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Rahimi Esbo S, Ghaffari F, Fotokian Z, Nikbakht HA, Saadati K. Development and psychometric evaluation of uncertainty about disease and treatment scale in hemodialysis patients: a sequential-exploratory mixed-method study. BMC Psychol 2024; 12:187. [PMID: 38581066 PMCID: PMC10998385 DOI: 10.1186/s40359-024-01685-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2023] [Accepted: 03/26/2024] [Indexed: 04/07/2024] Open
Abstract
BACKGROUND AND OBJECTIVE The need for long-term treatment and frequent visits to treatment centers for hemodialysis can lead to psychological problems such as Uncertainty about Disease and Treatment (UC about D&T) in patients with chronic kidney failure. In order to understand uncertainty about disease and treatment and to plan for preventive measures and care interventions in various dimensions, there is a need for reliable and valid tools. The present study was conducted to design and psychometrically evaluate the Uncertainty about Disease and Treatment Scale (UC about D&TS) in patients undergoing hemodialysis. METHODS This study is of a methodological type and conducted in two stages. The first stage included a deductive (literature review) and an inductive approach (face-to-face interviews). In the second stage, psychometric indices of the UC about D&TS, including face validity (qualitative-quantitative), content validity (qualitative-quantitative), construct validity (exploratory factor analysis), and reliability (using Cronbach's alpha and McDonald's omega) were examined. RESULTS In the literature review stage, 66 items were extracted, and in the qualitative stage, 48 items were extracted. After merging similar items, 29 items were entered into the psychometric process. No items were removed in the face and content validity stages. In the construct validity stage, five factors were extracted, including self-uncertainty, uncertain situation, uncertain future, uncertainty of treatment outcomes, and information uncertainty, which constituted a total of 82.16% of the total variance. In this stage, five items were removed from the study due to a corrected item-total correlation below 0.32, and four items were removed due to cross-loading. The α and Ω were calculated as 0.828 and 0.818, respectively. The measurement stability and standard error of measurement were estimated at 0.977 and 2.019, respectively. CONCLUSION The results showed that the UC about D&TS is a valid and reliable measure for patients undergoing hemodialysis. This scale is specifically designed to measure UC about D&T in hemodialysis patients, and it is recommended that healthcare providers (Hcps) use this scale in follow-up visits.
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Affiliation(s)
- Sobhan Rahimi Esbo
- Student Research Committee, Nursing Care Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, I.R., Iran
| | - Fatemeh Ghaffari
- Nursing Care Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, I.R., Iran
| | - Zahra Fotokian
- Nursing Care Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, I.R., Iran.
| | - Hossein-Ali Nikbakht
- Social Determinants of Health Research Center, Health Research Institute, Department of Biostatistics & Epidemiology, School of Public Health, Babol University of Medical Sciences, Babol, I.R., Iran
| | - Kiana Saadati
- Student Research Committee, Ramsar Campus, Mazandaran University of Medical Sciences, Ramsar, I.R, Iran
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Ambrosca R, Bolgeo T, Zeffiro V, Alvaro R, Vellone E, Pucciarelli G. The Role of Spirituality in Stroke Survivors and Their Caregivers: A Systematic Review. JOURNAL OF RELIGION AND HEALTH 2024:10.1007/s10943-024-02029-0. [PMID: 38564160 DOI: 10.1007/s10943-024-02029-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 03/03/2024] [Indexed: 04/04/2024]
Abstract
Although several studies have analyzed the effects of spirituality on stroke survivors' physical functioning and their caregiver's outcomes, no systematic review or meta-synthesis was found to identify the lived experiences of stroke survivors and caregivers regarding spirituality. For these reasons, this study aimed to analyze quantitively and qualitatively research relating to stroke survivors' and caregivers' experiences. The included studies were RCT studies, quasi-experimental studies, qualitative, descriptive, ethnographic, and phenomenological studies, and cross-sectional studies (n = 37), with a total of 6850 stroke survivors and 1953 caregivers enrolled. Spirituality appears to play an important role in improving the quality of life and decreasing anxiety and depression of both stroke survivors and their caregivers.
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Affiliation(s)
- Rossella Ambrosca
- Department of Biomedicine and Prevention, University of Rome Tor Vergata, Via Montpellier 1, 00133, Rome, Italy
| | - Tatiana Bolgeo
- Department of Activities Research Innovation, "San Antonio e Biagio e Cesare Arrigo" Hospital, Alessandria, Italy
| | - Valentina Zeffiro
- Department of Biomedicine and Prevention, University of Rome Tor Vergata, Via Montpellier 1, 00133, Rome, Italy
| | - Rosaria Alvaro
- Department of Biomedicine and Prevention, University of Rome Tor Vergata, Via Montpellier 1, 00133, Rome, Italy
| | - Ercole Vellone
- Department of Biomedicine and Prevention, University of Rome Tor Vergata, Via Montpellier 1, 00133, Rome, Italy
| | - Gianluca Pucciarelli
- Department of Biomedicine and Prevention, University of Rome Tor Vergata, Via Montpellier 1, 00133, Rome, Italy.
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Yasin F, Khraim F, Santos M, Forgrave D, Hamad A. Factors influencing self-care management in adult hemodialysis patients: An integrative review. Qatar Med J 2024; 2024:12. [PMID: 38654818 PMCID: PMC11037095 DOI: 10.5339/qmj.2024.12] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2023] [Accepted: 02/04/2024] [Indexed: 04/26/2024] Open
Abstract
Background: End-stage renal disease (ESRD) poses a significant health challenge, with hemodialysis (HD) being the most prevalent therapy. Patients undergoing HD must comply with a strict therapeutic regimen, including dietary control, fluid restriction, and medication adherence. Successful disease management and improved outcomes rely on patients' involvement and participation in their care. Aim: To identify the factors that hinder or facilitate self-care management (SCM) in HD patients. Methodology: This review followed Whittemore and Knafl's integrative review framework. A comprehensive literature search of articles published between 2017 and 2022 was conducted in CINAHL, Medline, and PubMed using the keywords end-stage renal disease, hemodialysis, self-care management, self-care, and self-management. This search yielded 21 suitable articles for review. Results: SCM is influenced by three main factors: facilitators, barriers, and outcomes. Facilitators of SCM include self-care management interventions, patient knowledge, socio-demographic factors, family support, healthcare professionals, peer support, and psychological factors. Barriers encompass psychological and physical conditions. Outcomes include both physiological and psychological aspects. Conclusion: Understanding the factors influencing SCM in HD patients is vital for developing reliable and effective self-care strategies and interventions to enhance both physical and psychological outcomes.
