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Kırca K, Özveren H, Bağcı S. Evaluation of the Spiritual Care Needs of Patients with Cancer in a Chemotherapy Unit in Turkey. JOURNAL OF RELIGION AND HEALTH 2024; 63:1457-1474. [PMID: 37794297 DOI: 10.1007/s10943-023-01876-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 07/17/2023] [Indexed: 10/06/2023]
Abstract
This study was conducted to determine the spiritual care needs of cancer patients receiving chemotherapy. A cross-sectional descriptive design was used to analyze a total of 104 patients at a university hospital in Turkey. The data were collected using the Spiritual Care Needs Scale. The mean age of the patients participating in the study was 61.0 (10.2). It was determined that 31.7% of the patients stated that the concepts of spirituality and spiritual care are related to religion and worship. As a result, it was found that the patients receiving chemotherapy had high-spiritual care needs. The dimensions in which the spiritual needs of the patients were remarkably high were belief and spiritual practices, being in peace and security, the love and support of their relatives and being informed about health. The spiritual care need score of the patients increased significantly with marital status (p = 0.001), having children (p = 0.002), having a chronic disease (p = 0.04) and having an undergraduate/graduate level education (p = 0.01). Nurses should be aware of patient's spiritual needs, plan patient-specific spiritual care practices, conduct more studies on the effects of spiritual care on the patient and family and create guidelines for spiritual care practices in patients receiving chemotherapy in Turkey.
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Affiliation(s)
- Kamile Kırca
- Faculty of Health Sciences, Nursing Department, Kırıkkale University, Kırıkkale, Turkey
| | - Hüsna Özveren
- Faculty of Health Sciences, Nursing Department, Kırıkkale University, Kırıkkale, Turkey.
| | - Sema Bağcı
- Medical Oncology Clinic, Chemotherapy Unit, Kırıkkale University Faculty of Medicine Hospital, Kırıkkale, Turkey
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2
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Zambrano J, Romero P, Longley R, Huffman JC, Cohen-Bucay A, Celano CM. Well-being and health in kidney failure: A scoping review. J Acad Consult Liaison Psychiatry 2022; 63:384-393. [PMID: 35278740 DOI: 10.1016/j.jaclp.2022.02.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/24/2021] [Revised: 02/11/2022] [Accepted: 02/25/2022] [Indexed: 10/18/2022]
Abstract
BACKGROUND Kidney Failure (KF) is associated with impaired physical function, reduced health-related quality of life (HRQoL), increased healthcare costs, and high rates of cardiovascular complications and mortality. Among individuals with KF, well-being and related constructs, such as positive affect, optimism, self-efficacy, and resilience, may have both mental and physical health benefits, independent of the effects of negative emotions and affective syndromes. However, there has been minimal review of these characteristics in people with KF. METHODS We conducted a scoping review, using a semi-systematic approach, to summarize the relationships between well-being characteristics and renal health, the potential mechanisms mediating these relationships, and the effects of interventions that promote positive constructs on adherence and health outcomes. We conducted database searches using PubMed and PsycInfo until November 2020. Articles were included if they examined (1) relationships between a well-being construct and health outcome in patients with KF, (2) potential biological or behavioral mediators, or (3) interventions that target positive psychological constructs as outcomes or mediators in KF, and (4) were written in English or Spanish. RESULTS Among patients with KF, well-being constructs are associated with increased health-related quality of life (HRQoL), reduced morbidity and complications, and increased survival. Potential mechanisms mediating these associations include reduced inflammation, improved autonomic and endothelial function, and improved health behavior adherence. Psychological and psychosocial interventions promoting well-being have primarily focused on improving self-efficacy to promote behavior change, with limited study of interventions to promote positive psychological constructs in this population. CONCLUSIONS Further research is needed to better understand the relationship between well-being constructs and health, specific to KF populations. This could inform the development of needed interventions that harness the promotion of other positive characteristics to improve well-being and health.
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Affiliation(s)
- Juliana Zambrano
- Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA; Harvard Medical School, Boston, MA, USA
| | - Perla Romero
- Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA
| | - Regina Longley
- Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA
| | - Jeff C Huffman
- Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA; Harvard Medical School, Boston, MA, USA
| | - Abraham Cohen-Bucay
- Harvard Medical School, Boston, MA, USA; Renal Division and Transplant Center, Massachusetts General Hospital, Boston, MA, USA
| | - Christopher M Celano
- Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA; Harvard Medical School, Boston, MA, USA.
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Mbeje PN, Mtshali N. Perceived predictors of quality of life in patients with end-stage renal disease on dialysis. Curationis 2021; 44:e1-e11. [PMID: 34636621 PMCID: PMC8517801 DOI: 10.4102/curationis.v44i1.2251] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2021] [Revised: 07/04/2021] [Accepted: 07/19/2021] [Indexed: 12/16/2022] Open
Abstract
BACKGROUND Reduced quality of life (QOL) is associated with shorter survival, and is more marked in patients with end-stage renal disease (ESRD). Predictors of health, which include policymaking, social factors, health services, individual behaviour, biology and genetics, have an impact on the QOL of patients with ESRD. Patients with ESRD in South Africa are cared for in public and private hospitals, with public health institutions characterised by several challenges. OBJECTIVE To explore and analyse the perceived predictors of QOL in patients with ESRD in the three district hospitals that provide renal services in KwaZulu-Natal. METHODS An exploratory, descriptive qualitative research approach based on grounded theory research design was used and three focus group discussions (FGDs) were conducted. The researcher recruited 18 participants, 6 in each focus group. Three phases of data analysis were followed: open coding, axial coding, and selective coding. RESULTS Predictors of QOL that emerged were the geographic location of the patients, accessibility of haemodialysis centres, patients' adaptation and acceptance of the condition, self-management, support by family members and caregivers and availability of adequately trained nurses. CONCLUSION Predictors of QOL in patients with ESRD are associated with an increased risk of morbidity and mortality resulting from dialysis. The broad range of dimensions of life is negatively affected and requires intervention by the renal team and policymakers to improve the QOL of patients.
