The influence of spirituality and religious beliefs on coping and quality of life in people with chronic kidney disease
DOI:
https://doi.org/10.33448/rsd-v13i9.46949Keywords:
Chronic kidney disease; Religion; Religion and medicine; Spirituality; Chronic kidney failure.Abstract
Objective: To analyze the relationship between religious and/or spiritual beliefs and the quality of life of individuals undergoing dialysis, evaluate their adaptation to treatment, and explore the connection between spirituality, religiosity, and quality of life. Methodology: This is a Systematic Literature Review (SLR) using the PICO methodology to examine the relationship between religious and spiritual beliefs and quality of life in individuals with chronic kidney disease (CKD) undergoing dialysis. Studies published between 2014 and 2023 in Portuguese, English, and Spanish were selected from the B-On and PubMed databases. Seven studies were identified, exploring various dimensions of this relationship through qualitative and quantitative approaches. Results and Discussion: The studies indicate that spirituality and religiosity play significant roles in coping with CKD and improving the quality of life of individuals with the condition. A positive correlation between spirituality and hope is also highlighted, emphasizing the importance of faith in adapting to treatment and finding meaning in life. The cultural diversity of the selected studies reveals nuances in spiritual practices, influencing the global understanding and applicability of the results. Conclusions: The findings suggest that spirituality/religiosity can strengthen emotional resilience, improve the well-being of individuals with CKD, reduce depression, and provide emotional support. Understanding cultural differences and ensuring sensitivity in adapting spiritual interventions are crucial for offering more effective and appropriate care, respecting various religious and spiritual practices, as well as the absence of them.
References
Abu, H. O., Ulbricht, C., Ding, E., Allison, J. J., Salmoirago-Blotcher, E., Goldberg, R. J., & Kiefe, C. I. (2018). Association of religiosity and spirituality with quality of life in patients with cardiovascular disease: a systematic review. Quality of Life Research, 27(11), 2777–2797. https://doi.org/10.1007/s11136-018-1906-4
Abdel-Kader, K., Unruh, M. L., & Weisbord, S. D. (2009). Symptom burden, depression, and quality of life in chronic and end-stage kidney disease. Clinical Journal of the American Society of Nephrology, 4(6), 1057-1064. https://doi.org/10.2215/CJN.00430109
Assis Mello, M. V. F. de, & Angelo, M. (2018). The impact of chronic kidney disease: Experiences of patients and families from the far North of Brazil. Investigación y Educación en Enfermería, 36(1), e02. https://doi.org/10.17533/udea.iee.v36n1e02
Bai, J., Brubaker, A., Meghani, S. H., Bruner, D. W., & Yeager, K. A. (2018). Spirituality and Quality of Life in Black Patients With Cancer Pain. Journal of Pain and Symptom Management, 56(3), 390–398. https://doi.org/10.1016/j.jpainsymman.2018.05.020
Borges, C. C., dos Santos, P. R., Alves, P. M., Borges, R. C. M., Lucchetti, G., Barbosa, M. A., Porto, C. C., & Fernandes, M. R. (2021). Association between spirituality/religiousness and quality of life among healthy adults: a systematic review. Health and Quality of Life Outcomes, 19(1), 1–246. https://doi.org/10.1186/s12955-021-01878-7
Bragazzi, N. L., & Del Puente, G. (2013). Chronic kidney disease, spirituality, and religiosity: A systematic overview with the list of eligible studies. Health Psychology Research, 1(2), e26. https://doi.org/10.4081/hpr.2013.e26
Brasileiro, T. O. Z., Prado, A. A. de O., Assis, B. B. de, Nogueira, D. A., Lima, R. S., & Chaves, E. de C. L. (2017). Effects of prayer on the vital signs of patients with chronic kidney disease: Randomized controlled trial. Revista da Escola de Enfermagem da USP, 51, e03236. https://doi.org/10.1590/S1980-220X2016024603236
Bravin, A. M., Trettene, A. dos S., Cavalcante, R. de S., Banin, V. B., Paula, N. A. de M. R., Saranholi, T. L., Popim, R. C., & Andrade, L. G. M. de. (2017). Influence of spirituality on kidney function in renal transplant patients. Acta Paulista de Enfermagem, 30(5), 473-480. https://doi.org/10.1590/1982-0194201700073
Bravin, A. M., Trettene, A. S., Andrade, L. G. M. de, & Popim, R. C. (2019). Benefits of spirituality and/or religiosity in patients with chronic kidney disease: An integrative review. Revista Brasileira de Enfermagem, 72(2), 505-513. https://doi.org/10.1590/0034-7167-2018-0051
Bregman, L. (2014). The ecology of spirituality: meanings, virtues, and practices in a post-religious age. Baylor University Press.