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Affiliation(s)
| | - Fadi Khraim
- Faculty of Nursing, Qatar University, Doha, Qatar
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Wenham J, Best M, Kissane DW. An Online Survey of Australian Medical Students' Perspectives on Spiritual History Taking and Spiritual Care. JOURNAL OF RELIGION AND HEALTH 2024; 63:257-273. [PMID: 37725268 PMCID: PMC10861599 DOI: 10.1007/s10943-023-01897-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 08/14/2023] [Indexed: 09/21/2023]
Abstract
It is reported that little spiritual care communication skills training occurs in Australian medical schools. This survey explored the experience of final year students in this domain in order to inform the construction of a new curriculum. Medical students in their final year at four Australian medical schools were invited to participate in an online survey, which included questions about demographic details, exposure to spiritual history taking, perceived learning needs, and the Functional Assessment of Chronic Illness Therapy-Spiritual Well-being 12 item Non-Illness score. Two-hundred and sixty students from a cohort of 766 responded (34%). One in nine students had witnessed spiritual history taking, and one in ten students had been given the opportunity to do so. Barriers and enablers were identified. Two-thirds of the students reported no recollection of any training in spiritual care. When it did occur, it was limited in scope and structure. Final year medical students recognise that spiritual care deserves a place in the modern, broad-based medical school curriculum. This supports the argument for inclusion of spiritual care training as part of all medical student curricula in Australia.
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Affiliation(s)
- John Wenham
- Broken Hill Department of Rural Health, Sydney Medical School, Corrindah Court, PO Box 457, Broken Hill, NSW, 2880, Australia.
| | - Megan Best
- Institute for Ethics and Society, The University of Notre Dame Australia, 104 Broadway, PO Box 944, Broadway, NSW, 2007, Australia
| | - David W Kissane
- Palliative Medicine Research, The University of Notre Dame Australia, Broadway, NSW, 2007, Australia
- The Cunningham Centre for Palliative Care Research, St Vincent's Hospital, Sydney, NSW, Australia
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Vasilaki M, Vlachou E, Kavga A, Govina O, Dokoutsidou E, Evangelou E, Ntikoudi A, Mantoudi A, Alikari V. Fatigue among Patients with Type 2 Diabetes Mellitus: The Impact of Spirituality and Illness Perceptions. Healthcare (Basel) 2023; 11:3154. [PMID: 38132044 PMCID: PMC10742637 DOI: 10.3390/healthcare11243154] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2023] [Revised: 11/30/2023] [Accepted: 12/09/2023] [Indexed: 12/23/2023] Open
Abstract
Type 2 Diabetes Mellitus (T2DM) can cause fatigue, negatively affecting the daily functioning and health of individuals. The purpose of this study was to investigate the impact of spirituality and illness perceptions on fatigue among patients with Type 2 Diabetes Mellitus. In this cross-sectional, descriptive study, 100 patients with Type 2 Diabetes Mellitus completed the Fatigue Assessment Scale, the FACIT Sp-12 scale, and the Illness Perception Questionnaire-Revised assessing fatigue, spirituality, and illness perceptions, respectively. The mean age of the sample was 52.18 ± 15.53 years and 65% were insulin-treated patients. The mean score for the FACIT Sp-12 scale was 31.86 ± 7.7, for the FAS 27.0 ± 7.63, and for the Consequences and Emotional Representations of IPQ-R 25.5 ± 5.3. Statistically negative significant correlations were observed between the FACIT Sp-12 total score and the FAS subscales (r = -0.44 to -0.48, p < 0.01) and positive correlations between the "IP-Consequences and Emotional Representations" subscales and FAS scores. The total score of the FACIT Sp-12 (β = -0.35) was a negative predictor while Consequences and Emotional Representations (β = 0.28) were positive predictors of the total FAS Score. Participants scored moderate levels of total fatigue. Spirituality and positive illness perceptions may have a protective effect on the fatigue of patients with Type 2 Diabetes Mellitus.
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Affiliation(s)
| | | | | | | | | | | | | | | | - Victoria Alikari
- Post Graduate Program “Management of Chronic Diseases–Diabetes Nursing Care”, Department of Nursing, University of West Attica, 12243 Egaleo, Greece; (M.V.); (E.V.); (A.K.); (O.G.); (E.D.); (E.E.); (A.N.); (A.M.)
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Şanli ME, Dinç M, Öner U, Buluş M, Çiçek İ, Doğan İ. The Role of Spirituality in Anxiety and Psychological Resilience of Hemodialysis Patients in Turkey. JOURNAL OF RELIGION AND HEALTH 2023; 62:4297-4315. [PMID: 37354376 DOI: 10.1007/s10943-023-01855-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 06/08/2023] [Indexed: 06/26/2023]
Abstract
Chronic kidney disease (CKD) is a significant health problem that affects millions of people worldwide and its end-stage manifestation requires hemodialysis treatment, which can have a considerable impact on patients' mental health and quality of life. This study aims to examine the relationship between spirituality and anxiety, as well as spirituality and psychological resilience among hemodialysis patients using the iterative weighted least squares method. Participants included 91 hemodialysis patients, consisting of 49 females and 42 males, whose ages ranged from 20 to 82 years, with a mean age of 48 (SD = 14). The data were collected using the Beck Anxiety Inventory, Spirituality Scale, and Brief Psychological Resilience Scale. Results indicated a weak positive relationship between spirituality and psychological resilience (t = 1.35, P = .183) and a moderate negative relationship between spirituality and anxiety (t = -2.84, P = .006). Furthermore, spirituality accounted for a 1% variance in psychological resilience and a 5% of the variance in anxiety. Additionally, patients' education level, gender, and whom they live with were relatively stronger correlates of psychological resilience, while the patient's education level, gender, marital status, whom they live with, presence of another patient at home receiving hemodialysis treatment were strong correlates of anxiety. This study emphasizes the need for comprehensive care that addresses both physical and psychological aspects of CKD management to improve patient outcomes and quality of life.
