Ana Cláudia Mesquita

The use of religious/spiritual coping among patients with cancer undergoing chemotherapy treatment

OBJECTIVE to investigate the use of religious/spiritual coping among people with cancer undergoing chemotherapy. METHODS a quantitative, descriptive and cross-sectional study of 101 patients undergoing intravenous chemotherapy in an oncology outpatients center in a public hospital in Minas Gerais, made in the first semester of 2011. For data collection, an interview was held, using a questionnaire for characterizing the sample and the Brief Spiritual/Religious Coping Scale. RESULTS all subjects made use of religious/spiritual coping (mean=3.67; sd=0.37); the younger individuals, those with no religion and those who consider spiritual support unimportant tend to use coping negatively; individuals who would like to receive spiritual support and who participate in support groups for cancer patients, on the other hand, use coping positively. CONCLUSIONS the study reinforces that religious/spiritual coping is an important strategy for coping with cancer, and contributes to an understanding of the same as a useful tool for spiritual care.OBJETIVO: Investigar o uso do enfrentamento religioso/espiritual por pessoas, com câncer, em quimioterapia. METODOS: trata-se de estudo quantitativo, descritivo e transversal, com 101 pacientes em quimioterapia endovenosa, em ambulatorio de oncologia de hospital publico de Minas Gerais, realizado no primeiro semestre de 2011. Para coleta de dados utilizou-se entrevista empregando-se questionario para caracterizacao da amostra e Escala de Coping Religioso/Espiritual Abreviada. RESULTADOS: todos os sujeitos fizeram uso do coping religioso/espiritual (media=3,67; dp=0,37); houve tendencia para utilizar o coping de forma negativa os individuos mais jovens, sem religiao e que nao consideravam importante o apoio espiritual; ja os individuos que gostariam de receber apoio espiritual e que participavam de grupo de apoio ao paciente com câncer utilizavam o coping de forma positiva. CONCLUSOES: o estudo reforca que o coping religioso/espiritual e importante estrategia de enfrentamento do câncer e contribui para a compreensao do mesmo como ferramenta util para o cuidado espiritual.

Quality of life, depressive symptoms and religiosity in elderly adults: a cross-sectional study

Quality of life and depression are relevant to the health of the elderly. Studies indicate a positive association between religiosity and health. This study investigated quality of life, depressive symptoms and their relationship with religiosity in the elderly. The study included 287 older people from a unit of the Family Health Strategy. Data were collected by means of the instruments: John Flanagans Quality of Life Scale, the short Geriatric Depression Scale and the Duke University Religion Index. The elderly showed high levels of religiosity, which, according to Pearsons product-moment correlation coefficient, was positively associated with quality of life (p<0.004), but not related to depressive symptoms. Results indicated a high degree of satisfaction among the elderly subjects with their quality of life, whereas 83% showed mild depression. In conclusion, religiosity is related to improvement in quality of life in the elderly. DESCRIPTORS: Nursing. Aging. Quality of life. Depression. Religion.Qualidade de vida e depressao sao relevantes na saude do idoso. Estudos indicam uma associacao positiva entre religiosidade e saude. Este estudo investigou a qualidade de vida, os sintomas depressivos e a relacao destes com a religiosidade em idosos. Participaram do estudo 287 idosos de uma unidade da Estrategia Saude da Familia. Na coleta de dados, utilizaram-se os instrumentos: Escala de Qualidade de Vida de Flanagan, Escala de Depressao Geriatrica Abreviada e Escala de Religiosidade de Duke. Os idosos apresentaram elevado indice de religiosidade, o que, de acordo com o Coeficiente de Correlacao de Pearson, se associou de forma positiva a qualidade de vida (p<0,004), mas nao teve relacao com os sintomas depressivos. Os resultados indicaram alto grau de satisfacao em relacao a qualidade de vida, embora 83% dos idosos tenham apresentado depressao leve. Conclui-se que a religiosidade esta relacionada a melhores indices de qualidade de vida em idosos.

