Luciano Magalhães Vitorino

Quality of life of seniors living in the community and in long term care facilities: a comparative study

OBJETIVOS: comparar a percepcao da qualidade de vida entre idosos da comunidade de Porto Alegre, RS, e idosos institucionalizados do interior de Minas Gerais e identificar fatores associados a qualidade de vida entre esses idosos. METODO: trata-se de investigacao que utilizou dados secundarios, a partir de dois estudos epidemiologicos transversais. A amostra foi de 288 idosos da comunidade e 76 institucionalizados. Utilizaram-se instrumentos de caracterizacao sociodemografica e Whoqol-bref para avaliacao da qualidade de vida. RESULTADOS: na analise bivariada, evidenciou-se que idade, sexo, escolaridade, autoavaliacao de saude e lazer apresentaram diferencas estatisticamente significantes entre ser institucionalizado ou nao. Da mesma forma, os dominios de qualidade de vida psicologico e relacoes sociais apresentaram diferencas estatisticamente significantes. Na analise multivariada, as variaveis que permaneceram com correlacao significante no dominio psicologico foram escolaridade, avaliacao de saude e lazer e no dominio relacoes sociais, escolaridade e idade. CONCLUSAO: o fato de o idoso ser institucionalizado nao influenciou na percepcao da qualidade de vida dos idosos, mas, sim, as caracteristicas sociodemograficas e de saude.

Spiritual Religious Coping is Associated with Quality of Life in Institutionalized Older Adults

The purpose of this study was to investigate the relationship between spiritual/religious coping (SRCOPE) strategies and quality of life (QoL) in institutionalized older adults. This is a cross-sectional, correlational study, with a sample of 77 older adults in Brazil. The present study found long-term care patients use religious and spiritual coping strategies to deal with their chronic health conditions. Positive SRCOPE and Total SRCOPE have positive correlations with most QoL domains from the WHOQOL-OLD and WHOQOL-BREF. On the other hand, Negative SRCOPE strategies correlated negatively with the facets of “death and dying” from the WHOQOL-OLD. These results suggest the need for an integrative approach for long-term care patients, considering the positive and negative aspects of coping.

Linking Spiritual and Religious Coping With the Quality of Life of Community-Dwelling Older Adults and Nursing Home Residents:

Objective: This study examined the effect of Positive and Negative Spiritual and Religious Coping (SRC) upon older Brazilian’s quality of life (QOL). Method: A secondary analysis of data collected from 77 nursing home residents (NHRs; M age = 76.56) and 326 community-dwelling residents (CDRs; M age = 67.22 years) was conducted. Participants had completed the Brief SRC, and the World Health Organization Quality of Life-BREF (WHOQOL-BREF) and World Health Organization Quality of Life-OLD (WHOQOL-OLD). A General Linear Model regression analysis was undertaken to assess the effects of SRC upon 10 aspects of participants’ QOL. Results: Positive (F = 6.714, df = 10, p < .001) as opposed to Negative (F = 1.194, df = 10, p = .294) SRC was significantly associated with QOL. Positive SRC was more strongly associated with NHR’s physical, psychological, and environmental QOL, and their perceived sensory abilities, autonomy, and opportunities for intimacy. Conclusion: Positive SRC behaviors per se were significantly associated with QOL ratings across both study samples. The effect size of Positive SRC was much larger among NHRs across six aspects of QOL. Place of residence (POR) in relation to SRC and QOL in older age warrants further study.

Spiritual/religious coping and depressive symptoms in informal caregivers of hospitalized older adults

&NA; This aim of this study was assess whether positive and negative spiritual/religious coping (SRC) strategies are associated with depressive symptoms (DS) of informal caregiver (IC) of hospitalized older adults. A cross‐sectional study was conducted among 98 IC of hospitalized older adults in the medical clinic of a Brazilian School Hospital. The functionality, Positive and Negative SRC strategies and DS were evaluated. The IC had high average use of SRC, with Positive SRC being more used than Negative SRC. In the unadjusted regression model, Positive and Negative SRC were associated with DS. However, when adjusted for confounding factors, only Negative SRC remained associated with DS. The IC had used their religious and spiritual beliefs as a way to cope with the stress that comes from caring for hospitalized older adults. Although the positive strategy use of these beliefs was more common, only the negative strategies were associated with a higher DS.