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Affiliation(s)
| | - Mahmut Dinç
- Batman University, Health College, Batman, Turkey
| | - Uğur Öner
- Batman University, Health College, Batman, Turkey
| | - Metin Buluş
- Faculty of Education, Dr. Adıyaman University, Adıyaman, Turkey
| | - İlhan Çiçek
- Batman University, Health College, Batman, Turkey.
| | - İdris Doğan
- Health Vocational School, Batman University, Batman, Turkey
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Bahcecioglu Turan G, Yıldız E, Özer Z. The effects of strength of religious faith on post-traumatic growth in patients with epilepsy. Epilepsy Behav 2023; 146:109343. [PMID: 37544192 DOI: 10.1016/j.yebeh.2023.109343] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/01/2023] [Revised: 06/12/2023] [Accepted: 06/25/2023] [Indexed: 08/08/2023]
Abstract
AIM This study was conducted to examine the effects of strength of religious faith on post-traumatic growth in patients with epilepsy. METHOD This cross-sectional and correlational study was conducted with 112 participants who were admitted to the neurology outpatient clinic of a university hospital in eastern Turkey, who met the research criteria and agreed to participate in the study. The data were collected by using "Descriptive Information Form", "Santa Clara Strength of Religious Faith Questionnaire (SCSRFQ)", and "Post-traumatic Growth Inventory (PTGI)". Santa Clara Strength of Religious Faith Questionnaire SCRFSQ has a maximum strength of faith score of 40 points and the PGTI has a maximum growth after a traumatic event score of 105 points. RESULTS Mean SCSRFQ total score of the participants was found to be 31.04 ± 5.17. Mean PTGI total score was found to be 60.54 ± 16.50. As a result of the regression analysis, it was found that the independent variable affected the dependent variable PTGI total score significantly (F(1,110) = 13.999, p = 0.000). It was also found that the independent variable affected the PTGI total score positively (β = 0.336) and explained 11% of the PTGI total score (p < 0.001). CONCLUSION It was found that the participants had high strength of religious faith score and moderate post-traumatic growth score. It was found that post-traumatic growth increased as strength of religious faith increased.
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Affiliation(s)
| | - Esra Yıldız
- Faculty of Nursing Atatürk Üniversitesi, Erzurum, Turkey.
| | - Zülfünaz Özer
- Department of Nursing, Faculty of Health Sciences, Istanbul Sabahattin Zaim University, Istanbul, Turkey.
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Musa AS, Elbqowm O, AlBashtawy M, Al Qadire MI, Suliman M, Tawalbeh LI, Alkhawaldeh A, Batiha AM. Spiritual Wellbeing and Quality of Life among Hemodialysis Patients in Jordan: A Cross-Sectional Correlational Study. J Holist Nurs 2023; 41:220-232. [PMID: 35234061 DOI: 10.1177/08980101221083422] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Purpose: Nursing research studies investigating the relationship between spiritual wellbeing and health-related quality of life are lacking among Arab hemodialysis patients in Jordan or any other Arab country. The purpose of this study was to explore the associations between spiritual wellbeing, its religious and existential wellbeing dimensions, and health-related quality of life among Jordanian Muslim hemodialysis patients. Design: A cross sectional, quantitative correlational study. Methods: A convenience sample of 150 Jordanian hemodialysis patients completed a structured, self-administered questionnaire. Descriptive, bivariate, and multivariate regression models were used. Findings: The Jordanian hemodialysis patients had a moderate level of spiritual wellbeing and religious wellbeing, a low level of existential wellbeing, and a poor health-related quality of life. The findings revealed a significant moderate positive correlation between the spiritual wellbeing and its dimensions, and health-related quality of life. The existential wellbeing was the strongest predictor, with a large, positive, and significant effect after controlling for other spiritual, demographic and medical-related variables. Conclusion: Overall, the study suggests Jordanian hemodialysis patients use their religious and spiritual beliefs and practices as a coping mechanism, especially as sources of satisfaction, peace, comfort, strength and support, to help improve their health-related quality of life.
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Burucu R, Cantekin I. Death Anxiety, Religious Attitude and Associated Factors in Dialysis Patients, A Descriptive Study; Turkey Sample. OMEGA-JOURNAL OF DEATH AND DYING 2023:302228231169181. [PMID: 37024110 DOI: 10.1177/00302228231169181] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/08/2023]
Abstract
Aim: The aim of this study is to determine the relationship between death anxiety and religious attitudes of patients receiving hemodialysis and peritoneal dialysis treatment, and to determine the differences between the two treatment groups according to the affecting factors. Method: It is a descriptive research. The study was completed with 105 individuals receiving dialysis treatment. The study universe is dialysis patients who continue their treatment in the same hospital. The sample size and power was determined by utilizing the results of another study. Descriptive characteristics form, Religious Attitude Scale and Death Anxiety Scale were used to collect data. Results: The mean age, religious attitude scale score and death anxiety scale score of the participants is 57,01 ± 12,969, 3,10 ± 0.612, and 9,55 ± 3,533, respectively. Conclusion: The religious attitude of dialysis patients is moderate and they have death anxiety. Hemodialysis patients have more death anxiety. There is a weak correlation between religious attitude and death anxiety. Recommendations: It can be suggested that nurses who care for dialysis patients, should be aware of the role of religion in the lives of dialysis patients and its relationship with health outcomes, and it may be recommended to apply holistic care for these patients to express their feelings and their concerns about death.