Qualidade de vida, sintomas depressivos e religiosidade em idosos: um estudo transversal

Quality of life and depression are relevant to the health of the elderly. Studies indicate a positive association between religiosity and health. This study investigated quality of life, depressive symptoms and their relationship with religiosity in the elderly. The study included 287 older people from a unit of the Family Health Strategy. Data were collected by means of the instruments: John Flanagans Quality of Life Scale, the short Geriatric Depression Scale and the Duke University Religion Index. The elderly showed high levels of religiosity, which, according to Pearsons product-moment correlation coefficient, was positively associated with quality of life (p<0.004), but not related to depressive symptoms. Results indicated a high degree of satisfaction among the elderly subjects with their quality of life, whereas 83% showed mild depression. In conclusion, religiosity is related to improvement in quality of life in the elderly. DESCRIPTORS: Nursing. Aging. Quality of life. Depression. Religion.Qualidade de vida e depressao sao relevantes na saude do idoso. Estudos indicam uma associacao positiva entre religiosidade e saude. Este estudo investigou a qualidade de vida, os sintomas depressivos e a relacao destes com a religiosidade em idosos. Participaram do estudo 287 idosos de uma unidade da Estrategia Saude da Familia. Na coleta de dados, utilizaram-se os instrumentos: Escala de Qualidade de Vida de Flanagan, Escala de Depressao Geriatrica Abreviada e Escala de Religiosidade de Duke. Os idosos apresentaram elevado indice de religiosidade, o que, de acordo com o Coeficiente de Correlacao de Pearson, se associou de forma positiva a qualidade de vida (p<0,004), mas nao teve relacao com os sintomas depressivos. Os resultados indicaram alto grau de satisfacao em relacao a qualidade de vida, embora 83% dos idosos tenham apresentado depressao leve. Conclui-se que a religiosidade esta relacionada a melhores indices de qualidade de vida em idosos.

Therapeutic Listening as a health intervention strategy: an integrative review

Objetivo Investigar y evaluar las evidencias disponibles en la literatura respecto del empleo de la Escucha Terapeutica como estrategia de intervencion en salud. Metodo Revision integradora, llevada a cabo en las bases de datos PubMed, CINAHL, The Cochrane Library, EMBASE, LILACS y APA PsycNET, sin restricciones de ano o tipo de estudio. Los descriptores fueron combinados de distintas maneras para asegurar la busqueda amplia de estudios primarios. Resultados Entre las 15 publicaciones sobre Escucha Terapeutica, el 33% abordo el efecto de los entrenamientos relacionados con las habilidades de escucha, el 27% estudio la efectividad de la escucha como intervencion, el 20% exploro las experiencias de los sujetos en cuanto a las vivencias relacionadas con la escucha y el 20% abordo los aspectos diversos de la escucha. Conclusion La mayor parte de los estudios tiene nivel de evidencia de fuerte a moderado y, a pesar de abordar los distintos aspectos relacionados con la Escucha Terapeutica, presentan en comun el reconocimiento de la necesidad de habilidades, por parte del profesional de salud, para el desarrollo de un proceso de escucha eficaz.OBJECTIVE To investigate and evaluate the available evidence in the literature regarding the use of Therapeutic Listening as a health intervention strategy. METHOD Integrative review conducted on the following databases PubMed, CINAHL, The Cochrane Library, EMBASE, LILACS and APA PsycNET without restrictions of year or type of study. The keywords were combined in different ways to ensure extensive search of primary studies. RESULTS Among the 15 studies on Therapeutic Listening, 33% addressed the effect of training on listening skills, 27% focused on the efficacy of listening as an intervention, 20% explored the experiences lived by the subjects regarding listening and 20% discussed various aspects of listening. CONCLUSION Most studies have strong to moderate level of evidence, although addressing different aspects related to Therapeutic Listening, they have in common the need for recognition of skills on the part of health professionals, to develop an effective process of listening.


Anxiety and Spiritual Well-Being in Nursing Students: A Cross-Sectional Study:

Purpose: To analyze the relation between anxiety and spiritual well-being in undergraduate nursing students. Design: Cross sectional, correlational, and survey design. Method: A total of 169 students from a Brazilian Nursing School completed three instruments: demographic data, Spiritual Well-Being Scale (SWBS), and Beck Anxiety Inventory (BAI). Findings: The mean score of SWBS was high, and the mean score of BAI was low. When experiencing anxiety, there was lower probability of experiencing high spiritual well-being. For those students considering religiosity very important, the score of SWBS was high. Students scoring lower in SWBS had more probability of experiencing moderate/high anxiety. Conclusions: Higher scores of SWBS and importance given to religiosity were related to lower scores of BAI. Also, the performance and score of spiritual well-being were related to anxiety scores. Further research is worthy to identify and validate which educational aspects could promote spiritual well-being and reduce anxiety as well as research to analyze the relation between spiritual well-being score and learning outcomes.

