Religiousness, mental health, and quality of life in B razilian dialysis patients

Giancarlo Lucchetti · Luiz Guilherme Camargo de Almeida · Alessandra Lamas Granero Lucchetti

39 citations0/0 files storedHemodialysis International

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Religion, Spirituality, and Psychology Dialysis and Renal Disease Management Cancer survivorship and care

Abstract

Patients with chronic kidney disease often use religion as a coping strategy to relieve suffering and serve as a source of strength. The aim of this study was to identify religious aspects associated with mental health and quality of life in Brazilian dialysis patients. A cross-sectional study was performed involving two dialysis centers in Brazil. Patients were selected consecutively over three typical dialysis treatment days. The questionnaire was self-administered and covered the following aspects: socio-demographic aspects, religiousness (using the Portuguese version of the Private and Social Religious Practice Scale), quality of life (World Health Organization Quality of Life brief Scale Brief Version), depression and anxiety (Beck Inventory), and pain grade. For statistical analysis, the hypothesis that different religious variables are associated (positively or negatively) with depressive/anxiety symptoms and quality of life in these patients was tested using linear regression, controlling for confounding variables. A total of 205 patients were invited to participate and 133 (64.8%) agreed to fill out the questionnaire. On the adjusted model, reading religious literature was found to be inversely associated with depressive symptoms (P < 0.001). In addition, the psychological domain of quality of life was positively associated with an increase in patient religiosity (P = 0.030) and greater religious importance for recovery from their dialysis condition (P = 0.016), whereas the environmental domain was positively associated with greater religious importance for recovery (P = 0.032). No religious aspects were associated with anxiety symptoms. Religiousness is associated with less depressive symptoms and better quality of life in Brazilian dialysis patients. Nephrologists should evaluate the patient's spirituality and religion in order to provide more integrative care.

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References

2005Religious coping and psychological adjustment to stress: A meta-analysis 2003Patient preference for physician discussion and practice of spirituality 1999Religiosity is associated with affective and immune status in symptomatic hiv-infected gay men 2002Psychosocial variables, quality of life, and religious beliefs in ESRD patients treated with hemodialysis 2005Reliability and validity of the WHOQOL BREF in a sample of Brazilian outpatients with major depression 2007Religion and Remission of Depression in Medical Inpatients With Heart Failure/Pulmonary Disease 2011Religiousness affects mental health, pain and quality of life in older people in an outpatient rehabilitation setting 2007Religion and Depression in Older Medical Inpatients

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2018Spirituality in the Lives of Patients with End-Stage Renal Disease: A Systematic Review 2012Evaluation of spiritual well-being in haemodialysis patients.2013Opinião dos estudantes de enfermagem sobre saúde, espiritualidade e religiosidade 2017Two Sides of the Same Coin: The Positive and Negative Impact of Spiritual Religious Coping on Quality of Life and Depression in Dialysis Patients

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