ORIGINAL PAPER
Relationship between the level of spirituality and quality of life or psychological well-being in elderly patients hospitalised for heart failure
1
Institute of Health Sciences, University of Opole, Opole, Poland
2
Institute of Psychology, University of Wroclaw, Wroclaw, Poland
3
Department of Electrocardiology and Heart Failure, Faculty of Health Sciences, Medical University of Silesia, Katowice, Poland
4
Department of Electrocardiology, Faculty of Health Sciences, Medical University of Silesia, Katowice, Poland
5
Institute of Psychology, University of Opole, Opole, Poland
6
Department of Biostructure, Wroclaw University of Health and Sport Sciences, Wroclaw, Poland
Submission date: 2023-11-29
Final revision date: 2023-12-27
Acceptance date: 2024-05-15
Publication date: 2024-06-29
Corresponding author
Katarzyna Szwamel
Katarzyna Szwamel PhD Institute of Health Sciences University of Opole 68 Katowicka St, 45-060 Opole, Poland
Katarzyna Szwamel PhD Institute of Health Sciences University of Opole 68 Katowicka St, 45-060 Opole, Poland
Medical Studies 2024;40(2):124-142
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Spiritual care is increasingly acknowledged as part of a holistic approach in medicine.
Aim of the research:
Establish the level of quality of life, spirituality, and psychological well-being in elderly patients hospitalised for heart failure depending on their gender and NYHA class and the analysis of factors determining spirituality in this group of patients.
Material and methods:
A cross sectional study was conducted. A total of 211 patients with heart failure were surveyed. The Self-Description Questionnaire by Heszen-Niejodek, The Polish version of World Health Organisation Quality of Life Instrument Short Form (WHOQOL-BREF), The Minnesota Living with Heart Failure Questionnaire, and the Psychological Well-being Scale were used.
Results:
The respondents with heart failure reported high values of general spirituality and were moderately religious and ethically sensitive. A higher level of spirituality means higher quality of life in such domains as general quality of life perception, physical, psychological, social, and environmental. Being male and of higher class of heart failure worsened the quality of life in most domains. The results of multiple regression indicated that the worse the condition of the disease, the more parameters of QoL affected spirituality and its aspects.
Conclusions:
Planning any steps aimed at providing spiritual support in patients with heart failure should be dependent upon their gender and NYHA classification. Improving the quality of life of patients with heart failure may be achieved through ensuring spiritual support from medical staff. It would be beneficial to introduce some principles of providing spiritual care into medical staff educational programmes.
Spiritual care is increasingly acknowledged as part of a holistic approach in medicine.
Aim of the research:
Establish the level of quality of life, spirituality, and psychological well-being in elderly patients hospitalised for heart failure depending on their gender and NYHA class and the analysis of factors determining spirituality in this group of patients.
Material and methods:
A cross sectional study was conducted. A total of 211 patients with heart failure were surveyed. The Self-Description Questionnaire by Heszen-Niejodek, The Polish version of World Health Organisation Quality of Life Instrument Short Form (WHOQOL-BREF), The Minnesota Living with Heart Failure Questionnaire, and the Psychological Well-being Scale were used.
Results:
The respondents with heart failure reported high values of general spirituality and were moderately religious and ethically sensitive. A higher level of spirituality means higher quality of life in such domains as general quality of life perception, physical, psychological, social, and environmental. Being male and of higher class of heart failure worsened the quality of life in most domains. The results of multiple regression indicated that the worse the condition of the disease, the more parameters of QoL affected spirituality and its aspects.
Conclusions:
Planning any steps aimed at providing spiritual support in patients with heart failure should be dependent upon their gender and NYHA classification. Improving the quality of life of patients with heart failure may be achieved through ensuring spiritual support from medical staff. It would be beneficial to introduce some principles of providing spiritual care into medical staff educational programmes.
REFERENCES (52)
1.
Abdulla A, Hossain M, Barla C. Toward comprehensive medicine: listening to spiritual and religious needs of patients. Gerontol Geriatr Med. 2019 Jan-Dec; 5: 2333721419843703.
2.
