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Background
A holistic approach to healthcare treats the full person, not just the sickness or symptoms. This means taking care of their physical, emotional, social, cultural, and spiritual needs. The relationship between healthcare providers and patients is built on respect, openness, equality, and mutuality. We conducted this study to assess the knowledge, attitudes, and practices about the holistic healthcare approach among healthcare workers at a tertiary care teaching hospital.
Methodology
A prospective, questionnaire-based survey study was conducted at a tertiary care teaching hospital after Institutional Ethics Committee approval. Data were collected over two months (October-November 2025) using a validated questionnaire covering three domains (knowledge, attitude, and practice), which was distributed through Google Forms (Google LLC, Mountain View, CA, USA). Data were analyzed using descriptive statistics such as frequencies and percentages, and inferential statistics were performed using the chi-square test.
Results
A total of 222 healthcare providers participated. Doctors comprised 128 (57.7%), and nursing staff comprised 94 (42.3%) participants. Overall, 222 (100%) respondents correctly answered that all healthcare team members (doctors, nurses, physiotherapists, etc.) should provide holistic care. The majority expressed agreement that emotional support is as important as medicines, with 101 (45.5%) strongly agreeing. In practice, most participants addressed emotional concerns and involved family members; however, 183 (82.4%) had not received formal training in holistic healthcare. The chi-square test showed that the answers to the statements about attitude and questions about practice were statistically different (p < 0.05).
Conclusions
Healthcare providers have excellent knowledge and positive attitudes toward holistic healthcare, with generally good practices. However, limited formal training and workload barriers highlight the need for regular training programs to strengthen holistic care delivery.
Cancer poses a significant global health challenge, with survivors often dealing with ongoing fatigue, pain, sleep issues, and psychological distress despite advances in traditional treatments. Integrative oncology has increasingly included yoga and naturopathy to address these complex needs and enhance quality of life. We conducted a narrative review of English-language studies indexed in PubMed and Scopus between 2000 and 2025, using the keywords “yoga,” “cancer-related fatigue,” “cancer,” “cancer-related quality of life,” “cytokines,” “naturopathy,” and “cancer rehabilitation.” We included randomized controlled trials, clinical trials, and reports on mechanistic or integrative programs in adult oncology populations; non-peer-reviewed, non-indexed sources were excluded. Yoga interventions, generally a mix of asanas, pranayama, and meditation, have been shown to reduce cancer-related fatigue and improve mood, sleep, and overall quality of life, especially in breast and mixed-cancer groups, with small-to-moderate effects noted in meta-analyses. Mechanistic studies reveal reductions in cortisol and pro-inflammatory cytokines such as interleukin (IL)-1β and IL-1ra, indicating modulation of chronic inflammation and stress responses. Naturopathy-based programs, combining diet, hydrotherapy, massage, and lifestyle counseling, offer additional benefits in functional capacity, symptom relief, and patient-reported outcomes alongside conventional treatments. Overall, yoga and naturopathy are generally safe when properly adapted, with increasing feasibility for both group and home-based formats. Evidence supports yoga and emerging naturopathy-inclusive programs as safe, effective adjuncts for cancer rehabilitation, especially for fatigue, distress, sleep issues, and inflammation. Larger, mechanistically focused trials on combined yoga-naturopathy approaches are needed to improve personalization and implementation in routine cancer care.
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Mental Health Equity in the Workplace: 5 Proven Strategies That Drive Results | Spring Health
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