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Affiliation(s)
- Pretty N Mbeje
- Department of Nursing, Faculty of Health Sciences, University of KwaZulu-Natal, Durban.
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Cunha GFMD, Manso MMFG, Villela MJCDS, Bom GC, Mondini CCDSD, Trettene ADS. Religiosity, spirituality, and self-esteem in adolescents with cleft lip and palate: a correlational study. Rev Esc Enferm USP 2021; 55:e03782. [PMID: 34190897 DOI: 10.1590/s1980-220x2020030503782] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2020] [Accepted: 02/24/2021] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE To evaluate the correlation between religiosity, spirituality, and self-esteem in adolescents with uni- and bilateral cleft lip and palate. METHOD Correlational and cross-sectional study developed in a public and tertiary hospital in Brazil between July 2018 and February 2019. The sample comprised 100 adolescents divided into two groups: G1 (unilateral cleft, 50 participants) and G2 (bilateral cleft, 50 participants). For data collection, three instruments were used: Sociodemographic Questionnaire, DUREL Religion index, Rosenberg self-esteem scale. Statistical analysis was performed with the tests Chi-squared, Mann-Whitney, Pearson Correlation, and analysis of linear correlation strength, with a 5% significance level (p ≥ 0.05). RESULTS Only organizational religiosity was higher in G1 when compared with G2 (p = 0.03). The overall self-esteem was satisfactory for both groups; however, there was no significant difference between them (p = 0.34). No correlation between religiosity and spirituality with self-esteem were identified for G1 and G2. CONCLUSION The adolescents with uni- or bilateral cleft lip and palate presented high levels of religiosity, spirituality, and self-esteem. However, no correlation between these variables was identified.
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Affiliation(s)
- Gabriela Fávaro Marques da Cunha
- Universidade de São Paulo, Hospital de Reabilitação de Anomalias Craniofaciais, Programa de Pós-Graduação em Ciências da Reabilitação, Bauru, SP, Brasil
| | - Maila Meryellen Ferreira Garcia Manso
- Universidade de São Paulo, Hospital de Reabilitação de Anomalias Craniofaciais, Programa de Pós-Graduação em Ciências da Reabilitação, Bauru, SP, Brasil
| | - Maria Júlia Costa de Souza Villela
- Universidade de São Paulo, Hospital de Reabilitação de Anomalias Craniofaciais, Programa de Pós-Graduação em Ciências da Reabilitação, Bauru, SP, Brasil
| | - Gesiane Cristina Bom
- Universidade de São Paulo, Hospital de Reabilitação de Anomalias Craniofaciais, Programa de Pós-Graduação em Ciências da Reabilitação, Bauru, SP, Brasil
| | | | - Armando Dos Santos Trettene
- Universidade de São Paulo, Hospital de Reabilitação de Anomalias Craniofaciais, Programa de Pós-Graduação em Ciências da Reabilitação, Bauru, SP, Brasil
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Işık Ulusoy S, Kal Ö. Relationship Among Coping Strategies, Quality of Life, and Anxiety and Depressive Disorders in Hemodialysis Patients. Ther Apher Dial 2019; 24:189-196. [DOI: 10.1111/1744-9987.12914] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2019] [Revised: 05/17/2019] [Accepted: 06/19/2019] [Indexed: 11/30/2022]
Affiliation(s)
- Selen Işık Ulusoy
- Başkent University School of MedicinePsychiatry Department Konya Turkey
| | - Öznur Kal
- Başkent University School of MedicineNephrology Department Konya Turkey
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Manookian A, Tajvidi M, Dehghan-Nayeri N. Inner Voice of Pregnant Women: A Qualitative Study. IRANIAN JOURNAL OF NURSING AND MIDWIFERY RESEARCH 2019; 24:167-171. [PMID: 31057631 PMCID: PMC6485024 DOI: 10.4103/ijnmr.ijnmr_105_18] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
BACKGROUND Spirituality becomes more significant and evident during crises like pregnancy; therefore, it is crucial for healthcare providers to be supportive during pregnancy through exploring and understanding the meaning of spirituality for pregnant women. This study aimed to discover the experiences of Iranian pregnant women regarding spirituality. MATERIALS AND METHODS This qualitative, inductive, content analysis study was performed in 11 pregnant women (28-36 weeks' gestation) who attended the healthcare centers of Karaj, Iran. The subjects were selected by purposive sampling and invited to participate in the study. The data were collected through semi-structured, face-to-face, and in-depth interviews and were analyzed using the inductive content analysis approach. RESULTS Three major themes emerged during data analysis: "permeable transcendence," including "spiritual awareness of mother," "spiritual light of baby," and "personal transformation and improvement." "Doubled responsibility" comprised two subthemes of "spiritual nourishment for mother" and "spiritual nourishment for child," and "spiritual circumstance" consisted of two subthemes of "religious background" and "spirituality of healthcare provider." CONCLUSIONS Considering the importance of spirituality and religion in gestational health promotion, the results of this study can assist healthcare providers in recognizing the women's spiritual needs and valuing the protective role of religious/spiritual well-being during pregnancy.