Tobin RS, Cosiano MF, O’Connor CM, Fiuzat M, Granger BB, Rogers JG, Tulsky JA, Steinhauser KE, Mentz RJ. Spirituality in patients with heart failure. JACC Heart Fail. 2022 Apr; 10(4): 217-226.
3.
Harrad R, Cosentino C, Keasley R, Sulla F. Spiritual care in nursing: an overview of the measures used to assess spiritual care provision and related factors amongst nurses. Acta Biomed. 2019; 90 (Suppl 4): 44-55.
4.
Kotlińska-Lemieszek A, Fopka-Kowalczyk M, Krajnik M. Spirituality in people with advanced chronic obstructive pulmonary disease – challenge for more effective interventions, support, and healthcare education: Mini-review. Front Med (Lausanne). 2022 Dec; 9: 954519.
5.
Delgado C. A discussion of the concept of spirituality. Nurs Sci Q. 2005 Apr; 18(2): 157-162.
6.
Park CL, Sacco SJ. Heart failure patients’ desires for spiritual care, perceived constraints, and unmet spiritual needs: relations with well-being and health-related quality of life. Psychol Health Med. 2017 Oct; 22(9): 1011-1020.
7.
Ramezani M, Ahmadi F, Mohammadi E, Kazemnejad A. Spiritual care in nursing: a concept analysis. Int Nurs Rev. 2014 Jun; 61(2): 211-219.
9.
Lalani N. Meanings and interpretations of spirituality in nursing and health. Religions. 2020 Aug; 11(9): 428.
10.
Withers A, ZunigaK, Van Sell SL. Spirituality: a concept analysis. Int J Nurs Clin Pract. 2017 Apr; 4: 234.
11.
Anandarajah G, Hight E. Spirituality and medical practice: using the HOPE questions as a practical tool for spiritual assessment. Am Fam Physician. 2001 Jan; 63(1): 81-89.
12.
Puchalski CF, Ferell B, Foley K, Pettus K, Flohr A. Global palliative care: improving the quality of spiritual care in global palliative care. J Pain Symptom Manag. 2018; 55(2): 652.
13.
Klimasiński MW, Ziemkiewicz M, Neumann-Klimasiń- ska N. Patients’ spiritual needs are important in everyday clinical practice. Med Paliat. 2017; 9(4): 210-217.
14.
Cohen MZ, Holley LM, Wengel SP, Rabbi Mendel K. A platform for nursing research on spirituality and religiosity: definitions and measures. West J Nurs Res. 2012 Oct; 34(6): 795-817.
15.
Pesut B. A conversation on diverse perspectives of spirituality in nursing literature. Nurs Philos. 2008 Apr; 9(2): 98-109.
16.
Zinnbauer BJ, Pargament KI. Religiousness and Spirituality. In: Handbook of the psychology of religion and spirituality. Paloutzian RF, Park CL (eds.). The Guilford Press 2005; 21-42.
17.
Heszen-Niejodek I, Gruszczyńska E. Spirituality as a human dimension, its importance in health psychology, and its measurement. Przegl Psychol. 2004; 47(1): 15-31.
18.
Nessler J, Siniarski A, Leszek P, Gumprecht J, Drożdż J, Kaźmierczak J, Witkowski A, Gackowski A, Jankow- ska EA, Kukulski T, Lelonek M, Rozentryt P, Rubiś P, Ponikowski P; Reviewers. Expert opinion of the Heart Failure Working Group of the Polish Cardiac Society on the use of dapagliflozin in the treatment of heart failure with reduced ejection fraction. Kardiol Pol. 2021 Mar; 79(3): 363-370.
19.
Nessler J, Kozierkiewicz A, Gackowski A, Ponikowski P, Straburzynska-Migaj E, Uchmanowicz I, Hoffman P, Chlebus K, Gielerak G, Gąsior M, Grodzicki T, Gierczyński J, Jankowski P, Kaźmierczak J, Legutko J, Leszek P, Miłkowski M, Opolski G, Rozentryt P, Windak A, Witkow- ski A, Wysocki MJ, Zapaśnik A, Zdrojewski T. Coordinated heart failure care in Poland: towards optimal organisation of the health care system. Kardiol Pol. 2018; 76(2): 479-487.
