A Comparative Study of Life-Closing Spirituality in Home Hospice Patients

Abstract

This secondary analysis compared two groups of home hospice patients (expressed spirituality, N = 44, and nonexpressed spirituality, N = 53) on psychological well-being and adaptation, social support, physical function, pain, and demographic variables. Independent-samples t tests found no significant differences at p < .05 for age, psychological well-being and adaptation, social support, and physical function. Three components of the McGill-Melzack Pain Questionnaire were significantly higher for the nonexpressed spirituality group: Affective Dimension, Pain Rating Index, and Number of Words Chosen. A comparative analysis of two groups of home hospice patients supported higher pain reports as significant indicators of nonexpressed spirituality in a home hospice population.

The interrelations between spiritual well-being, pain interference and depressive symptoms in patients with multiple sclerosis

“…In yet another relatively unexplored area of research, preliminary findings suggest that, health stressors such as pain, chronic illness and terminal illness can challenge (e.g., questioning suffering; doubting God's existence) and/or distract from (e.g., discomfort; inability to participate) expression of religious and spiritual beliefs, or engagement in spiritual activities (Dobratz, 2005; de Villiers et al, 2015). In a reciprocal manner, patients with MS who experience pain-related disruptions to daily activities may experience depression as a result of reduced ability to engage in spiritual or personally-meaningful pursuits and, as well, the pain-related depressive symptoms experienced by these individuals may reduce efficacy and motivation to fulfill spiritual needs.…”

“…In general, spiritual well-being is related to less perceived illness uncertainty and psychological distress (McNulty et al, 2004), as well as better coping and psychosocial adjustment (Irvine et al, 2009; McNulty et al, 2004), in patients with MS. However, previous research also indicates that pain is deleteriously associated with engagement in spiritual pursuits (i.e., negative effect of pain on ability to complete social routines; distraction) and is linked to depression risk (e.g., resulting from discomfort, isolation) (de Villiers et al, 2015; Dobratz, 2005). As well, depression is often linked to greater levels of pain (e.g., via catastrophizing, comorbid somatic symptoms) and less motivation or ability to engage in spiritual pursuits (Williams et al, 2003; Haythornthwaite et al, 1991).…”

Spiritual wellness among aggressive adolescents: Efficacy of Raga Bhairavi.

“…Spirituality is a multidimensional construct that manifests itself in an individual’s behavior. It addresses the connection between the inner self and the outer world of an individual (Dobratz, 2005). In the same way, the Wheel of Wellness Model (Myers, Sweeney, & Witmer, 2001; Witmer & Sweeney, 1992), which is based on Adlerian theory, advocates that a sense of self-direction or the feeling of control over oneself and environment is necessary to perform well in different spheres of life.…”

Aplikacija adaptacijskega modela Calliste Roy pri pacientu z rakom in s kronično bolečino

“…Medicinska sestra izpelje intervencije z namenom obvladovanja dražljajev za spodbujanje prilagajanja (Marriner-Tomey & Raile Alligood, 2006). Bolj ko se posameznik zaveda svojega stanja, zna prepoznati in obvladati bolečino ter je duhovno pomirjen, tem lažje sprejema diagnozo rak in življenje z bolečino (Dobratz, 2005). Skjutar in Müllersdorf (2010) v raziskavi ugotavljata potrebo po intervencijah na področju skrbi za socialne odnose, uživanju življenja in spodbujanju pacientov, da sami razvijejo načine za motivacijo.…”