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Affiliation(s)
- Rukiye Burucu
- Nursing Department, Healthy, Necmettin Erbakan University Kamil Akkanat Faculty of Health Sciences, Konya/Turkey
| | - Işın Cantekin
- Nursing Department, Healthy, Necmettin Erbakan University Kamil Akkanat Faculty of Health Sciences, Konya/Turkey
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Vovlianou S, Koutlas V, Ikonomou M, Vassilikopoulos T, Papoulidou F, Dounousi E. Quality of life of caregivers of end-stage kidney disease patients: Caregivers or care recipients? J Ren Care 2023; 49:56-72. [PMID: 34706151 DOI: 10.1111/jorc.12403] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2021] [Revised: 09/26/2021] [Accepted: 10/01/2021] [Indexed: 11/28/2022]
Abstract
BACKGROUND End-stage kidney disease (ESKD) patients require specific and continuous care, which affects caregivers' quality of life (QOL). It is necessary to define the basic problems and restrictions upon family caregivers of renal patients affecting their physical and psychological status. OBJECTIVES The main objectives of this narrative review were to examine the literature over the past 10 years, to describe factors associated with QOL of caregivers of patients with ESKD, and to identify the level of subjective burden reported by caregivers. METHODS A literature search was carried out using the following electronic databases: PubMed, Medscape, Science Direct, Scopus, PsychINFO and other scientific sources. Keywords included 'quality of life', 'caregivers', 'end stage kidney or renal disease patients', 'burden' and a combination of these terms. Only studies from January 2010 to December 2020 were included in this study. RESULTS The results found that there was significant burden and distress experienced by caregivers that affected their QOL. Patients' QOL is associated with caregivers' QOL. The hours of caring per day and the long-term replacement therapy are associated with great burden. CONCLUSIONS More awareness to caregivers' QOL is required to meet their needs, reduce anxiety and to improve patients' QOL. Caregiver support could empower and prepare them for initiation of replacement therapy. This can potentially enhance their diseased family members' QOL and could also restrict the use of health care system resources. Given how difficult it is to conceptualize QOL, a holistic approach to patients and caregivers require QOL assessment in each stage of the kidney disease.
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Affiliation(s)
- Stavroula Vovlianou
- Department of Nephrology, Faculty of Medicine, University of Ioannina, Ioannina, Greece.,Department of Nephrology, General Hospital of Kavala, Kavala, Greece
| | - Vasilios Koutlas
- Department of Nephrology, Faculty of Medicine, University of Ioannina, Ioannina, Greece.,Department of Nephrology, University General Hospital of Ioannina, Ioannina, Greece
| | - Margarita Ikonomou
- Department of Nephrology, University General Hospital of Ioannina, Ioannina, Greece
| | - Theodore Vassilikopoulos
- Department of Nephrology, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece
| | - Fani Papoulidou
- Department of Nephrology, General Hospital of Kavala, Kavala, Greece
| | - Evangelia Dounousi
- Department of Nephrology, Faculty of Medicine, University of Ioannina, Ioannina, Greece.,Department of Nephrology, University General Hospital of Ioannina, Ioannina, Greece
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Campbell D, Robison JG, Godsey JA. Standardized Spiritual Screening Increases Chaplain Referrals Through the EMR: A Nurse-Chaplain Collaboration for Holistic Acute Healthcare. J Holist Nurs 2023; 41:30-39. [PMID: 35195465 DOI: 10.1177/08980101221079463] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The use of a concise standardized spiritual screening process to identify spiritual practices and needs of patients is essential for holistic nursing care. This interprofessional initiative resulted in the development of a spiritual screening tool that substantially increased Pastoral Services referrals to the patients who needed them and represents a significant opportunity in the delivery of holistic nursing care. Acute care settings may benefit from the adoption of a standardized chaplain referral process housed in the EMR and completed on the frontlines by trusted nursing staff providing patient and family centered care. This standardized spiritual screening process not only triggered essential services of Pastoral Services, but also helped identify and address important spiritual needs of hospitalized patients.The ability to design a tool responsive to the evolving, spiritual needs of patients can be challenging. Through collaboration with chaplains, nurses can be instrumental in creating instruments informed by available evidence in the empirical literature. Furthermore, engaging patients as a source of data during instrument design helps to ensure the content validity and practical usefulness of an instrument. Healthcare organizations might choose to implement and further evaluate/refine the new Spiritual Screening Tool and referral process developed as a result of this initiative.
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Affiliation(s)
- Duane Campbell
- Critical Care Chaplain, The Christ Hospital Health Network, Cincinnati, Ohio, USA
| | - Jeanene Gigi Robison
- Clinical Education Specialist, Oncology, St. Elizabeth Healthcare, Edgewood, Kentucky, USA
| | - Judi Allyn Godsey
- Doctor of Nursing Practice Faculty, University of Kentucky College of Nursing, Lexington, Kentucky, USA
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12
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Özveren H, Karabey T, Gülnar E. Spiritual Care Needs of Patients with Urinary Incontinence and Affecting Factors: A Cross-Sectional Descriptive Study in Turkey. JOURNAL OF RELIGION AND HEALTH 2022; 61:4433-4449. [PMID: 35895231 DOI: 10.1007/s10943-022-01613-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 07/08/2022] [Indexed: 06/15/2023]
Abstract
This study was conducted to determine the spiritual care needs of patients with urinary incontinence and various influencing factors. Determining the spiritual care needs of individuals with urinary incontinence may make patients feel more hopeful, peaceful, and stronger. It can also encourage individuals towards positive health behaviors, and can help nurses in choosing appropriate coping methods. A descriptive and cross sectional study was conducted with 220 patients with urinary incontinence who applied to the urology outpatient clinic of a university hospital in Turkey. In the study, data were collected using the descriptive features form, the incontinence severity index, and the Spiritual Care Needs Inventory. Kruskal-Wallis test and Mann-Whitney U test were used to evaluate the data. This study is reported following the STROBE recommendations. In this study, mean scores of the patients' spiritual care needs scale and the severity of incontinence, age, gender, and the effect of urinary incontinence on daily life, determined that there was a statistically significant difference between the state of being disturbed by urinary incontinence, the state of performing religious rituals regularly, the state of incontinence affecting religious rituals, the importance of religious beliefs in daily life, and the level of defining spirituality (p < 0.05). In this study, it was determined that the spiritual care need scores of the patients with urinary incontinence were above the medium level, and the sub-dimension scores of meaning and hope, caring, and respect were high. In this context, it is very important to consider the spiritual care needs of patients with urinary incontinence problems.