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Affiliation(s)
- Arpi Manookian
- Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
| | - Mansooreh Tajvidi
- Department of Nursing, College of Nursing and Midwifery, Karaj Branch, Islamic Azad University, Karaj, Iran
- Clinical Cares and Health Promotion Research Center, Karaj Branch, Islamic Azad University, Karaj, Iran
| | - Nahid Dehghan-Nayeri
- Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
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Bravin AM, Trettene ADS, Andrade LGMD, Popim RC. Benefits of spirituality and/or religiosity in patients with Chronic Kidney Disease: an integrative review. Rev Bras Enferm 2019; 72:541-551. [DOI: 10.1590/0034-7167-2018-0051] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2018] [Accepted: 08/18/2018] [Indexed: 01/25/2023] Open
Abstract
ABSTRACT Objective: Identify and analyze existing evidence regarding the benefits of spirituality and / or religiosity in patients with Chronic Kidney Disease. Method: Integrative review carried out through consultation of databases: Latin American and Caribbean Literature in Health Sciences, Scientific Electronic Library Online, US National Library of Medicine and Scopus. The following descriptors were used: chronic kidney disease, spirituality and religion. Primary articles published by December 2017 were included. Results: Twenty-six articles were selected, from which four thematic categories emerged: benefits as a modality of coping, perception of quality of life, mental health and improvement of renal function after transplantation. Conclusion: Benefits included those related to situational coping modalities, such as the strengthening of hope, social support and coping with pain; those related to mental health, such as the lower risk of suicide and fewer depressive symptoms; improvement in the perception of quality of life and in renal function after transplantation.
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Burlacu A, Artene B, Nistor I, Buju S, Jugrin D, Mavrichi I, Covic A. Religiosity, spirituality and quality of life of dialysis patients: a systematic review. Int Urol Nephrol 2019; 51:839-850. [PMID: 30919258 DOI: 10.1007/s11255-019-02129-x] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2019] [Accepted: 03/11/2019] [Indexed: 01/11/2023]
Abstract
PURPOSE End-stage renal disease (ESRD) patients often report a combination of disturbing physical symptoms and psychological distress which result in significantly reduced quality of life (QoL). Coping with a chronic disease is a complex matter involving also the family and a multi-disciplinary team. Recently, observational studies suggested that spirituality (S) and religiosity (R) are two important determinants in coping with a chronic/terminal disease. Both concepts were studied in various settings, involving ESRD and QoL. This systematic review aims to synthesize all instruments used to assess R/S, to examine the strategies evaluating QoL of dialysis patients and to analyse their correlations. METHODS In accordance with the PRISMA, a systematic search was conducted in PubMed and SCOPUS (between Jan 1980-Dec 2018, PROSPERO number CRD42019116837). Eligible studies included patients on dialysis therapy, religiously/spiritually assessed and contained QoL evaluation. RESULTS Of the initial 311 studies, 261 papers were excluded. Consequently, 50 papers with a total 9265 patients were available for inclusion. From a list of 177 R/S scales available worldwide, we identified 24 tools. We organized all QoL parameters into 10 classes. In all studies, R/S variables were positively correlated with at least one QoL variable. CONCLUSIONS In this systematic review, we synthesized the studies involving R/S assessment in dialysis patients and their benefit on QoL. R/S has a positive impact on most QoL parameters in 5D-CKD. We suggest that nephrology guidelines on palliative care and/or elderly should include specific recommendations on R/S support and opportunities for integrated specific therapies.
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Affiliation(s)
- Alexandru Burlacu
- Department of Interventional Cardiology - Cardiovascular Diseases Institute, 'Grigore T. Popa' University of Medicine, Iasi, Romania
| | - Bogdan Artene
- Department of Interventional Cardiology - Cardiovascular Diseases Institute, 'Grigore T. Popa' University of Medicine, Iasi, Romania
| | - Ionut Nistor
- Department of Nephrology, 'Grigore T. Popa' University of Medicine, Iasi, Romania. .,Dialysis and Renal Transplant Center -‛C.I. Parhon' University Hospital, and'Grigore T. Popa', Nephrology Clinic, University of Medicine, Iasi, Romania.
| | - Smaranda Buju
- Department of Teacher Training, Asachi' Technical University, Iasi, Romania
| | - Daniel Jugrin
- Theology, Center for Studies and Interreligious and Intercultural Dialogue, University of Bucharest, Bucharest, Romania
| | - Ionut Mavrichi
- Sociology Department, Faculty of Theology, University of Bucharest, Bucharest, Romania
| | - Adrian Covic
- Dialysis and Renal Transplant Center -‛C.I. Parhon' University Hospital, and'Grigore T. Popa', Nephrology Clinic, University of Medicine, Iasi, Romania.,The Academy of Romanian Scientists (AOSR), Bucharest, Romania
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9
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Montero-Marin J, Perez-Yus MC, Cebolla A, Soler J, Demarzo M, Garcia-Campayo J. Religiosity and Meditation Practice: Exploring Their Explanatory Power on Psychological Adjustment. Front Psychol 2019; 10:630. [PMID: 30971982 PMCID: PMC6445895 DOI: 10.3389/fpsyg.2019.00630] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2018] [Accepted: 03/06/2019] [Indexed: 01/11/2023] Open
Abstract
There has been increased interest in the relationships between religiosity, meditation practice and well-being, but there is lack of understanding as to how specific religious components and distinct meditation practices could influence different positive and negative psychological adjustment outcomes. The aim of this study was to assess the explanatory power of religious beliefs and the practice of prayer, focused attention (FA), open monitoring (OM), and compassion meditation (CM) on psychological adjustment, taking into consideration a number of practice-related variables such as session length, frequency of practice and lifetime practice. Psychological adjustment was assessed by means of happiness, positive affect, depression, negative affect, and emotional overproduction. A cross-sectional design was used, with a final sample comprising 210 Spanish participants who completed an online assessment protocol. Hierarchical regressions were performed, including age, sex and psychotropic medication use in the first step as possible confounders, with the addition of religious beliefs and the practice of prayer, FA, OM, and CM in the second step. FA session length was related to all psychological adjustment outcomes: happiness (ΔR 2 = 0.09, p = 0.002; β = 0.25, p = 0.001), positive affect (ΔR 2 = 0.09, p = 0.002; β = 0.18, p = 0.014), depression (ΔR2 = 0.07, p = 0.004; β = -0.27, p < 0.001), negative affect (ΔR 2 = 0.08, p = 0.007; β = -0.27, p < 0.001) and emotional overproduction (ΔR 2 = 0.07, p = 0.013; β = -0.23, p = 0.001). CM session length was related to positive affect (β = 0.18, p = 0.011). CM practice frequency was associated with happiness (ΔR 2 = 0.06, p = 0.038; β = 0.16, p = 0.041). Lifetime practice of FA was related to happiness (ΔR 2 = 0.08, p = 0.007; β = 0.21, p = 0.030) and OM to emotional overproduction (ΔR 2 = 0.08, p = 0.037; β = -0.19, p = 0.047). Religious beliefs and prayer seemed to be less relevant than meditation practices such as FA, OM, and CM in explaining psychological adjustment. The distinct meditation practices might be differentially related to distinct psychological adjustment outcomes through different practice-related variables. However, research into other forms of institutional religiosity integrating social aspects of religion is required.