20.
Ghuloom AM, Sanad HM. Perceived quality of life in patients with heart failure: a cross-sectional study among adults in Kingdom of Bahrain. Arab Gulf J Sci Res. 2023; 41(1): 67-76.
21.
Fonseca AF, Lahoz R, Proudfoot C, Corda S, Loefroth E, Jackson J, Cotton S, Studer R. Burden and quality of life among female and male patients with heart failure in europe: a real-world cross-sectional study. Patient Prefer Adherence. 2021 Jul; 15: 1693-1706.
22.
Adebayo S, Olunuga T, Durodola A, Ogah O. Quality of life in heart failure: a review. Nigerian J Cardiol. 2017 Mar; 14(1): 1-8.
23.
Uchmanowicz I, Gobbens RJ. The relationship between frailty, anxiety and depression, and health-related quality of life in elderly patients with heart failure. Clin Interv Aging. 2015 Oct; 10: 1595-1600.
24.
Selman LE, Brighton LJ, Sinclair S, Karvinen I, Egan R, Speck P, Powell RA, Deskur-Smielecka E, Glajchen M, Adler S, Puchalski C, Hunter J, Gikaara N, Hope H; InSpirit Collaborative. Patients’ and caregivers’ needs, experiences, preferences and research priorities in spiritual care: a focus group study across nine countries. Palliat Med. 2018 Jan; 32(1): 216-230.
25.
Klimasiński M, Baum E, Praczyk J, Ziemkiewicz M, Springer D, Cofta S, Wieczorowska-Tobis K. Spiritual distress and spiritual needs of chronically ill patients in poland: a cross-sectional study. Int J Environ Res Public Health. 2022 May; 19(9): 5512.
26.
Ross L, Austin J. Spiritual needs and spiritual support preferences of people with end-stage heart failure and their carers: implications for nurse managers. J Nurs Manag. 2015 Jan; 23(1): 87-95.
27.
Pezzotti P, Scalmana S, Mastromattei A, Di Lallo D. The accuracy of the MMSE in detecting cognitive impairment when administered by general practitioners: a prospective observational study. BMC Fam Pract. 2008 May; 9: 29.
28.
Heszen-Niejodek I. Wymiar duchowy człowieka a zdrowie. In: Zasoby osobiste i społeczne sprzyjające zdrowiu jednostki. Juczyński Z, Ogińska-Bulik N, editors. Wydawnictwo Uniwersytetu Łódzkiego, Łódź 2003; 33-47.
29.
Jaracz K, Kalfoss M, Górna K, Baczyk G. Quality of life in Polish respondents: psychometric properties of the Polish WHOQOL-Bref. Scand J Caring Sci. 2006Sep; 20(3): 251-260.
30.
Middel B, Bouma J, de Jongste M, van Sonderen E, Niemeijer MG, Crijns H, van den Heuvel W. Psychometric properties of the Minnesota Living with Heart Failure Questionnaire (MLHF-Q). Clin Rehabil. 2001 Oct; 15(5): 489-500.
31.
Ryff CD. Happiness is everything, or is it? Explorations on the meaning of psychological well-being. Jf Personal Soc Psychol. 1989; 57: 1069-81.
32.
Krok D. Religijność a jakość życia w perspektywie mediatorów psychospołecznych [Religiosity and Quality of Life in the Perspective of Psychosocial Mediators]. Redakcja Wydawnictw Wydziału Teologicznego Uniwersytetu Opolskiego, Opole 2009.
33.
Sierpiński R, Sokolska JM, Suchocki T, Koń B, Urbański F, Kruk M, Sokolski M, Ponikowski P, Jankowska EA. 10 year trends in hospitalization rates due to heart failure and related in-hospital mortality in Poland (2010-2019). ESC Heart Fail. 2020; 7(6): 3365-3373.
34.
Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G*Power 3.1: tests for correlation and regression analyses. Behav Res Methods. 2009 Nov; 41(4): 1149-1160.
35.