Religious/spiritual coping in institutionalized elderly

Objective: To evaluate the spiritual/religious coping (SRC) of elderly of two institutions of long-stay for elderly, from two towns Pouso Alegre and Santa Rita in south of Minas Gerais state Brazil and to correlate the SRC with personal characteristics. Methods: The work is based on epidemiological and analytical cross-sectional design method with nonprobability sampling and sample of 77 elderly. The instruments used are characterization staff which consists of 15 multiple choice questions, scale of two dimensions SRC, SRC positive and SRC negative. Results: both groups were balanced between the sexes, by the average age of 76 years old, 81.6 % did not complete primary education and 96.1 % practiced a religion. There was a high use of the SRC total average use and showed higher scores with age and time of residence and SRC Total. Conclusion: final analyses of the data demonstrated that the elderly uneducated and with religion presented SRC strategies so high and positive.ABstrAct Objective: To evaluate the spiritual/religious coping (SRC) of elderly of two institutions of long-stay for elderly, from two towns Pouso Alegre and Santa Rita in south of Minas Gerais state Brazil and to correlate the SRC with personal characteristics. Methods: The work is based on epidemiological and analytical cross-sectional design method with nonprobability sampling and sample of 77 elderly. The instruments used are characterization staff which consists of 15 multiple choice questions, scale of two dimensions SRC, SRC positive and SRC negative. Results: both groups were balanced between the sexes, by the average age of 76 years old, 81.6 % did not complete primary education and 96.1 % practiced a religion. There was a high use of the SRC total average use and showed higher scores with age and time of residence and SRC Total. Conclusion: AQDO DQDO\VHVRIWKH GDWDGHPRQVWUDWHGWKDWWKHHOGHUO\XQHGXFDWHGDQGZLWKUHOLJLRQSUHVHQWHG65V Homes for the aged; Spirituality; Religion and science

Association of spiritual/religious coping with depressive symptoms in high‐ and low‐risk pregnant women

AIMS AND OBJECTIVES To investigate the role of spiritual/religious coping (SRC) on depressive symptoms in high- and low-risk pregnant women. BACKGROUND Spiritual/religious coping is associated with physical and mental health outcomes. However, only few studies investigated the role of these strategies during pregnancy and whether low- and high-risk pregnant women have different coping mechanisms. DESIGN This study is a cross-sectional comparative study. METHODS This study included a total of 160 pregnant women, 80 with low-risk pregnancy and 80 with high-risk pregnancy. The Beck Depression Inventory, the brief SRC scale and a structured questionnaire on sociodemographic and obstetric aspects were used. General linear model regression analysis was used to identify the factors associated with positive and negative SRC strategies in both groups of pregnant women. RESULTS Positive SRC use was high, whereas negative SRC use was low in both groups. Although we found no difference in SRC strategies between the two groups, negative SRC was associated with depression in women with high-risk pregnancy, but not in those with low-risk pregnancy. Furthermore, positive SRC was not associated with depressive symptoms in both groups. CONCLUSIONS Results showed that only the negative SRC strategies of Brazilian women with high-risk pregnancies were associated with worsened mental health outcomes. RELEVANCE TO CLINICAL PRACTICE Healthcare professionals, obstetricians and nurse midwives should focus on the use of negative SRC strategies in their pregnant patients.