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Affiliation(s)
- Hüsna Özveren
- Department of Nursing, Faculty of Health Sciences, Kırıkkale University, Kırıkkale, Turkey
| | - Tuba Karabey
- Faculty of Health Science, Tokat Gaziosmanpasa University, Tokat, Turkey.
| | - Emel Gülnar
- Department of Nursing, Faculty of Health Sciences, Kırıkkale University, Kırıkkale, Turkey
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13
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Chambers-Richards T, Chireh B, D'Arcy C. Relationship Between Spirituality, Religiosity, and General Life Satisfaction Among Canadians Living with Neurological Conditions in New Brunswick and Manitoba. JOURNAL OF RELIGION AND HEALTH 2022; 61:4119-4138. [PMID: 35099652 DOI: 10.1007/s10943-022-01510-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 01/17/2022] [Indexed: 06/14/2023]
Abstract
This study assessed the association between religion and spirituality on general life satisfaction among a sample of community-dwelling Canadians with neurological conditions. The data represented responses from two provinces that participated in the national Canadian Community Health Survey-Annual Component (CCHS-2011). A weighted subsample (n = 4562) of respondents with neurological conditions from the provinces of New Brunswick and Manitoba was used. Multivariate logistic regression fitted the models using STATA version 14. Spiritual coping, self-perceived general, and mental health were found to be predictors of greater life satisfaction and quality of life. It may be beneficial to incorporate spiritual and religious needs in the circle of care for those living in the community with neurological conditions.
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Affiliation(s)
| | - Batholomew Chireh
- Saskatchewan Cancer Agency, 1804 McOrmond Drive, Saskatoon, SK, S7S 0A6, Canada.
| | - Carl D'Arcy
- School of Public Health, University of Saskatchewan, Saskatoon, SK, Canada
- Department of Psychiatry, University of Saskatchewan, Saskatoon, SK, Canada
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14
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Fopka-Kowalczyk M, Groves R, Larkin P, Krajnik M. A training programme for medical students in providing spiritual care to people with advanced diseases and their loved ones: A case study from the Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, Poland. Front Cardiovasc Med 2022; 9:909959. [PMID: 36247435 PMCID: PMC9558733 DOI: 10.3389/fcvm.2022.909959] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2022] [Accepted: 09/12/2022] [Indexed: 11/20/2022] Open
Abstract
Purpose This article presents the first programme on spiritual care particularly for people with advanced life-limiting illness including heart failure, lung disease or cancer for medical students in Poland implemented at the Collegium Medicum in Bydgoszcz of the Nicolaus Copernicus University in Toruń. Methods and materials Several steps were identified for the development of the first programme on spirituality for medical students at the Collegium Medicum in Bydgoszcz including preliminary work on the content of the programme, agreement on key concepts, terms, and definitions; consultations with teachers and review of the literature. Results The first Polish spiritual curriculum for medical students was implemented. The spirituality curriculum will potentially contribute to better care for the people with advanced illnesses such as heart failure, chronic lung disease or cancer and improve the quality of relationships between professionals and patients. Conclusion The article presents the content of the program, the expected learning objectives and ascribed teaching methods, along with the preliminary evaluation made by students.
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Affiliation(s)
| | | | - Philip Larkin
- Palliative and Supportive Care Service, Chair of Palliative Care Nursing, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland
- *Correspondence: Philip Larkin
| | - Małgorzata Krajnik
- Department of Palliative Care, Nicolaus Copernicus University in Toruń, Collegium Medicum in Bydgoszcz, Bydgoszcz, Poland
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15
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Baek K, Park JT, Kwak K. Systematic review and meta-analysis of cancer risks in relation to environmental waste incinerator emissions: a meta-analysis of case-control and cohort studies. Epidemiol Health 2022; 44:e2022070. [PMID: 36097807 PMCID: PMC9849852 DOI: 10.4178/epih.e2022070] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2022] [Accepted: 09/01/2022] [Indexed: 01/28/2023] Open
Abstract
OBJECTIVES Various toxic substances can be generated from incinerators, exposing nearby residents, and epidemiological studies have shown wide variations in risk estimates for cancer risk in populations living close to incinerators. METHODS Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, a literature search and systematic review were conducted to identify studies conducted on general populations exposed to environmental incinerator emissions and cancer outcomes. Meta-analysis was performed according to the cancer types for which 2 or more studies were reported. Subgroup analysis was done for sex, the exposure estimation method, the study period, and the type of outcome. RESULTS Eleven studies were found for the qualitative review and meta-analysis. Seven studies had a case-control design, and 4 had a cohort design. The pooled effect size was not significant for breast, colorectal, liver, lung, lymphohematopoietic, stomach, bladder, central nervous system, and laryngeal cancers, non-Hodgkin lymphoma, sarcoma, leukemia, and all cancers. In the subgroup analysis, the pooled effect size of laryngeal cancer in females was 1.82 (95% confidence interval, 1.10 to 3.01), although only 2 studies were identified. CONCLUSIONS The meta-analysis did not provide evidence of an increased risk for any cancer among populations living near waste incinerators, except for laryngeal cancer in females. However, since relatively few studies were reviewed and some cancer types showed significant increases in individual studies, this evidence needs to be updated regularly.
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Affiliation(s)
- Kiook Baek
- Department of Occupational and Environmental Medicine, Yeungnam University Hospital, Daegu, Korea
| | - Jong-Tae Park
- Department of Occupational and Environmental Medicine, Korea University Ansan Hospital, Ansan, Korea
| | - Kyeongmin Kwak
- Department of Occupational and Environmental Medicine, Korea University Ansan Hospital, Ansan, Korea,Correspondence: Kyeongmin Kwak Department of Occupational and Environmental Medicine, Korea University Ansan Hospital, 123 Jeokgeum-ro, Danwon-gu, Ansan 15355, Korea E-mail:
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16
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Abstract
Medicine's acceptance of addiction as a medical concept has waxed and waned over time. Addiction, as a disease, fits with modern disease definitions and scientific advances in elucidating the interactions between neurobiology and environment. Definitions of addiction need to acknowledge the complex interactions of brain circuits, genetics, environmental factors, and individual life experiences. Addiction aligns with diagnostic categories of substance use disorders that do not rely on tolerance and withdrawal as defining characteristics. Shifts in social and political views of addiction continue to propel and mirror changes in addiction treatment approaches and terminology within the medical community.
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Affiliation(s)
- Yngvild Olsen
- Institutes for Behavior Resources, Inc/REACH Health Services, 2104 Maryland Avenue, Baltimore, MD 21218, USA.