La utilización del enfrentamiento religioso/espiritual por pacientes con cáncer en tratamiento quimioterápico

OBJECTIVE to investigate the use of religious/spiritual coping among people with cancer undergoing chemotherapy. METHODS a quantitative, descriptive and cross-sectional study of 101 patients undergoing intravenous chemotherapy in an oncology outpatients center in a public hospital in Minas Gerais, made in the first semester of 2011. For data collection, an interview was held, using a questionnaire for characterizing the sample and the Brief Spiritual/Religious Coping Scale. RESULTS all subjects made use of religious/spiritual coping (mean=3.67; sd=0.37); the younger individuals, those with no religion and those who consider spiritual support unimportant tend to use coping negatively; individuals who would like to receive spiritual support and who participate in support groups for cancer patients, on the other hand, use coping positively. CONCLUSIONS the study reinforces that religious/spiritual coping is an important strategy for coping with cancer, and contributes to an understanding of the same as a useful tool for spiritual care.OBJETIVO: Investigar o uso do enfrentamento religioso/espiritual por pessoas, com câncer, em quimioterapia. METODOS: trata-se de estudo quantitativo, descritivo e transversal, com 101 pacientes em quimioterapia endovenosa, em ambulatorio de oncologia de hospital publico de Minas Gerais, realizado no primeiro semestre de 2011. Para coleta de dados utilizou-se entrevista empregando-se questionario para caracterizacao da amostra e Escala de Coping Religioso/Espiritual Abreviada. RESULTADOS: todos os sujeitos fizeram uso do coping religioso/espiritual (media=3,67; dp=0,37); houve tendencia para utilizar o coping de forma negativa os individuos mais jovens, sem religiao e que nao consideravam importante o apoio espiritual; ja os individuos que gostariam de receber apoio espiritual e que participavam de grupo de apoio ao paciente com câncer utilizavam o coping de forma positiva. CONCLUSOES: o estudo reforca que o coping religioso/espiritual e importante estrategia de enfrentamento do câncer e contribui para a compreensao do mesmo como ferramenta util para o cuidado espiritual.

An Analytical Overview of Spirituality in NANDA-I Taxonomies: An Analytical Overview of Spirituality in NANDA-I Taxonomies

OBJECTIVE To discuss the approach of spirituality in NANDA-I taxonomies, based on the elements that characterize this phenomenon. METHODS This study was based on concepts that are usually adopted in the literature for defining spirituality and on the analysis of the NANDA-I taxonomies from I to III. FINDINGS Spirituality is included in all taxonomies but all three are missing some attributes to guarantee the completeness of this dimension for nursing diagnosis. CONCLUSIONS Taxonomy III makes different approaches to spirituality and some inconsistencies. IMPLICATIONS FOR NURSING Contribute to the development and review of the new proposal for taxonomy. OBJETIVO Discutir a abordagem à espiritualidade nas taxonomias da NANDA-I, baseada nos elementos que caracterizam este fenômeno. MÉTODOS: Este estudo foi baseado em conceitos usualmente adotados na literatura de enfermagem para definir espiritualidade e na análise das taxonomias da NANDA-I, desde a I à III. RESULTADOS A espiritualidade está incluída nas taxonomias, porém estas carecem de atributos do seu conceito. CONCLUSÕES: A taxonomia III faz diferentes abordagens à espiritualidade, porém com algumas inconsistências identificadas. IMPLICAÇÕES PARA A ENFERMAGEM: Esta análise pode contribuir para o desenvolvimento e revisão da taxonomia III.

Calidad de vida, síntomas depresivos y religiosidad en los adultos mayores: un estudio transversal

Quality of life and depression are relevant to the health of the elderly. Studies indicate a positive association between religiosity and health. This study investigated quality of life, depressive symptoms and their relationship with religiosity in the elderly. The study included 287 older people from a unit of the Family Health Strategy. Data were collected by means of the instruments: John Flanagans Quality of Life Scale, the short Geriatric Depression Scale and the Duke University Religion Index. The elderly showed high levels of religiosity, which, according to Pearsons product-moment correlation coefficient, was positively associated with quality of life (p<0.004), but not related to depressive symptoms. Results indicated a high degree of satisfaction among the elderly subjects with their quality of life, whereas 83% showed mild depression. In conclusion, religiosity is related to improvement in quality of life in the elderly. DESCRIPTORS: Nursing. Aging. Quality of life. Depression. Religion.Qualidade de vida e depressao sao relevantes na saude do idoso. Estudos indicam uma associacao positiva entre religiosidade e saude. Este estudo investigou a qualidade de vida, os sintomas depressivos e a relacao destes com a religiosidade em idosos. Participaram do estudo 287 idosos de uma unidade da Estrategia Saude da Familia. Na coleta de dados, utilizaram-se os instrumentos: Escala de Qualidade de Vida de Flanagan, Escala de Depressao Geriatrica Abreviada e Escala de Religiosidade de Duke. Os idosos apresentaram elevado indice de religiosidade, o que, de acordo com o Coeficiente de Correlacao de Pearson, se associou de forma positiva a qualidade de vida (p<0,004), mas nao teve relacao com os sintomas depressivos. Os resultados indicaram alto grau de satisfacao em relacao a qualidade de vida, embora 83% dos idosos tenham apresentado depressao leve. Conclui-se que a religiosidade esta relacionada a melhores indices de qualidade de vida em idosos.