Cruz da Silva, K., & Lucia Lucas da Silva, C. (2022). Coping strategies of people with chronic kidney disease undergoing hemodialysis. Health Residencies Journal - HRJ, 3(15), 50–69. https://doi.org/10.51723/hrj.v3i14.412
Eloia, S. M. C., Ximenes, M. A. M., Eloia, S. C., Galindo Neto, N. M., Barros, L. M., & Caetano, J. Á. (2021). Religious coping and hope in chronic kidney disease: A randomized controlled trial. Revista da Escola de Enfermagem da USP, 55. https://doi.org/10.1590/1980-220X-REEUSP-2020-0368
Fradelos, E. C. (2021). Spiritual well-being and associated factors in end-stage renal disease. The Scientific World Journal, 2021, 6636854. https://doi.org/10.1155/2021/6636854
Fradelos, E. C., Tzavella, F., Koukia, E., Papathanasiou, I. V., Alikari, V., Stathoulis, J., Panoutsopoulos, G., & Zyga, S. (2015). Integrating the spirituality of patients with chronic kidney disease in their care: Health benefits and research perspectives. Mater Sociomed, 27(5), 354-358. https://doi.org/10.5455/msm.2015.27.354-358
Fradelos, E., Tzavella, F., Koukia, E., & Zyga, S. (2015). The effect of spirituality on quality of life of patients with chronic kidney disease and its correlation with the mental health status and cognitive perception for their illness. Study protocol. Open Access Library Journal, 2, e1783. http://dx.doi.org/10.4236/oalib.1101783
Gomes, I. C. C., Manzini, C. S. S., Ottaviani, A. C., Moraes, B. I. P., Lanzotti, R. B., & Orlandi, F. S. (2018). Attitudes facing pain and the spirituality of chronic renal patients in hemodialysis. Brazilian Journal of Pain, 1(4), 242-249. https://doi.org/10.5935/2595-0118.20180061
Handley, M. A., Quan, J., Chao, M. T., Ratanawongsa, N., Sarkar, U., Emmons-Bell, S., & Schillinger, D. (2017). Use of complementary health approaches among diverse primary care patients with type 2 diabetes and association with cardiometabolic outcomes: From the SF Bay Collaborative Research Network (SF Bay CRN). The Journal of the American Board of Family Medicine, 30(5), 624-631. https://doi.org/10.3122/jabfm.2017.05.170030
Irman, O., & Wijayanti, A. R. (2022). Reduction of hopelessness through Spiritual Emotional Freedom Techniques therapy in chronic kidney disease patients undergoing hemodialysis. Jurnal Keperawatan Indonesia, 25(2), 95–102. https://doi.org/10.7454/jki.v25i2.849
Kalfoss, M. H., Reidunsdatter, R. J., Klöckner, C. A., & Nilsen, M. (2021). Validation of the WHOQOL-Bref: psychometric properties and normative data for the Norwegian general population. Health and Quality of Life Outcomes, 19(1), 13–13. https://doi.org/10.1186/s12955-020-01656-x
Karimi, M., Brazier, J. Health, Health-Related Quality of Life, and Quality of Life: What is the Difference?. Pharmaco Economics. 34, 645–649 (2016). https://doi-org.ezproxy.inn.no/10.1007/s40273-016-0389-9
Kelen de Aguiar, L., Prado, R. R., Gazzinelli, A., & Malta, D. C. (2020). Factors associated with chronic kidney disease: Epidemiological survey of the National Health Survey. Revista Brasileira de Epidemiologia, 23(Suppl 1), e200044. https://doi.org/10.1590/1980-549720200044
Koenig, H. G. (2012). Religion, spirituality, and health: The research and clinical implications. ISRN Psychiatry, 2012, 278730. https://doi.org/10.5402/2012/278730
Moura, H. C. G. B., Menezes, T. M. O., Freitas, R. A. de, Moreira, F. A., Pires, I. B., Nunes, A. M. P. B., & Sales, M. G. S. (2020). Faith and spirituality in the meaning of life of the elderly with chronic kidney disease. Revista Brasileira de Enfermagem, 73(Suppl 3). https://doi.org/10.1590/0034-7167-2019-0323
Nair, D., Cavanaugh, K. L., Wallston, K. A., Mason, O., Stewart, T. G., Blot, W. J., Ikizler, T. A., & Lipworth, L. P. (2020). Religion, spirituality, and risk of end-stage kidney disease among adults of low socioeconomic status in the southeastern United States. Journal of Health Care for the Poor and Underserved, 31(4), 1727-1746. https://doi.org/10.1353/hpu.2020.0129
