Association between Spirituality and Adherence to Management in Outpatients with Heart Failure

Alvarez, J.; Goldraich, Lívia Adams; Nunes, Ane Cláudia Fernandes; Zandavalli, Mônica Cristina Brugalli; Zandavalli, Rafaela Brugalli; Belli, Karlyse Claudino; Rocha, Neusa Sica da; Fleck, Marcelo Pio de Almeida; Clausell, Nadine Oliveira

doi:10.5935/abc.20160076

Cited by 38 publications

(71 citation statements)

References 37 publications

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“…There are studies that suggest the positive influence of spiritual beliefs on health beliefs; those with greater spirituality tend to have greater self-care, deal with illness better, and seek health care more; attributing better health to spiritual strength. [26][27] It is noteworthy that identifying the indicative depression scores helps in the prevention of disease and enables the creation of strategies to care for the symptoms. The increase in the indicative depression score proportionally decreased the QoL scores measured by WHOQOL-BREF in studies with adults and the elderly in China.…”

Section: Discussionmentioning

confidence: 99%

Religiousity, Spirituality and Quality of Life of Elderly According to Structural Equation Modeling

Molina

Tavares

Haas

et al. 2020

Texto contexto - enferm.

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HOW CITED: Molina NPFM, Tavares DMS, Haas VJ, Rodrigues LR. Religiousity, spirituality and quality of life of elderly according to structural equation modeling. Texto Contexto Enferm [Internet]. 2020 [cited YEAR MONTH DAY]; 29: e20180468. Available from: http://dx.ABSTRACT Objective: to analyze the relationship of sociodemographic predictors, morbidities, depression indicative score, as well as the mediating role of religiosity, spirituality and personal beliefs about quality of life. Method: cross-sectional study conducted between March and July 2016, with 613 elderly, applying the instruments; Spirituality, Religiousness and Personal Beliefs of World Health Organization Quality of Life questionnaire, Brief version of World Health Organization Quality of Life questionnaire and World Health Organization Quality of Life Assessment for Older Adults.In the data analysis, through Statistical Package for Social Sciences, absolute and relative frequency, measures of central tendency and variability and modeling with structural equations involving exogenous and endogenous latent constructs were used to highlight the mediating role of religiosity, spirituality and beliefs between the indicative of depression and quality of life (p≤0.005). Results: females, 60┤70 years old, married, with 4├7 years of schooling, income of one minimum wage, 6.16±3.70 morbidities and average of 3.84±3.01 for the indicative depression score prevailed. The highest score was for the connection with spiritual being or strength facet, Social Relations domain and Intimacy; Totality and integration facet, the Environment domain and the Death and dying facet had the lowest scores. There was a mediating function of religiosity, spirituality and personal beliefs, between the indicative depression score and the quality of life. Conclusion: it is necessary to invest in the practice of religiosity, spirituality and personal beliefs, as a health strategy, since they have shown an impact on the decrease of depression and a significant increase in quality of life.Objetivo: analisar a relação de preditores sociodemográficos, morbidades, escore do indicativo de depressão, bem como o papel mediador da religiosidade, espiritualidade e crenças pessoais sobre a qualidade de vida. Método: estudo transversal realizado, entre março a julho de 2016, com 613 idosos, aplicando-se instrumentos Spirituality, Religiousness and Personal Beliefs of World Health Organization Quality of Life questionnaire, Brief version of World Health Organization Quality of Life questionnaire e World Health Organization Quality of Life Assessment for Older Adults. Na análise de dados, por meio do Statiscal Package for Social Sciences, utilizou-se frequência absolutas e relativas, medidas de tendência central e variabilidade e a modelagem com equações estruturais, envolvendo construtos latentes exógenos e endógenos para evidenciar o papel mediador da religiosidade, espiritualidade e crenças entre o indicativo de depressão e a qualidade de vida (p≤0,005). Resultados: prevaleceu o sexo femini...

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Section: Discussionmentioning

confidence: 99%

Religiousity, Spirituality and Quality of Life of Elderly According to Structural Equation Modeling

Molina

Tavares

Haas

et al. 2020

Texto contexto - enferm.

