BACKGROUND AND OBJECTIVES:The relationship between spirituality and cancer coping is still a challenge for comprehensive health care. Therefore, it is necessary to analyze whether the level of spirituality directly interferes with clinical markers, such as pain intensity in people with cancer. The present study aims to investigate the relationship between spirituality and pain coping and the strategies used in adult cancer patients. CONTENTS: This is a systematic review, registered in the International Prospective Register of Systematic Reviews: CRD42018108835. The search was performed in Pubmed, Medline, LILACS, Scielo, and ScienceDirect databases until May 2019, available in all languages. The search strategy was defined for the PubMed database as a parameter: (neoplasms or cancer) AND (spirituality) AND (pain). Adults patients with cancer of both genders who faced pain were studied. Studies that did not address the pain associated with spirituality were excluded. Of the 588 studies found, 13 were eligible. Among these, nine studies showed that spirituality contributes to positive pain coping. Regarding the level of spirituality, higher spiritual well-being was associated with lower pain intensity in three studies. The spiritual strategies used were mindfulness, meditation, relaxation, prayer, support from religious leaders and members.

Life quality of patients with inflammatory bowel disease: integrative review Qualidade de vida de pacientes com doença inflamatória intestinal: revisão integrativa Calidad de vida de pacientes con enfermedad inflamatoria intestinal: revisión integrativa

Introduction:Obesity in the pediatric population is defined as body mass index above the 97th percentile of the body mass index/Center for Disease Control and Prevention and is considered an important problem in public health with severe short-and long-term consequences for individuals, their families, and society. The aim of this study is to evaluate the effectiveness of interdisciplinary care in modifying anthropometric clinical parameters, psychosocial profile and eating behavior in a group of children and adolescents with obesity. Materials and Methods:This is a clinical study involving 200 children and adolescents with obesity who are participants of the Preventive Medicine Service program, and the Center for Medical Specialties of Children and Adolescents both in Aracaju, Sergipe, Brazil. Results and Discussion: At the end of the interdisciplinary intervention, there was a decrease in the number of hours devoted to electronic games and television and an increase in physical activity, which was associated with a reduction in reports of dissatisfaction and symptoms of depression. In addition, the sadness and prejudice related to obesity suffered at school and in the family environment were also attenuated, despite the percentage increase in the anxiety indicator. Regarding the anthropometric measurement, there was a reduction in body mass index, waist circumference, in caloric consumption. It is concluded that interdisciplinary programs are an effective strategy to reduce the negative repercussions of obesity in the daily lives of obese children and adolescents, as there were improvements in anthropometric parameters, in addition to psychosocial and dietary aspects.

Objetivo: Identificar se os pacientes com câncer utilizam a prática espiritual no enfrentamento da dor física causada pelo câncer e quais são as estratégias espirituais utilizadas. Método: Trata-se de estudo transversal e descritivo, realizado em um hospital de referência em tratamento quimioterápico e uma casa de apoio a pessoas com câncer, localizados no sul da Bahia, entre agosto e setembro de 2019. Para a coleta foi utilizado um questionário com variáveis sociodemográficas e perguntas acerca da espiritualidade. Resultados: A maioria das pessoas realizavam estratégias espirituais: oração, leitura da bíblia, ir à missa/culto, hinos de louvor, acender velas, rezar o terço, meditação e ter fé nos médicos e em Deus. Conclusão: O uso da prática espiritual é uma estratégia utilizada pelas pessoas com câncer que participaram do estudo para o alívio da dor física causada pela doença, e que tal estratégia reduz a dor.

Life quality of patients with inflammatory bowel disease: integrative review Qualidade de vida de pacientes com doença inflamatória intestinal: revisão integrativa Calidad de vida de pacientes con enfermedad inflamatoria intestinal: revisión integrativa