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Affiliation(s)
- Jesus Montero-Marin
- Primary Care Prevention and Health Promotion Research Network (RedIAPP), Zaragoza, Spain
| | - Maria C. Perez-Yus
- Primary Care Prevention and Health Promotion Research Network (RedIAPP), Zaragoza, Spain
- Department of Psychology and Sociology, University of Zaragoza, Zaragoza, Spain
| | - Ausias Cebolla
- Department of Personality, Assessment and Psychological Treatments, University of Valencia, Valencia, Spain
- CIBERObn Ciber Physiopathology of Obesity and Nutrition, Madrid, Spain
| | - Joaquim Soler
- Hospital de la Santa Creu i Sant Pau, Institut d’Investigació Biomèdica Sant Pau–IIB Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain
- Centro de Investigación Biomédica en Red de Salud Mental, Barcelona, Spain
| | - Marcelo Demarzo
- Mente Aberta – Brazilian Center for Mindfulness and Health Promotion, Department of Preventive Medicine, Universidade Federal de São Paulo, São Paulo, Brazil
| | - Javier Garcia-Campayo
- Primary Care Prevention and Health Promotion Research Network (RedIAPP), Zaragoza, Spain
- Miguel Servet Hospital and University of Zaragoza, Zaragoza, Spain
- Aragon Institute for Health Research (IIS Aragon), Zaragoza, Spain
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10
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Al-Ghabeesh SH, Alshraifeen AA, Saifan AR, Bashayreh IH, Alnuaimi KM, Masalha HA. Spirituality in the Lives of Patients with End-Stage Renal Disease: A Systematic Review. JOURNAL OF RELIGION AND HEALTH 2018; 57:2461-2477. [PMID: 29671169 DOI: 10.1007/s10943-018-0622-2] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
The aim of this systematic review was to answer these questions: What does spirituality means to patients with end-stage renal disease (ESRD)? And are there associations between spirituality and the health outcomes and general well-being of patients with ESRD? Thirty-three studies met the review criteria. Meaning of spirituality for patients with ESRD and spirituality in the lives of patients with ESRD were the main themes emerged. There is growing evidence that suggests a positive relationship between spirituality and the health outcomes and well-being of ESRD patients. However, the evidence is incomplete and there is a need for further research to enhance our understanding of the role of spirituality in improving the health outcomes and well-being of ESRD patients.
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Affiliation(s)
| | - Ali Ahmad Alshraifeen
- Department of Adult Health, School of Nursing, Hashemite University, Abdallah Ghosheh Street, P.O. Box 330127, Zarqa, 13133, Az-Zarqa, Jordan.
| | | | | | - Karimeh Mousa Alnuaimi
- School of Nursing, Jordan University of Science and Technology, P.O. Box 3030, Irbid, 22110, Jordan
| | - Haya Ali Masalha
- Faculty of Arts, Al-Zaytoonah University of Jordan, Airport Street, Amman, Jordan
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Zamanian H, Poorolajal J, Taheri-Kharameh Z. Relationship between stress coping strategies, psychological distress, and quality of life among hemodialysis patients. Perspect Psychiatr Care 2018; 54:410-415. [PMID: 29689625 DOI: 10.1111/ppc.12284] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/04/2017] [Revised: 03/28/2018] [Accepted: 04/01/2018] [Indexed: 12/18/2022] Open
Abstract
PURPOSE The purpose of this study is to determine the relationship between coping strategies and psychological distress on quality of life (QoL) in hemodialysis patients. DESIGN AND METHODS The study was conducted with 100 patients undergoing hemodialysis. Data collection instruments were SF-36, HADS, and JCS. Data were analyzed using multiple linear regression and descriptive statistical analysis. FINDINGS Emotive coping style to be a significant independent determinant of lower QoL in the MCS domain (β = -0.41; p = 0.024), while anxiety was found to be a determinant of lower scores in both the MCS (β = -0.47; p = 0.006) and the PCS (β = -0.55; p = 0.001) domains. PRACTICE IMPLICATIONS Anxiety and emotive coping style negatively affect QoL in dialysis patients. More attention could be paid to its role to deal with the inevitable sources of stress in the care plan.
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Affiliation(s)
- Hadi Zamanian
- Department of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Jalal Poorolajal
- Research Center for Health Sciences, Department of Epidemiology, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Zahra Taheri-Kharameh
- School of Paramedical Sciences, Qom University of Medical Sciences, Qom, Iran.,Students Research Committee, Department of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
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White K, Issac MSM, Kamoun C, Leygues J, Cohn S. The THRIVE model: A framework and review of internal and external predictors of coping with chronic illness. Health Psychol Open 2018; 5:2055102918793552. [PMID: 30151224 PMCID: PMC6104221 DOI: 10.1177/2055102918793552] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022] Open
Abstract
This article explores the ways in which people cope with social and clinical dimensions of their chronic conditions. Existing literature was reviewed to categorize factors identified as being key. They were sorted into six groupings which are reflected by the acronym THRIVE: therapeutic interventions, habit and routine, relational-social, individual differences, values and beliefs, and emotional factors. We found little evidence to suggest different conditions prompt unique coping responses; rather, a range of common factors were observed across diverse conditions. The THRIVE framework not only summarizes current literature but provides a starting point for further research and development of future interventions.