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“…Participants were included if they (a) were ≥18 years of age, (b) were diagnosed with COPD on the basis of lung function testing (postbronchodilator forced expiratory volume in the first second [FEV1]/forced volume capacity [FVC] <70%), (c) used airway medications for at least one year, (d) had no psychiatric diagnosis and communication problems, and (e) had volunteered to participate in the study. The minimum sample size was calculated using the G Power 3.0 program, based on medium effect size (0.3) with a power of 0.96 and an alpha level of 0.05, and the minimum sample size was determined as 112 COPD patients (Alvarez et al, 2016).…”

Section: Methodsmentioning

confidence: 99%

“…The relationship between spirituality and medication adherence has been investigated in chronic conditions such as chronic heart failure, hypertension, human immunodeficiency virus infection and asthma (Ahmedani, Peterson, Wells, Rand, & Williams, 2013; Alvarez et al, 2016; Dalmida et al, 2017; Kretchy et al, 2013). Studies examining the effects of spirituality in patients with COPD mostly focused on health‐related quality of life and suggested that patients with better spiritual well‐being can manage symptoms properly and have a higher quality of life (Duarte, Lucchetti, Teixeira, & Rigatto, 2018; Hasegawa et al, 2017; Silva, Kimura, Stelmach, & Santos, 2009).…”

Section: Introductionmentioning

confidence: 99%

Relationship between symptom burden, medication adherence and spiritual well‐being in patients with chronic obstructive pulmonary disease

Helvaci

İzgü

Özdemir

2020

Journal of Clinical Nursing

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Aims and objectives To investigate the relationship between symptom burden, medication adherence and spiritual well‐being in patients with chronic obstructive pulmonary disease (COPD). Background The relationship between spirituality and medication adherence has been investigated in different chronic conditions. However, the relationship between symptom burden, medication adherence and spiritual well‐being in patients with COPD has not been explored. Design A descriptive correlational study design was adopted. Methods A total of 112 patients with COPD were included in the study. Data were collected using the COPD Assessment Test (CAT), the Adherence to Refills and Medications Scale‐7 (ARMS‐7) and the Functional Assessment of Chronic Illness Therapy‐Spiritual Well‐Being Scale (FACIT‐Sp). The data were analysed using descriptive and correlational statistics. The Strengthening the Reporting of Observational studies in Epidemiology (STROBE) Checklist was used. Results The CAT score was significantly higher in patients on long‐term oxygen therapy and those who had more than three comorbid conditions (p < .05). The mean score of ARMS‐7 was significantly associated with age (p < .05). Current smokers had higher ARMS‐7 and lower FACIT‐Sp scores (p < .001). The FACIT‐Sp score was negatively and moderately associated with the CAT and ARMS‐7 scores (p < .001). Conclusion This study concluded that individuals with higher spiritual well‐being had lower symptom burden and higher medication adherence. The need for long‐term oxygen therapy and a high number of comorbid conditions were associated with increased symptom burden. Current smokers had lower spiritual well‐being and medication adherence. Relevance to clinical practice Spiritual well‐being should be evaluated when assessing symptom burden and medication adherence in clinical practice. In addition, further studies examining the causal relationship between symptom burden, spiritual well‐being and medication adherence in different populations are warranted.

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“…Psychological symptoms may have an impact on adherence to treatment in heart failure, as demonstrated in recent studies. 13 …”

Section: Introductionmentioning

confidence: 99%

The Relationship Between Psychological Symptoms and Ventricular Assist Device Implantation

Weerahandi

Goldstein

Gelfman

et al. 2017

Journal of Pain and Symptom Management

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Context Ventricular assist devices (VADs) improve quality of life in advanced heart failure (HF) patients, but there are little data exploring psychological symptoms in this population. Objective This study examined the prevalence of psychiatric symptoms and disease over time in VAD patients. Methods This prospective multicenter cohort study enrolled patients immediately before or after VAD implant and followed them up to forty-eight weeks. Depression and anxiety were assessed with PROMIS SF8a questionnaires. The panic disorder, acute stress disorder (ASD) and post-traumatic stress disorder (PTSD) modules of the Structured Clinical Interview for the DSM were used. Results Eighty-seven patients were enrolled. Post-implant, depression and anxiety scores decreased significantly over time (p=0.03 and p<0.001 respectively). Two patients met criteria for panic disorder early after implantation but symptoms resolved over time. None met criteria for ASD or PTSD. Conclusions Our study suggests VADs do not cause serious psychological harms and may have a positive impact on depression and anxiety. Furthermore, VADs did not induce PTSD, panic disorder or ASD in this cohort.

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Association between Spirituality and Adherence to Management in Outpatients with Heart Failure

Cited by 38 publications

References 37 publications

Religiousity, Spirituality and Quality of Life of Elderly According to Structural Equation Modeling

Religiousity, Spirituality and Quality of Life of Elderly According to Structural Equation Modeling

Relationship between symptom burden, medication adherence and spiritual well‐being in patients with chronic obstructive pulmonary disease

The Relationship Between Psychological Symptoms and Ventricular Assist Device Implantation

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