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17
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Caycho-Rodríguez T, Vilca LW, Plante TG, Vivanco-Vidal A, Saroli-Araníbar D, Carbajal-León C, Peña-Calero BN, White M. Strength of Religious Faith in Peruvian Adolescents and Adults: Psychometric Evidence from the Original and Short Versions of the Santa Clara Strength of Religious Faith Questionnaire in Spanish. PASTORAL PSYCHOLOGY 2021; 71:399-418. [PMID: 34483371 PMCID: PMC8406649 DOI: 10.1007/s11089-021-00972-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Accepted: 07/21/2021] [Indexed: 06/13/2023]
Abstract
The aim of this study was to evaluate the psychometric evidence of the original and short versions of the Santa Clara Strength of Religious Faith Questionnaire (SCSRFQ) in Spanish in a sample of 245 Peruvian adolescents and adults (mean age = 21.04 years, SD = 3.07, 47.8% male and 52.2% female), selected by nonprobabilistic convenience sampling. Additionally, the Coronavirus Anxiety Scale and the Satisfaction with Life Scale were applied. Confirmatory Factor Analysis, internal consistency reliability methods, hierarchical sequence of variance models, and a graded response model were used. Results indicate that both versions of the SCSRFQ showed robust psychometric properties: adequate unidimensional structure, adequate difficulty and discrimination parameters, and significant relationships with the measures of fear of COVID-19 and satisfaction with life. The original version of the SCSRFQ showed evidence of strict measurement invariance by sex and age, whereas the short version showed strict invariance by sex and configural invariance by age. Both versions showed acceptable reliability indices. In conclusion, the original and short versions of the SCSRFQ in Spanish show evidence of psychometric indicators that support their use to assess the strength of religious faith.
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Affiliation(s)
- Tomás Caycho-Rodríguez
- Facultad de Ciencias de La Salud, Universidad Privada del Norte, Av. Alfredo Mendiola 6062, Los Olivos, Lima, Perú
| | - Lindsey W. Vilca
- Facultad de Ciencias de La Salud, Universidad Peruana Unión, Lima, Perú
| | - Thomas G. Plante
- Department of Psychology, Santa Clara University, Santa Clara, CA USA
| | | | - Daniela Saroli-Araníbar
- Grupo de Estudios Avances en Medición Psicológica, Universidad Nacional Mayor de San Marcos, Lima, Perú
| | - Carlos Carbajal-León
- Facultad de Ciencias de La Salud, Universidad Privada del Norte, Av. Alfredo Mendiola 6062, Los Olivos, Lima, Perú
| | - Brian Norman Peña-Calero
- Grupo de Estudios Avances en Medición Psicológica, Universidad Nacional Mayor de San Marcos, Lima, Perú
| | - Michael White
- Dirección General de Investigación, Universidad Peruana Unión, Lima, Perú
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18
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Scherer JS, Milazzo KC, Hebert PL, Engelberg RA, Lavallee DC, Vig EK, Kurella Tamura M, Roberts G, Curtis JR, O'Hare AM. Association Between Self-reported Importance of Religious or Spiritual Beliefs and End-of-Life Care Preferences Among People Receiving Dialysis. JAMA Netw Open 2021; 4:e2119355. [PMID: 34347059 PMCID: PMC8339933 DOI: 10.1001/jamanetworkopen.2021.19355] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/06/2023] Open
Abstract
IMPORTANCE Although people receiving maintenance dialysis have limited life expectancy and a high burden of comorbidity, relatively few studies have examined spirituality and religious beliefs among members of this population. OBJECTIVE To examine whether there is an association between the importance of religious or spiritual beliefs and care preferences and palliative care needs in people who receive dialysis. DESIGN, SETTING, AND PARTICIPANTS A cross-sectional survey study was conducted among adults who were undergoing maintenance dialysis at 31 facilities in Seattle, Washington, and Nashville, Tennessee, between April 22, 2015, and October 2, 2018. The survey included a series of questions assessing patients' knowledge, preferences, values, and expectations related to end-of-life care. Data were analyzed from February 12, 2020, to April 21, 2021. EXPOSURES The importance of religious or spiritual beliefs was ascertained by asking participants to respond to this statement: "My religious or spiritual beliefs are what really lie behind my whole approach to life." Response options were definitely true, tends to be true, tends not to be true, or definitely not true. MAIN OUTCOMES AND MEASUREMENTS Outcome measures were based on self-reported engagement in advance care planning, resuscitation preferences, values regarding life prolongation, preferred place of death, decision-making preference, thoughts or discussion about hospice or stopping dialysis, prognostic expectations, and palliative care needs. RESULTS A total of 937 participants were included in the cohort, of whom the mean (SD) age was 62.8 (13.8) years and 524 (55.9%) were men. Overall, 435 (46.4%) participants rated the statement about religious or spiritual beliefs as definitely true, 230 (24.6%) rated it as tends to be true, 137 (14.6%) rated it as tends not to be true, and 135 (14.4%) rated it as definitely not true. Participants for whom these beliefs were more important were more likely to prefer cardiopulmonary resuscitation (estimated probability for definitely true: 69.8% [95% CI, 66.5%-73.2%]; tends to be true: 60.8% [95% CI, 53.4%-68.3%]; tends not to be true: 61.6% [95% CI, 53.6%-69.6%]; and definitely not true: 60.6% [95% CI, 52.5%-68.6%]; P for trend = .003) and mechanical ventilation (estimated probability for definitely true: 42.6% [95% CI, 38.1%-47.0%]; tends to be true: 33.5% [95% CI, 25.9%-41.2%]; tends not to be true: 35.1% [95% CI, 27.2%-42.9%]; and definitely not true: 27.9% [95% CI, 19.6%-36.1%]; P for trend = .002) and to prefer a shared role in decision-making (estimated probability for definitely true: 41.6% [95% CI, 37.7%-45.5%]; tends to be true: 35.4% [95% CI, 29.0%-41.8%]; tends not to be true: 36.0% [95% CI, 26.7%-45.2%]; and definitely not true: 23.8% [95% CI, 17.3%-30.3%]; P for trend = .001) and were less likely to have thought or spoken about stopping dialysis. These participants were no less likely to have engaged in advance care planning, to value relief of pain and discomfort, to prefer to die at home, to have ever thought or spoken about hospice, and to have unmet palliative care needs and had similar prognostic expectations. CONCLUSIONS AND RELEVANCE The finding that religious or spiritual beliefs were important to most study participants suggests the value of an integrative approach that addresses these beliefs in caring for people who receive dialysis.