Two Sides of the Same Coin: The Positive and Negative Impact of Spiritual Religious Coping on Quality of Life and Depression in Dialysis Patients

Background: Studies have shown that spiritual/religious beliefs are associated with mental health and health-related quality of life (HRQoL). However, few studies evaluated how spiritual/religious coping (SRC) could affect hemodialysis patients. Objectives: The present study investigated the role of SRC behaviors on HRQoL and depressive symptoms in hemodialysis patients. Design and Participants: This was cross-sectional study with 184 patients. Patients completed the Beck Depression Inventory, Brief SRC Scale, Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36), and a Sociodemographic and Health Characterization Questionnaire. Results: From 218 patients, 184 (84.4%) were included (53.8% male with a median age of 55.9 years). Negative SRC, but not positive SRC, was associated with depressive symptoms. Positive SRC presented significant effects in SF-36 pain and physical and social functioning. On the other hand, negative SRC exhibited significant effects in SF-36 role emotional, energy/fatigue, pain, and physical functioning. Conclusion: SRC influences the mental health and HRQoL in Brazilian hemodialysis patients in two distinct ways. If used positively, it may have positive outcomes. However, if used negatively, it may lead to dysfunctional consequences such as greater depressive symptomatology and affect HRQoL. Health professionals must be aware of these “two sides of the same coin.”

Coping religioso/espiritual de idosos institucionalizados

Objective: To evaluate the spiritual/religious coping (SRC) of elderly of two institutions of long-stay for elderly, from two towns Pouso Alegre and Santa Rita in south of Minas Gerais state Brazil and to correlate the SRC with personal characteristics. Methods: The work is based on epidemiological and analytical cross-sectional design method with nonprobability sampling and sample of 77 elderly. The instruments used are characterization staff which consists of 15 multiple choice questions, scale of two dimensions SRC, SRC positive and SRC negative. Results: both groups were balanced between the sexes, by the average age of 76 years old, 81.6 % did not complete primary education and 96.1 % practiced a religion. There was a high use of the SRC total average use and showed higher scores with age and time of residence and SRC Total. Conclusion: final analyses of the data demonstrated that the elderly uneducated and with religion presented SRC strategies so high and positive.ABstrAct Objective: To evaluate the spiritual/religious coping (SRC) of elderly of two institutions of long-stay for elderly, from two towns Pouso Alegre and Santa Rita in south of Minas Gerais state Brazil and to correlate the SRC with personal characteristics. Methods: The work is based on epidemiological and analytical cross-sectional design method with nonprobability sampling and sample of 77 elderly. The instruments used are characterization staff which consists of 15 multiple choice questions, scale of two dimensions SRC, SRC positive and SRC negative. Results: both groups were balanced between the sexes, by the average age of 76 years old, 81.6 % did not complete primary education and 96.1 % practiced a religion. There was a high use of the SRC total average use and showed higher scores with age and time of residence and SRC Total. Conclusion: AQDO DQDO\VHVRIWKH GDWDGHPRQVWUDWHGWKDWWKHHOGHUO\XQHGXFDWHGDQGZLWKUHOLJLRQSUHVHQWHG65V Homes for the aged; Spirituality; Religion and science

Psychometric Evaluation of the Filipino Versions of the Duke University Religion Index and the Spiritual Coping Strategies Scale in Filipino Hemodialysis Patients

This study evaluated the psychometric properties of the Filipino versions of the Duke University Religion Index (DUREL-F) and the Spiritual Coping Strategies scale (SCS-F) for hemodialysis (HD) patients in the Philippines. A convenient sample of 162 HD patients was included in this descriptive, cross-sectional study. The DUREL-F and SCS-F exhibited acceptable internal consistency and stability reliability, as well as excellent content and construct validity. The findings confirmed the soundness of the psychometric properties of the two scales. Thus, they can be used for timely and accurate assessment of religiosity and spiritual coping utilization among Filipino patients receiving HD.

Spiritual and religious coping and depression among family caregivers of pediatric cancer patients in Latin America

Several studies have shown that spiritual/religious beliefs are associated with mental health and quality of life. However, so far, no study assessed the relationship between spiritual/religious coping (SRC) and depressive symptoms in family caregivers (FCs) of pediatric cancer patients, particularly in Latin America. This study aimed to investigate whether Positive and Negative SRC strategies are associated with depressive symptoms in FCs of pediatric cancer patients in Brazil.