":"publisher","first-page":"4009","DOI":"10.1038\/s41598-024-54362-9","volume":"14","author":"Q Cheng","year":"2024","unstructured":"Cheng Q, Chen Y, Duan Y, Liu X, Zhang L, Liu Y, et al. Exploring the spiritual needs of patients with advanced cancer in China: a qualitative study. Sci Rep. 2024;14:4009. https:\/\/doi.org\/10.1038\/s41598-024-54362-9.","journal-title":"Sci Rep"},{"issue":"4","key":"1946_CR38","doi-asserted-by":"publisher","first-page":"2643","DOI":"10.1007\/s10943-021-01199-5","volume":"61","author":"Y Niu","year":"2022","unstructured":"Niu Y, McSherry W, Partridge M. Exploring the meaning of spirituality and spiritual care in Chinese contexts: a scoping review. J Relig Health. 2022;61(4):2643\u201362. https:\/\/doi.org\/10.1007\/s10943-021-01199-5.","journal-title":"J Relig Health"},{"issue":"23","key":"1946_CR39","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare12232349","volume":"12","author":"DS Nagy","year":"2024","unstructured":"Nagy DS, Isaic A, Motofelea AC, Popovici DI, Diaconescu RG, Negru SM. The role of spirituality and religion in improving quality of life and coping mechanisms in cancer patients. Healthcare. 2024;12(23):2349. https:\/\/doi.org\/10.3390\/healthcare12232349.","journal-title":"Healthcare"},{"issue":"26suppl","key":"1946_CR40","doi-asserted-by":"publisher","first-page":"246","DOI":"10.1200\/jco.2016.34.26_suppl.246","volume":"34","author":"MO Delgado-Guay","year":"2016","unstructured":"Delgado-Guay MO, Palma A, Duarte ER, Grez M, Tupper L, Liu DD, et al. Spirituality, religiosity, spiritual pain, and quality of life among caregivers of Latin American patients with advanced cancer: A multicenter study. J Clin Oncol. 2016;34(26suppl):246. https:\/\/doi.org\/10.1200\/jco.2016.34.26_suppl.246.","journal-title":"J Clin Oncol"}],"container-title":["BMC Palliative Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12904-025-01946-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12904-025-01946-5","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12904-025-01946-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T04:33:03Z","timestamp":1767846783000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1186\/s12904-025-01946-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,11]]},"references-count":40,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["1946"],"URL":"https:\/\/doi.org\/10.1186\/s12904-025-01946-5","relation":{"has-preprint":[{"id-type":"doi","id":"10.21203\/rs.3.rs-7385385\/v1","asserted-by":"object"}]},"ISSN":["1472-684X"],"issn-type":[{"value":"1472-684X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,11]]},"assertion":[{"value":"16 August 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"12 November 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"11 December 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The study received approval from the Ethics Committee of Kiang Wu Hospital in Macau, and all participants provided their written informed consent. We certify that the study was performed in accordance with the 1964 declaration of HELSINKI and later amendments.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"10"}}