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Affiliation(s)
- Jennifer S Scherer
- Division of Geriatrics and Palliative Care, Department of Internal Medicine, NYU Grossman School of Medicine, New York
- Division of Nephrology, Department of Internal Medicine, NYU Grossman School of Medicine, New York
| | - Kaylin C Milazzo
- Division of Geriatrics and Palliative Care, Department of Internal Medicine, NYU Grossman School of Medicine, New York
- Department of Spiritual Care, NYU Langone Health, New York
| | - Paul L Hebert
- Department of Health Services, University of Washington, Seattle
- US Department of Veterans Affairs (VA) Health Services Research and Development Center of Innovation, VA Puget Sound Health Care System, Seattle, Washington
| | - Ruth A Engelberg
- Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, University of Washington, Seattle
- Cambia Palliative Care Center of Excellence, University of Washington, Seattle
| | - Danielle C Lavallee
- Department of Health Services, University of Washington, Seattle
- Department of Surgery, University of Washington, Seattle
- British Columbia Academic Health Science Network, Vancouver, British Columbia, Canada
| | - Elizabeth K Vig
- Division of Geriatrics, Department of Medicine, University of Washington, Seattle
- Geriatrics and Extended Care, VA Puget Sound Health Care System, Seattle, Washington
| | - Manjula Kurella Tamura
- Division of Nephrology, Stanford University Medical Center, Palo Alto, California
- Geriatric Research and Education Clinical Center and Division of Nephrology, VA Palo Alto Health Care System, Palo Alto, California
| | - Glenda Roberts
- Kidney Research Institute, University of Washington, Seattle
| | - J Randall Curtis
- Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, University of Washington, Seattle
- Cambia Palliative Care Center of Excellence, University of Washington, Seattle
| | - Ann M O'Hare
- US Department of Veterans Affairs (VA) Health Services Research and Development Center of Innovation, VA Puget Sound Health Care System, Seattle, Washington
- Kidney Research Institute, University of Washington, Seattle
- Division of Nephrology, Department of Medicine, University of Washington, Seattle
- Hospital Specialty and Medicine Service, VA Puget Sound Health Care System, Seattle, Washington
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19
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Kwak K, Kang D, Paek D. Environmental exposure to asbestos and the risk of lung cancer: a systematic review and meta-analysis. Occup Environ Med 2021; 79:207-214. [PMID: 33972375 DOI: 10.1136/oemed-2020-107222] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2020] [Revised: 03/31/2021] [Accepted: 04/11/2021] [Indexed: 01/11/2023]
Abstract
Asbestos is a carcinogen associated with lung cancer, but few studies have examined the increased risk of lung cancer due to environmental asbestos exposure. We performed a systematic review and meta-analysis to evaluate the association between environmental asbestos exposure and lung cancer. We searched for articles on non-occupational or environmental asbestos exposure and lung cancer in PubMed, EMBASE, CINAHL and Web of Science databases. Our review included 15 studies, and except studies on ingestion exposure we performed a meta-analysis for 13 studies with respect to the type of exposure (neighbourhood and domestic/household exposure). Subgroup analyses and meta-regression were also performed. A significant increase in the risk of lung cancer was found for neighbourhood exposure (1.48, 95% CI 1.18 to 1.86), while the risk was not significantly increased for domestic/household exposure (1.04, 95% CI 0.85 to 1.27). With regard to neighbourhood exposure, naturally occurring asbestos and women were both associated with a higher risk of lung cancer; however, such an increase was not significantly greater compared with that associated with other sources of asbestos exposure and men. Although cautious interpretation is needed due to the large degree of heterogeneity and the small number of included studies, our findings imply that living near the source of asbestos increases the risk of lung cancer.
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Affiliation(s)
- Kyeongmin Kwak
- Department of Occupational and Environmental Medicine, Korea University Ansan Hospital, Ansan, Republic of Korea
| | - Dongmug Kang
- Department of Occupational and Environmental Medicine, Pusan National University Yangsan Hospital, Yangsan, Republic of Korea.,Department of Preventive, Occupational and Environmental Medicine, Pusan National University College of Medicine, Yangsan, Republic of Korea
| | - Domyung Paek
- Department of Environmental Health Sciences, Seoul National University Graduate School of Public Health, Seoul, Republic of Korea .,Institute of Health and Environment, Seoul National University, Seoul, Republic of Korea
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20
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O'Callaghan CC, Georgousopoulou E, Seah D, Clayton JM, Kissane D, Michael N. Spirituality and religiosity in a palliative medicine population: mixed-methods study. BMJ Support Palliat Care 2020; 12:316-323. [PMID: 32499406 DOI: 10.1136/bmjspcare-2020-002261] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2020] [Revised: 04/09/2020] [Accepted: 05/02/2020] [Indexed: 01/26/2023]
Abstract
BACKGROUND Spiritual care allows palliative care patients to gain a sense of purpose, meaning and connectedness to the sacred or important while experiencing a serious illness. This study examined how Australian patients conceptualise their spirituality/religiosity, the associations between diagnosis and spiritual/religious activities, and views on the amount of spiritual support received. METHODS This mixed-methods study used anonymous semistructured questionnaires, which included the Functional Assessment of Chronic Illness Therapy-Spiritual Scale-12 (FACIT-SP-12) and adapted and developed questions examining religion/spirituality's role and support. RESULTS Participants numbered 261, with a 50.9% response rate. Sixty-two per cent were affiliated with Christianity and 24.2% with no religion. The mean total FACIT-SP-12 score was 31.9 (SD 8.6). Patients with Christian affiliation reported a higher total FACIT-SP-12 score compared with no religious affiliation (p=0.003). Those with Christian and Buddhist affiliations had higher faith subscale scores compared with those with no religious affiliation (p<0.001). Spirituality was very important to 39.9% and religiosity to 31.7% of patients, and unimportant to 30.6% and 39.5%, respectively. Following diagnosis, patients prayed (p<0.001) and meditated (p<0.001) more, seeking more time, strength and acceptance. Attendance at religious services decreased with frailty (p<0.001), while engagement in other religious activities increased (p=0.017). Patients who received some level of spiritual/religious support from external religious/faith communities and moderate to complete spiritual/religious needs met by the hospitals reported greater total FACIT-SP-12 spirituality scores (p<0.001). CONCLUSION Respectful inquiry into patients spiritual/religious needs in hospitals allows for an attuned approach to addressing such care needs while considerately accommodating those disinterested in such support.
