Spiritual coping in rehabilitation– a comparative study: part 1

Abstract

Chronic illness is defined as a long-term disease that challenges a person's physical, psychological and spiritual wellbeing. However, individuals may adapt to their condition by adopting spiritual coping strategies that may or may not include religiosity. Part 1 of this article presents the methodology of this cross-sectional comparative study, which explored the spiritual coping of patients with chronic illness receiving rehabilitation services in Malta (n=44: lower limb amputation n=10; chronic heart disease n=9; osteoarthritis-in an institution n=10 and in the community n=15); and in Norway (n=16: post-hip/shoulder surgery n=5; chronic heart disease n=5; chronic pain n=6). Data were collected from seven purposive samples during focus group sessions. Roy's Adaptation Model (1984) and Neuman's Systems Model (2010) guided the study. While acknowledging the limitations of this study, the findings presented in Part 2 identify commonalities in the spiritual coping of patients irrespective of cultural differences between Malta and Norway. A set of recommendations address clinical practice, education and further research.

Spiritual Care Education of Health Care Professionals

“…Thus, the author tried to give the opportunity to patients with acute and chronic illness and healthcare professionals, consisting of hospital/community chaplains and qualified nurses working in medical and surgical wards, to participate in various research studies. While giving voice to patients and health care professionals, they contributed additional knowledge on the importance of spirituality and culture in care [55,56].…”

Characterizing mobility from the prosthetic limb user’s perspective

“…Focus groups of people with limb loss have been used recently to examine the benefits of prosthetic prescription, 5 revise a satisfaction questionnaire, 16 and study the effects of back 17 and phantom limb 18 pain after amputation. People with limb loss have also been included in focus groups with nonamputees to study psychosocial adjustment and coping strategies across a range of medical conditions 19–21 and to discuss the prosthetic needs of veterans. 22 However, application of focus groups to the formal development of outcome instruments specific to people with limb loss remains uncommon.…”

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

“…Prilagoditev se zgodi, ko se posameznik pozitivno odzove na okoljske spremembe. Ta prilagoditveni odziv spodbuja integriteto posameznika, ki vodi do zdravja v okviru kontinuuma zdravje -bolezen (Baldacchino, et al, 2013). Neučinkoviti odzivi na dražljaje predstavljajo oviro v integriteti posameznika (Roy, 1970(Roy, , 1971.…”

“…Za uspešno spoprijemanje s kronično boleznijo, posamezniki poskušajo doseči ravnovesje med okoljskimi dejavniki in bio-psiho-socialnimi dejavniki ter duhovno dimenzijo. Če tega ravnotežja ni mogoče doseči in ohraniti, se posameznik ni sposoben spopasti s situacijo in se pokaže primanjkljaj v prilagajanju (Roy, 2002;Baldacchino, et al, 2013). Avtorji (Weinert, et al, 2008) navajajo, da posameznik s kronično boleznijo, ki se je sposoben prilagoditi trenutnemu zdravstvenemu stanju, lažje obvladuje situacijo in ima bolj kakovostno življenja.…”