Kapała M. Spirituality as an underestimated aspect of the psyche. Proposal of a new approach to spirituality in psychology - the category of spiritual sensitivity. Ann Univ Mariae Curie-Skłodowska Lublin – Polonia 1 Sectio J 2017; 30(1): 7-37.
36.
Audi G, Korologou A, Koutelekos I, Vasilopoulos G, Karakostas K, Makrygianaki K, Polikandrioti M. Factors affecting health related quality of life in hospitalized patients with heart failure. Cardiol Res Pract. 2017; 2017: 4690458.
37.
Årestedt K, Saveman BI, Johansson P, Blomqvist K. Social support and its association with health-related quality of life among older patients with chronic heart failure. Eur J Cardiovasc Nurs. 2013 Feb; 12(1): 69-77.
38.
Gecaite-Stonciene J, Burkauskas J, Bunevicius A, Steibliene V, Macijauskiene J, Brozaitiene J. Validation and psychometric properties of the minnesota living with heart failure questionnaire in individuals with coronary artery disease in Lithuania. Front Psychol. 2021; 12: 771095.
39.
Gallagher AM, Lucas R, Cowie MR. Assessing health-related quality of life in heart failure patients attending an outpatient clinic: a pragmatic approach. ESC Heart Fail. 2019 Feb; 6(1): 3-9.
40.
Bilbao A, Escobar A, García-Perez L, Navarro G, Quirós R. The Minnesota living with heart failure questionnaire: comparison of different factor structures. Health Qual Life Outcomes. 2016 Feb; 14: 23.
41.
Ochyńska O, Uchmanowicz I, Wleklik M. Influence of the NYHA scale and acceptance of illness on quality of life in chronic heart failure. Modern Nursing and Health Care. 2015; 1(4): 13-16.
42.
De Walden-Gałuszko K. Psycho-oncology in Clinical Practice. Wydawnictwo Lekarskie PZWL, Warsaw 2011.
43.
Central Statistical Office. Religious life in Poland. Results of the Social Cohesion Survey 2018. Życie religijne w Polsce. Wyniki badania spójności społecznej 2018. Available at: https://stat.gov.pl/obszary-te....
44.
Chen J, Lin Y, Yan J, Wu Y, Hu R. The effects of spiritual care on quality of life and spiritual well-being among patients with terminal illness: a systematic review. Palliat Med. 2018; 32(7): 1167-1179.
45.
Clark CC, Hunter J. Spirituality, spiritual well-being, and spiritual coping in advanced heart failure: review of the literature. J Holist Nurs. 2019 Mar; 37(1): 56-73.
46.
de Oliveira JAC, Anderson MIP, Lucchetti G, Ávila Pires EV, Gonçalves LM. Approaching spirituality using the patient-centered clinical method. J Relig Health. 2019 Feb; 58(1): 109-118.
47.
Jahandar P, Tafreshi MZ, Rassouli M, Atashzadeh-Shoorideh F, Kavousi A. Nurses’ perspective on spiritual leadership: a qualitative study based on Fry’s spiritual leadership model. Electron Physician. 2017 Nov; 9(11): 5721-5731.
48.
Wu LF, Tseng HC, Liao YC. Nurse education and willingness to provide spiritual care. Nurse Educ Today. 2016 Mar; 38: 36-41.
49.
Kincheloe DD, Stallings Welden LM, White A. A Spiritual Care Toolkit: an evidence-based solution to meet spiritual needs. J Clin Nurs. 2018 Apr; 27(7-8): 1612-1620.
50.
McSherry W, Jamieson S. The qualitative findings from an online survey investigating nurses’ perceptions of spirituality and spiritual care. J Clin Nurs. 2013 Nov; 22(21-22): 3170-3182.
51.
Vincensi BB, Solberg MA. Assessing the frequency nurse practitioners incorporate spiritual care into patient-centered care. J Nurse Pract. 2017 Apr; 13(5): 368-375.
52.
Taylor EJ, Mamier I, Ricci-Allegra P, Foith J. Self-reported frequency of nurse-provided spiritual care. Appl Nurs Res. 2017 Jun; 35: 30-35.
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