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Affiliation(s)
| | | | | | | | - Simon Cohn
- London School of Hygiene & Tropical Medicine, UK
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da Silva GPF, Nascimento FAB, Macêdo TPM, Morano MT, Mesquita R, Pereira EDB. Religious coping and religiosity in patients with COPD following pulmonary rehabilitation. Int J Chron Obstruct Pulmon Dis 2018; 13:175-181. [PMID: 29379282 PMCID: PMC5757498 DOI: 10.2147/copd.s146400] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/05/2022] Open
Abstract
Background Religious coping (RC) is defined as the use of behavioral and cognitive techniques in stressful life events in a multidimensional construct with positive and negative effects on outcomes, while religiosity is considered a use of individual beliefs, values, practices, and rituals related to faith. There is no evidence for the effects of pulmonary rehabilitation (PR) in RC and religiosity in patients with COPD. The aims of this study were 1) to compare RC and religiosity in patients with COPD following PR and 2) to investigate associations between changes in RC, religiosity and exercise capacity, quality of life (QoL), anxiety, depression, and dyspnea. Methods Seventy-four patients were enrolled in this study including 38 patients in the PR group and 36 patients in the control group. PR protocol was composed of a 12-week (three sessions per week, 60 min per day) outpatient comprehensive program, and the control group was composed of patients in a waiting list for admission to PR program. RC, religiosity, exercise capacity, QoL, anxiety, depression, and dyspnea were measured before and after the study protocol. Results Positive religious coping and organizational religious activities increased (p=0.01; p<0.001, respectively), while negative religious coping decreased (p=0.03) after 12 weeks in the PR group (p<0.001). Significant associations were observed between changes in RC, organizational religiosity with exercise capacity, and QoL following PR. No differences were found in the control group. Conclusion PR improves RC and organizational religiosity in patients with COPD, and these improvements are related to increases in exercise capacity and QoL.
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Affiliation(s)
- Guilherme PF da Silva
- Department of Clinical Medicine, Federal University of Ceará (UFC), Fortaleza
- Department of Physiotherapy, University of Fortaleza (UNIFOR), Fortaleza
| | - Francisco AB Nascimento
- Department of Clinical Medicine, Federal University of Ceará (UFC), Fortaleza
- Pulmonary Rehabilitation Center, Hospital de Messejana Dr Carlos Alberto Studart Gomes, Fortaleza
| | - Tereza PM Macêdo
- Department of Clinical Medicine, Federal University of Ceará (UFC), Fortaleza
| | - Maria T Morano
- Department of Physiotherapy, University of Fortaleza (UNIFOR), Fortaleza
- Pulmonary Rehabilitation Center, Hospital de Messejana Dr Carlos Alberto Studart Gomes, Fortaleza
| | - Rafael Mesquita
- Department of Physiotherapy, Federal University of Ceará (UFC), Fortaleza, Brazil
| | - Eanes DB Pereira
- Department of Clinical Medicine, Federal University of Ceará (UFC), Fortaleza
- Pulmonary Rehabilitation Center, Hospital de Messejana Dr Carlos Alberto Studart Gomes, Fortaleza
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Bravin AM, Trettene ADS, Cavalcante RDS, Banin VB, Paula NADMR, Saranholi TL, Popim RC, Andrade LGMD. Influência da espiritualidade sobre a função renal em pacientes transplantados renais. ACTA PAUL ENFERM 2017. [DOI: 10.1590/1982-0194201700073] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Resumo Objetivo: Avaliar a influência da espiritualidade na função renal de pacientes transplantados renais. Métodos: Estudo transversal, conduzido em um hospital de clínicas, público e de grande porte, situado no interior do Estado de São Paulo, Brasil, que incluiu 81 pacientes transplantados renais, entre 30 dias e 60 meses de pós-transplante, seguidos por 12 meses. Com base na Escala de Religiosidade de DUREL os pacientes foram divididos em dois grupos considerando-se a mediana da espiritualidade, sendo estes o grupo espiritualizado (n=52) e o menos espiritualizado (n=29). Para a análise estatística foram utilizados testes indutivos e a análise de modelos lineares mistos, com nível de significância de 5% (p<0,05). Resultados: As características clínicas, de imunossupressão, apoio social, adesão ao tratamento medicamentoso, qualidade de vida e depressão não apresentaram diferenças entre os grupos. A função renal ao longo de um ano foi significativamente maior no grupo espiritualizado a partir do nono mês. Ao fim de 12 meses, a percentagem de pacientes com clearance de creatinina superior a 60ml/min. foi de 61,5% no grupo espiritualizado e 34,5% no grupo menos espiritualizado (p=0,02). A análise multivariada mostrou que o grupo menos espiritualizado apresentou um risco de 4,7 vezes [1,4 – 16,8] maior para pior função renal (p=0,01). Conclusão: Pacientes mais espiritualizados apresentaram melhor função renal no decorrer de um ano de transplante. Esse efeito foi independente de características clínicas, do apoio social e da adesão à terapia imunossupressora. Assim, uma abordagem holística no atendimento, com ênfase no cuidado espiritual, é encorajada.
