Spirituality alleviates the burden on family members caring for patients receiving palliative care exclusively
Abstract Background Spirituality can give meaning to life, providing support and guidance in complex situations. Despite its importance in palliative care, the role of spirituality for family caregivers of patients under exclusive palliative care has not received enough attention in the literature....
Main Authors: | , , |
---|---|
Format: | Article |
Language: | English |
Published: |
BMC
2020-06-01
|
Series: | BMC Palliative Care |
Subjects: | |
Online Access: | http://link.springer.com/article/10.1186/s12904-020-00585-2 |
id |
doaj-9bdf735caa6e47ee894330c555d3065f |
---|---|
record_format |
Article |
spelling |
doaj-9bdf735caa6e47ee894330c555d3065f2020-11-25T02:46:59ZengBMCBMC Palliative Care1472-684X2020-06-011911810.1186/s12904-020-00585-2Spirituality alleviates the burden on family members caring for patients receiving palliative care exclusivelyPaula Menis Vigna0Isac de Castro1Renata Rego Lins Fumis2Department of Psychology, Hospital da LuzDivision of Nephrology and Molecular Medicine, Department of Medicine, University of São Paulo School of MedicineIntensive Care Unit, Hospital Sírio-Libanês - São PauloAbstract Background Spirituality can give meaning to life, providing support and guidance in complex situations. Despite its importance in palliative care, the role of spirituality for family caregivers of patients under exclusive palliative care has not received enough attention in the literature. We aimed to address the correlation between spirituality and the emotional burden of family members of patients under exclusive palliative care. Methods This transversal study was conducted in a tertiary private teaching hospital, in São Paulo, Brazil. The study comprised family members of patients receiving palliative care exclusively. Only one caregiver who cared for the patient for at least 2 months was invited to participate. Family members answered the following questionnaires: WHOQOL spirituality, religiousness and personal beliefs (SRPB), Zarit Burden Interview (ZBI) and Self-Reporting Questionnaire (SRQ-20). They were excluded if patients were residing in a Long Stay Institution. Continuous variables were expressed by median and quartiles and analyzed with the Kruskal-Wallis test with Muller-Dunn post-test adjusted by Bonferroni or with the Mann-Whitney test for two groups. We used multivariable linear regression to identify independent predictors of caregiver burden. Results A total of 178 family members were interviewed in a median of 8 [4–13.25] days after patient admission. Almost 40% of families presented high score of burden. Faith and Meaning in Life were the facets that scored the highest, with a median of 4.50 [4.00–5.00] for both facets. There was an inverse correlation between Zarit score and all of the WHOQOL-SRPB facets, indicating that the lower the spirituality, the greater the emotional burden. Inner peace was the strongest protective factor associated with burden. Conclusions Psycho-socio-spiritual interaction can improve the coping ability of family caregivers of patients under exclusive palliative care, addressing a critical gap in the provision of holistic palliative care services.http://link.springer.com/article/10.1186/s12904-020-00585-2SpiritualityFamily caregiversEmotional burdenPalliative care |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Paula Menis Vigna Isac de Castro Renata Rego Lins Fumis |
spellingShingle |
Paula Menis Vigna Isac de Castro Renata Rego Lins Fumis Spirituality alleviates the burden on family members caring for patients receiving palliative care exclusively BMC Palliative Care Spirituality Family caregivers Emotional burden Palliative care |
author_facet |
Paula Menis Vigna Isac de Castro Renata Rego Lins Fumis |
author_sort |
Paula Menis Vigna |
title |
Spirituality alleviates the burden on family members caring for patients receiving palliative care exclusively |
title_short |
Spirituality alleviates the burden on family members caring for patients receiving palliative care exclusively |
title_full |
Spirituality alleviates the burden on family members caring for patients receiving palliative care exclusively |
title_fullStr |
Spirituality alleviates the burden on family members caring for patients receiving palliative care exclusively |
title_full_unstemmed |
Spirituality alleviates the burden on family members caring for patients receiving palliative care exclusively |
title_sort |
spirituality alleviates the burden on family members caring for patients receiving palliative care exclusively |
publisher |
BMC |
series |
BMC Palliative Care |
issn |
1472-684X |
publishDate |
2020-06-01 |
description |
Abstract Background Spirituality can give meaning to life, providing support and guidance in complex situations. Despite its importance in palliative care, the role of spirituality for family caregivers of patients under exclusive palliative care has not received enough attention in the literature. We aimed to address the correlation between spirituality and the emotional burden of family members of patients under exclusive palliative care. Methods This transversal study was conducted in a tertiary private teaching hospital, in São Paulo, Brazil. The study comprised family members of patients receiving palliative care exclusively. Only one caregiver who cared for the patient for at least 2 months was invited to participate. Family members answered the following questionnaires: WHOQOL spirituality, religiousness and personal beliefs (SRPB), Zarit Burden Interview (ZBI) and Self-Reporting Questionnaire (SRQ-20). They were excluded if patients were residing in a Long Stay Institution. Continuous variables were expressed by median and quartiles and analyzed with the Kruskal-Wallis test with Muller-Dunn post-test adjusted by Bonferroni or with the Mann-Whitney test for two groups. We used multivariable linear regression to identify independent predictors of caregiver burden. Results A total of 178 family members were interviewed in a median of 8 [4–13.25] days after patient admission. Almost 40% of families presented high score of burden. Faith and Meaning in Life were the facets that scored the highest, with a median of 4.50 [4.00–5.00] for both facets. There was an inverse correlation between Zarit score and all of the WHOQOL-SRPB facets, indicating that the lower the spirituality, the greater the emotional burden. Inner peace was the strongest protective factor associated with burden. Conclusions Psycho-socio-spiritual interaction can improve the coping ability of family caregivers of patients under exclusive palliative care, addressing a critical gap in the provision of holistic palliative care services. |
topic |
Spirituality Family caregivers Emotional burden Palliative care |
url |
http://link.springer.com/article/10.1186/s12904-020-00585-2 |
work_keys_str_mv |
AT paulamenisvigna spiritualityalleviatestheburdenonfamilymemberscaringforpatientsreceivingpalliativecareexclusively AT isacdecastro spiritualityalleviatestheburdenonfamilymemberscaringforpatientsreceivingpalliativecareexclusively AT renataregolinsfumis spiritualityalleviatestheburdenonfamilymemberscaringforpatientsreceivingpalliativecareexclusively |
_version_ |
1724755444695564288 |