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Affiliation(s)
- Clare C O'Callaghan
- Palliative and Supportive Care Research Department, Cabrini Health, Melbourne, Victoria, Australia.,Institute of Ethics and Society, University of Notre Dame Australia, Sydney, New South Wales, Australia
| | - Ekavi Georgousopoulou
- School of Medicine Sydney Campus, The University of Notre Dame Australia, Darlinghurst, New South Wales, Australia
| | - Davinia Seah
- School of Medicine Sydney Campus, The University of Notre Dame Australia, Darlinghurst, New South Wales, Australia.,Sacred Heart Health Service, St. Vincent's Hospital, Sydney, New South Wales, Australia
| | - Josephine M Clayton
- Hammond Care, Sydney, New South Wales, Australia.,Sydney Medical School, The University of Sydney, Sydney, New South Wales, Australia
| | - David Kissane
- School of Medicine Sydney Campus, The University of Notre Dame Australia, Darlinghurst, New South Wales, Australia.,Sacred Heart Health Service, St. Vincent's Hospital, Sydney, New South Wales, Australia
| | - Natasha Michael
- Palliative and Supportive Care Research Department, Cabrini Health, Melbourne, Victoria, Australia .,School of Medicine Sydney Campus, The University of Notre Dame Australia, Darlinghurst, New South Wales, Australia
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21
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Kwak K, Paek D, Park J. Occupational exposure to formaldehyde and risk of lung cancer: A systematic review and meta-analysis. Am J Ind Med 2020; 63:312-327. [PMID: 32003024 DOI: 10.1002/ajim.23093] [Citation(s) in RCA: 24] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/15/2020] [Indexed: 01/08/2023]
Abstract
BACKGROUND Formaldehyde exposure is associated with nasopharyngeal cancer and leukemia. Previously-described links between formaldehyde exposure and lung cancer have been weak and inconsistent. We performed a systematic review and meta-analysis to evaluate quantitatively the association between formaldehyde exposure and lung cancer. METHODS We searched for articles on occupational formaldehyde exposure and lung cancer in PubMed, EMBASE, Web of Science, and CINAHL databases. In total, 32 articles were selected and 31 studies were included in a meta-analysis. Subgroup analyses and quality assessments were also performed. RESULTS The risk of lung cancer among workers exposed to formaldehyde was not significantly increased, with an overall pooled risk estimate of 1.04 (95% confidence interval [CI], 0.97-1.12). The pooled risk estimate of lung cancer was increased when higher exposure studies were considered (1.19; 95% CI, 0.96-1.46). More statistically robust results were obtained when high quality (1.13; 95% CI, 1.08-1.19) and recent (1.13; 95% CI, 1.07-1.19) studies were used in deriving pooled risk estimates. CONCLUSIONS No significant increase in the risk of lung cancer was evident in the overall pooled risk estimate; even in higher formaldehyde exposure groups. Our findings do not provide strong evidence in favor of formaldehyde as a risk factor for lung cancer. However, since risk estimates were significantly increased for high-quality and recent studies, the possibility that exposure to formaldehyde can increase the risk of lung cancer might still be considered.
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Affiliation(s)
- Kyeongmin Kwak
- Department of Occupational and Environmental MedicineKorea University Ansan HospitalAnsan Republic of Korea
- Department of Environmental SciencesSeoul National University Graduate School of Public HealthSeoul Republic of Korea
| | - Domyung Paek
- Department of Environmental SciencesSeoul National University Graduate School of Public HealthSeoul Republic of Korea
- Institute of Health and EnvironmentSeoul National UniversitySeoul Republic of Korea
| | - Jong‐Tae Park
- Department of Occupational and Environmental MedicineKorea University Ansan HospitalAnsan Republic of Korea
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22
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Yolme ABS, Hojjati H, Akhoundzadeh G. The effect of Islamic semanticism on self-reporting and lifestyles of mothers of adolescents with thalassemia. Int J Adolesc Med Health 2020; 34:/j/ijamh.ahead-of-print/ijamh-2019-0192/ijamh-2019-0192.xml. [PMID: 32031975 DOI: 10.1515/ijamh-2019-0192] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2019] [Accepted: 09/10/2019] [Indexed: 06/10/2023]
Abstract
BACKGROUND Thalassemia is the most common chronic hereditary disease in the world. OBJECTIVES The purpose of this study was to determine the effect of logotherapy on the level of resilience of mothers of children with thalassemia major. METHODS The statistical population of this study included all mothers with children with thalassemia major in Gonbad-e-Qabus. After selecting eligible samples, each sample was given a number and the number was put into a non-transparent envelope. The samples were assured that numbering and placement in one of two groups were completely random and 60 mothers were selected using available sampling. The research tool used was the Kollahen Brief Self-reporting Questionnaire. For the experimental group, eight sessions of 90 min of logotherapy training were performed. For both groups, pre-test and post-test were performed. The confidentiality of the data of the research samples was assured. Data were gathered. Finally, the information was analyzed using SPSS software version 16. RESULTS The results showed that the mean of the resilience of the experimental group was 28/16 ± 8/63 in the pre-test to was 24/76 ± 6/4 in the post-test. The result of paired t-test analysis showed that after eliminating the effect of the pre-test, the mean scores of the post-test of the two groups were statistically significant (p < 0/01, t = 18/4). CONCLUSION This study shows that logotherapy for mothers with children with thalassemia is useful and it is effective in increasing the resilience of mothers.
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Affiliation(s)
| | - Hamid Hojjati
- Department of Nursing, Aliabad Katoul Branch, Islamic Azad University, Aliabad Katoul, Iran
| | - Golbahar Akhoundzadeh
- Department of Nursing, Aliabad Katoul Branch, Islamic Azad University, Aliabad Katoul, Iran
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