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Santos PR, Capote Júnior JRFG, Cavalcante Filho JRM, Ferreira TP, Dos Santos Filho JNG, da Silva Oliveira S. Religious coping methods predict depression and quality of life among end-stage renal disease patients undergoing hemodialysis: a cross-sectional study. BMC Nephrol 2017. [PMID: 28623903 PMCID: PMC5474022 DOI: 10.1186/s12882-017-0619-1] [Citation(s) in RCA: 34] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Poor quality of life (QOL) and a high prevalence of depression have been identified among end-stage renal disease (ESRD) patients undergoing hemodialysis (HD). We aimed to evaluate the associations between religious/spiritual (R/S) coping methods and both QOL and depression among ESRD patients undergoing hemodialysis (HD). METHODS The sample included 161 ESRD patients over 18 years of age who had been undergoing HD for more than 3 months. R/S coping methods were assessed using the Religious Coping Questionnaire (RCOPE). The RCOPE generates scores (from 1 to 5) for positive and negative R/S coping methods. The higher the score, the more frequent the use of that coping method. Depression was evaluated using the 20-item version of the Center for Epidemiologic Studies Depression Scale (CES-D). Scores on the CES-D range from 0 to 60. A cutoff of 18 was used to define depression. QOL was evaluated using the Medical Outcomes Study 36-Item Short Form Health Survey (SF-36); this survey was used to generate scores for the eight dimensions of QOL, which can vary from 0 (worst) to 100 (best). RESULTS We identified a depression prevalence of 27.3%. Positive R/S coping scores were higher among non-depressed than depressed patients (2.98 vs. 2.77; p = 0.037). Positive R/S coping scores were negatively correlated with depression scores (r = -0.200; p = 0.012) and were an independent protective factor for depression (OR = 0.13; CI 95% = 0.02-0.91; p = 0.039). Regarding QOL, a positive correlation was identified between positive R/S coping scores and scores related to general health (r = 0.171; p = 0.030) and vitality (r = 0.183; p = 0.019), and an inverse correlation was identified between negative R/S coping scores and scores in the social functioning (r = -0.191; p = 0.015) and mental health (r = -0.214; p = 0.006) dimensions. In addition, positive R/S coping scores were an independent predictor of higher scores in the bodily pain (β = 14.401; p = 0.048) and vitality (β = 12.580; p = 0.022) dimensions. In contrast, negative R/S coping scores independently predicted lower social functioning scores (β = -21.158; p = 0.017). CONCLUSIONS Our results provide further evidence suggesting that R/S coping methods may be associated with QOL and depression among HD patients. In our opinion, the use of religious resources should be encouraged among HD patients, and psycho-spiritual interventions should be attempted to target religious struggles (negative R/S coping) in patients undergoing HD.
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Affiliation(s)
- Paulo Roberto Santos
- Graduate Program in Health Sciences, Sobral Faculty of Medicine, Federal University of Ceará, Brazil, Rua Comandante Maurocélio Rocha Ponte 100, Sobral, CEP 62.042-280, Brazil. .,Sobral Faculty of Medicine, Federal University of Ceará, Brazil, Rua Comandante Maurocélio Rocha Ponte 100, Sobral, CEP 62.042-280, Brazil. .,, Rua Tenente Amauri Pio, 380 apt. 900, Fortaleza, CE, CEP 60.160-090, Brazil.
| | - José Roberto Frota Gomes Capote Júnior
- Graduate Program in Health Sciences, Sobral Faculty of Medicine, Federal University of Ceará, Brazil, Rua Comandante Maurocélio Rocha Ponte 100, Sobral, CEP 62.042-280, Brazil
| | | | - Ticianne Pinto Ferreira
- Sobral Faculty of Medicine, Federal University of Ceará, Brazil, Rua Comandante Maurocélio Rocha Ponte 100, Sobral, CEP 62.042-280, Brazil
| | | | - Stênio da Silva Oliveira
- Sobral Faculty of Medicine, Federal University of Ceará, Brazil, Rua Comandante Maurocélio Rocha Ponte 100, Sobral, CEP 62.042-280, Brazil
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Abstract
Spirituality has been identified as an important dimension of quality-of-life. The objective of this study was to review the literature on quality-of-life and spirituality, their association, and assessment tools. A search was conducted of the keyterms 'quality-of-life' and 'spirituality' in abstract or title in the databases PsycINFO and PubMed/Medline between 1979-2005, complemented by a new search at PUBMED from 2006-2016. Quality-of-life is a new concept, which encompasses and transcends the concept of health, being composed of multiple domains: physical, psychological, environmental, among others. The missing measure in health has been defined as the individual's perception of their position in life in the context of culture and value system in which they live and in relation to their goals, expectations, standards, and concerns. There is consistent evidence of an association between quality-of-life and religiosity/spirituality (R/S), through studies with reasonable methodological rigour, using several variables to assess R/S (e.g. religious affiliation, religious coping, and prayer/spirituality). There are also several valid and reliable instruments to evaluate quality-of-life and spirituality. Further studies are needed, however, especially in Brazil. Such studies will provide empirical data to be used in planning health interventions based on spirituality, seeking a better quality-of-life. In the last 10 years, research is consistently growing about quality-of-life and spirituality in many countries, and also in many areas of health research.