A escuta terapêutica como estratégia de intervenção em saúde: uma revisão integrativa la escucha terapéutica como estrategia de intervención en salud: una revisión integradora

Objetivo Investigar y evaluar las evidencias disponibles en la literatura respecto del empleo de la Escucha Terapeutica como estrategia de intervencion en salud. Metodo Revision integradora, llevada a cabo en las bases de datos PubMed, CINAHL, The Cochrane Library, EMBASE, LILACS y APA PsycNET, sin restricciones de ano o tipo de estudio. Los descriptores fueron combinados de distintas maneras para asegurar la busqueda amplia de estudios primarios. Resultados Entre las 15 publicaciones sobre Escucha Terapeutica, el 33% abordo el efecto de los entrenamientos relacionados con las habilidades de escucha, el 27% estudio la efectividad de la escucha como intervencion, el 20% exploro las experiencias de los sujetos en cuanto a las vivencias relacionadas con la escucha y el 20% abordo los aspectos diversos de la escucha. Conclusion La mayor parte de los estudios tiene nivel de evidencia de fuerte a moderado y, a pesar de abordar los distintos aspectos relacionados con la Escucha Terapeutica, presentan en comun el reconocimiento de la necesidad de habilidades, por parte del profesional de salud, para el desarrollo de un proceso de escucha eficaz.OBJECTIVE To investigate and evaluate the available evidence in the literature regarding the use of Therapeutic Listening as a health intervention strategy. METHOD Integrative review conducted on the following databases PubMed, CINAHL, The Cochrane Library, EMBASE, LILACS and APA PsycNET without restrictions of year or type of study. The keywords were combined in different ways to ensure extensive search of primary studies. RESULTS Among the 15 studies on Therapeutic Listening, 33% addressed the effect of training on listening skills, 27% focused on the efficacy of listening as an intervention, 20% explored the experiences lived by the subjects regarding listening and 20% discussed various aspects of listening. CONCLUSION Most studies have strong to moderate level of evidence, although addressing different aspects related to Therapeutic Listening, they have in common the need for recognition of skills on the part of health professionals, to develop an effective process of listening.


A Escuta Terapêutica como estratégia de intervenção em saúde: uma revisão integrativa

Objetivo Investigar y evaluar las evidencias disponibles en la literatura respecto del empleo de la Escucha Terapeutica como estrategia de intervencion en salud. Metodo Revision integradora, llevada a cabo en las bases de datos PubMed, CINAHL, The Cochrane Library, EMBASE, LILACS y APA PsycNET, sin restricciones de ano o tipo de estudio. Los descriptores fueron combinados de distintas maneras para asegurar la busqueda amplia de estudios primarios. Resultados Entre las 15 publicaciones sobre Escucha Terapeutica, el 33% abordo el efecto de los entrenamientos relacionados con las habilidades de escucha, el 27% estudio la efectividad de la escucha como intervencion, el 20% exploro las experiencias de los sujetos en cuanto a las vivencias relacionadas con la escucha y el 20% abordo los aspectos diversos de la escucha. Conclusion La mayor parte de los estudios tiene nivel de evidencia de fuerte a moderado y, a pesar de abordar los distintos aspectos relacionados con la Escucha Terapeutica, presentan en comun el reconocimiento de la necesidad de habilidades, por parte del profesional de salud, para el desarrollo de un proceso de escucha eficaz.OBJECTIVE To investigate and evaluate the available evidence in the literature regarding the use of Therapeutic Listening as a health intervention strategy. METHOD Integrative review conducted on the following databases PubMed, CINAHL, The Cochrane Library, EMBASE, LILACS and APA PsycNET without restrictions of year or type of study. The keywords were combined in different ways to ensure extensive search of primary studies. RESULTS Among the 15 studies on Therapeutic Listening, 33% addressed the effect of training on listening skills, 27% focused on the efficacy of listening as an intervention, 20% explored the experiences lived by the subjects regarding listening and 20% discussed various aspects of listening. CONCLUSION Most studies have strong to moderate level of evidence, although addressing different aspects related to Therapeutic Listening, they have in common the need for recognition of skills on the part of health professionals, to develop an effective process of listening.