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Affiliation(s)
- Raquel Gehrke Panzini
- a Department of Psychiatry, Universidade Federal do Rio Grande do Sul (UFRGS) , Porto Alegre-RS , Brazil
| | - Bruno Paz Mosqueiro
- a Department of Psychiatry, Universidade Federal do Rio Grande do Sul (UFRGS) , Porto Alegre-RS , Brazil
| | - Rogério R Zimpel
- a Department of Psychiatry, Universidade Federal do Rio Grande do Sul (UFRGS) , Porto Alegre-RS , Brazil
| | - Denise Ruschel Bandeira
- b Department of Psychology , Universidade Federal do Rio Grande do Sul (UFRGS) , Porto Alegre-RS , Brazil
| | - Neusa S Rocha
- a Department of Psychiatry, Universidade Federal do Rio Grande do Sul (UFRGS) , Porto Alegre-RS , Brazil
| | - Marcelo P Fleck
- a Department of Psychiatry, Universidade Federal do Rio Grande do Sul (UFRGS) , Porto Alegre-RS , Brazil
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Taheri-Kharameh Z, Zamanian H, Montazeri A, Asgarian A, Esbiri R. Negative Religious Coping, Positive Religious Coping, and Quality of Life Among Hemodialysis Patients. Nephrourol Mon 2016; 8:e38009. [PMID: 27896237 PMCID: PMC5120233 DOI: 10.5812/numonthly.38009] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2016] [Revised: 04/19/2016] [Accepted: 05/04/2016] [Indexed: 12/01/2022] Open
Abstract
Background Religious coping is known as a main resource influencing how individuals cope with the complications and stressors of chronic disease. Objectives The aim of this study was to assess the relationship between religious coping and quality of life among hemodialysis patients. Methods This cross-sectional study was conducted in Qom, Iran, from June 2012 to July 2013. Ninety-five end-stage renal disease (ESRD) patients undergoing hemodialysis were selected via the convenience sampling method. Data were collected via a questionnaire comprising items on sociodemographic information, quality of life, the anxiety and depression scale, and religious coping. Following this, the data were analyzed using descriptive statistics and logistic regression analysis. Results The mean age of patients was 50.4 (standard deviation [SD] = 15.7) years, and most were male (61%). The mean score for positive religious coping was 23.38 (SD = 4.17), while that for negative religious coping was 11.46 (SD = 4.34). It was found that 53.6% of patients had higher than the mean score of positive religious coping, while those with negative religious coping made up 37.9%. Negative religious coping was associated with worse quality of life, including physical functioning (odds ratio [OR] = 0.72; P = 0.009), role physical (OR = 0.79; P = 0.04), vitality (OR = 0.62; P = 0.005), social functioning (OR = 0.69; P = 0.007), and mental health (OR = 0.58; P = 0.01) after controlling for sociodemographic, clinical, and anxiety and depression variables. Conclusions The results indicated that patients with negative religious coping abilities were at risk of a suboptimal quality of life. Incorporating religious support in the care of hemodialysis patients may be helpful in improving quality of life in this patient population. Further longitudinal studies are needed to determine whether these associations are causal and the direction of effect.
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Affiliation(s)
- Zahra Taheri-Kharameh
- Students Research Center, Department of Public Health, Hamadan University of Medical Sciences, Hamadan, IR Iran
- School of Public Health, Qom University of Medical Sciences, Qom, IR Iran
| | - Hadi Zamanian
- School of Public Health, Qom University of Medical Sciences, Qom, IR Iran
- Corresponding author: Hadi Zamanian, School of Public Health, Qom University of Medical Sciences, Qom, IR Iran. E-mail:
| | - Ali Montazeri
- Mental Health Research Group, Health Metrics Research Center, Iranian Institute for Health Sciences Research, Tehran, IR Iran
| | - Azadeh Asgarian
- Izadi Hospital, Qom University of Medical Sciences, Qom, IR Iran
| | - Roya Esbiri
- School of Public Health, Tehran University of Medical Sciences, Tehran, IR Iran
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Yodchai K, Dunning T, Savage S, Hutchinson AM. The role of religion and spirituality in coping with kidney disease and haemodialysis in Thailand. Scand J Caring Sci 2016; 31:359-367. [DOI: 10.1111/scs.12355] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2015] [Accepted: 03/19/2016] [Indexed: 01/18/2023]
Affiliation(s)
- Kantaporn Yodchai
- Medical Nursing Department; Faculty of Nursing; Prince of Songkla University; Songkla Hatyai Thailand
| | - Trisha Dunning
- School of Nursing and Midwifery; Faculty of Health and Centre for Nursing and Allied Health Barwon Health; Deakin University; Geelong Victoria Australia
| | - Sally Savage
- School of Nursing and Midwifery; Centre for Nursing and Allied Health Research, Barwon Health; Deakin University; Geelong Victoria Australia
| | - Alison M. Hutchinson
- School of Nursing and Midwifery; Deakin University; Geelong Victoria Australia
- Centre for Nursing Research; Deakin University and Monash Health Partnership, Monash Health; Clayton Victoria Australia
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Unterrainer H, Lukanz M, Pilch M, Scharf S, Glawischnig‐Goschnik M, Wutte N, Fink‐Puches R, Aberer E. The influence of religious/spiritual well‐being on quality of life in dermatological disease. Br J Dermatol 2016; 174:1380-3. [DOI: 10.1111/bjd.14359] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- H.F. Unterrainer
- Department of Psychology Karl‐Franzens University Graz Graz Austria
- Department of Medical Psychology and Psychotherapy Medical University of Graz Universitätsplatz 2 8010 Graz Austria
- CIAR: Center for Integrative Addiction Research (Grüner Kreis Society) Vienna Austria
| | - M. Lukanz
- Department of Psychology Karl‐Franzens University Graz Graz Austria
| | - M. Pilch
- Department of Dermatology and Venereology Medical University of Graz Universitätsplatz 2 8010 Graz Austria
| | - S. Scharf
- Department of Dermatology and Venereology Medical University of Graz Universitätsplatz 2 8010 Graz Austria
| | - M. Glawischnig‐Goschnik
- Department of Medical Psychology and Psychotherapy Medical University of Graz Universitätsplatz 2 8010 Graz Austria
- CIAR: Center for Integrative Addiction Research (Grüner Kreis Society) Vienna Austria
| | - N. Wutte
- Department of Dermatology and Venereology Medical University of Graz Universitätsplatz 2 8010 Graz Austria
| | - R. Fink‐Puches
- Department of Dermatology and Venereology Medical University of Graz Universitätsplatz 2 8010 Graz Austria
| | - E. Aberer
- Department of Dermatology and Venereology Medical University of Graz Universitätsplatz 2 8010 Graz Austria
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Egan R, Wood S, MacLeod R, Walker R. Spirituality in Renal Supportive Care: A Thematic Review. Healthcare (Basel) 2015; 3:1174-93. [PMID: 27417819 PMCID: PMC4934638 DOI: 10.3390/healthcare3041174] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2015] [Revised: 10/27/2015] [Accepted: 11/03/2015] [Indexed: 12/21/2022] Open
Abstract
Chronic kidney disease is marked by a reduced life expectancy and a high symptom burden. For those who reach end-stage renal disease, the prognosis is poor, and this combined with the growing prevalence of the disease necessitates supportive and palliative care programmes that will address people's psychosocial, cultural and spiritual needs. While there is variation between countries, research reveals that many renal specialist nurses and doctors are reluctant to address spirituality, initiate end-of-life conversations or implement conservative treatment plans early. Yet, other studies indicate that the provision of palliative care services, which includes the spiritual dimension, can reduce symptom burden, assist patients in making advanced directives/plans and improve health-related quality of life. This review brings together the current literature related to renal supportive care and spirituality under the following sections and themes. The introduction and background sections situate spirituality in both healthcare generally and chronic kidney disease. Gaps in the provision of chronic kidney disease spiritual care are then considered, followed by a discussion of the palliative care model related to chronic kidney disease and spirituality. Chronic kidney disease spiritual needs and care approaches are discussed with reference to advanced care planning, hope, grief and relationships. A particular focus on quality of life is developed, with spirituality named as a key dimension. Finally, further challenges, such as culture, training and limitations, are explicated.
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Affiliation(s)
- Richard Egan
- Preventive and Social Medicine, Dunedin School of Medicine, University of Otago, PO Box 56, Dunedin 9054, New Zealand.
| | - Sarah Wood
- Department of Preventive & Social Medicine, Dunedin School of Medicine, University of Otago, Dunedin 9054, New Zealand.
| | - Rod MacLeod
- Hammond Care and Northern Clinical School, University of Sydney, Sydney 2065, Australia.
| | - Robert Walker
- Department of Medicine, Dunedin School of Medicine, University of Otago, Dunedin 9054, New Zealand.
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Does religious coping and spirituality have a moderating role on depression and anxiety in patients with spinal cord injury? A study from Iran. Spinal Cord 2015; 53:870-4. [PMID: 26123206 DOI: 10.1038/sc.2015.102] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2015] [Revised: 05/04/2015] [Accepted: 05/12/2015] [Indexed: 11/08/2022]
Abstract
OBJECTIVES We evaluate the level of anxiety and depression among patients with spinal cord injury (SCI) in relation with their religious coping and spiritual health. SETTING Brain and Spinal Cord Injury Repair Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran. METHODS A sample of patients with SCI participated in this cross-sectional study. They completed a sociodemographic questionnaire, the Hospital Anxiety and Depression Scale, the Brief Religious Coping Questionnaire and the Spiritual Well-being Scale. Then, the association between anxiety, depression and independent variables was examined. RESULTS In all, 213 patients with SCI were studied. Of these, 64 (30%) have had anxiety and 32 (15%) have had depression. Multiple logistic regression analyses revealed that gender (odds ratio (OR) for female=3.34, 95% confidence interval (CI)=1.31-8.51, P=0.011), employment (OR for unemployed=5.71, 95% CI=1.17-27.78, P=0.031), negative religious coping (OR=1.15, 95% CI=1.04-1.28, P=0.006) and existential spiritual well-being (OR=0.93, 95% CI=0.89-0.97, P=0.003) were significant contributing factors to anxiety (Table 3), whereas negative religious coping (OR=1.21, 95% CI=1.06-1.37, P=0.004) and existential spiritual well-being (OR=0.90, 95% CI=0.84-0.96, P=0.001) were significant contributing factors to depression. CONCLUSION The findings indicated that depression and anxiety are two psychologically important side effects after SCI. The findings also indicated that religion and spiritual well-being have a moderating role on occurrence of depression and anxiety.
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Zamanian H, Taheri Kharameh Z. Translation and psychometric properties of the persian version of the dialysis symptom index in hemodialysis patients. Nephrourol Mon 2014; 7:e23152. [PMID: 25738123 PMCID: PMC4330695 DOI: 10.5812/numonthly.23152] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2014] [Revised: 10/03/2014] [Accepted: 10/26/2014] [Indexed: 12/18/2022] Open
Abstract
Background: Hemodialysis patients have a high physical and psychosocial symptom burden. There is no valid and reliable tool for assessing symptoms of hemodialysis patients in Iran. Objectives: The aim of this study was to determine psychometric properties of the Persian version of the dialysis symptom index (DSI). Patients and Methods: The forward-backward procedure was applied to translate the DSI from English into Persian (Iranian language). The scale (Persian Version) was tested with a convenience sample of 95 patients with end-stage renal disease referred to main hemodialysis centers from December 2012 to June 2013. Validity was assessed using content, face and convergent validity. To test reliability, the kappa values were calculated for test-retest stability and the Cronbach alpha coefficients were also calculated for internal consistency. Results: The mean age of patients was 50.4 (SD = 15.72) years and % 61.1 of patients were male. The most commonly reported symptoms were fatigue, being irritable and nervous. Divergent validity was mostly supported by the pattern of association between DSI and SF-36 (r = -0.18– -0.48, P< 0.05). Cronbach’s alpha of the DSI was 0.90 and the weighted kappa ranged from 0.21 to 0.93, and it was greater than 0.4 for 25 of the 30 items. Conclusions: The Iranian version of the DSI had good psychometric properties and can be used to assess symptoms of hemodialysis patients.
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Affiliation(s)
- Hadi Zamanian
- Department of Health Education and Promotion, School of public health, Tehran University of Medical Sciences, Tehran, IR Iran
| | - Zahra Taheri Kharameh
- School of Paramedical Sciences, Qom University of Medical Sciences, Qom, IR Iran
- Corresponding author: Zahra Taheri Kharameh, School of Paramedical Sciences, Qom University of Medical Sciences, Qom, IR Iran. Tel: +98-9354024468, E-mail:
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