Olivera, L. M. de, Okuno, M. F. P., Barbosa, D. A., Sesso, R. de C. C., Scherrer Júnior, G., Pessoa, J. L. E., Fonseca, C. D. da, & Belasco, A. G. S. (2020). Quality of life and spirituality of patients with chronic kidney disease: Pre- and post-transplant analysis. Revista Brasileira de Enfermagem, 73(Suppl 5), e20190408. https://doi.org/10.1590/0034-7167-2019-0408
Ottaviani, A. C., Souza, É. N., Drago, N. C., Zazzetta de Mendiondo, M. S., Pavarini, S. C. I., & Orlandi, F. S. (2014). Hope and spirituality among patients with chronic kidney disease undergoing hemodialysis: A correlational study. Revista Latino-Americana de Enfermagem, 22(2). https://doi.org/10.1590/0104-1169.3323.2409
Paz, D. B. de P., Rozza, S. G., Lima, H. de P., Cândido, V. C., & Barboza, E. S. (2023). Espiritualidade e religião/religiosidade: as percepções das pessoas com doença renal crônica em tratamento hemodialítico. Revista Médica de Ribeirão Preto, 56(Suppl 1), e208307. https://doi.org/10.11606/issn.2176-7262.rmrp.2023.208307
Pham, T. V., Beasley, C. M., Gagliardi, J. P., Koenig, H. G., & Stanifer, J. W. (2020). Spirituality, coping, and resilience among rural residents living with chronic kidney disease. Journal of Religion and Health, 59(11), 2951–2968. https://doi.org/10.1007/s10943-019-00892-w
Rosenkranz, M. A., Esnault, S., Christian, B. T., Crisafi, G., Gresham, L. K., Higgins, A. T., Moore, M. N., Moore, S. M., Weng, H. Y., Salk, R. H., Busse, W. W., & Davidson, R. J. (2016). Mind-body interactions in the regulation of airway inflammation in asthma: A PET study of acute and chronic stress. Brain, Behavior, and Immunity, 58, 18-30. https://doi.org/10.1016/j.bbi.2016.03.024
Rusa, S. G., Peripato, G. I., Pavarini, S. C. I., Inouye, K., Zazzetta, M. S., & Orlandi, F. de S. (2014). Quality of life/spirituality, religion, and personal beliefs of adults and elderly chronic kidney patients undergoing hemodialysis. Revista Latino-Americana de Enfermagem, 22(6), 911-917. https://doi.org/10.1590/0104-1169.3595.2495
Saisunantararom, W., Cheawchanwattana, A., Kanjanabuch, T., Buranapatana, M., & Chanthapasa, K. (2015). Associations among spirituality, health-related quality of life, and depression in pre-dialysis chronic kidney disease patients: An exploratory analysis in Thai Buddhist patients. Religions, 6(4), 1249-1262. https://doi.org/10.3390/rel6041249
Silva, R. A. R. da, Souza Neto, V. L. de, Oliveira, G. J. N. de, Silva, B. C. O. da, Rocha, C. C. T., & Holanda, J. R. R. (2016). Coping strategies used by chronic kidney patients undergoing hemodialysis. Esc. Anna Nery, 20(1). https://doi.org/10.5935/1414-8145.20160020
Siqueira, J., Fernandes, N. M., & Moreira-Almeida, A. (2019). Association between religiosity and happiness in patients with chronic kidney disease on hemodialysis. Journal Brasileiro de Nefrologia, 41(1). https://doi.org/10.1590/2175-8239-JBN-2018-0096
Sousa, L., Marques-Vieira, C., Severino, S., & Antunes, A. (2017). The integrative literature review methodology in nursing. Revista Investigação em Enfermagem, 21(2), 17-26. Retrieved from https://www.sinaisvitais.pt/images/stories/Rie/RIE21.pdf
Souza Júnior, E. Á., Trombini, D. S. V., Mendonça, A. R. dos A., & Atzingen, A. C. V. (2015). Religion in the treatment of chronic kidney disease: Comparison between doctors and patients. Revista Bioética, 23(3), 615-622. http://dx.doi.org/10.1590/1983-80422015233098
Souza, L. R. de, Amorim, T. V., Paiva, A. do C. P. C., Carvalho, A. A. H., & Cassimiro, G. M. (2024). Beliefs, religion, and spirituality of people living with chronic kidney disease. J. Nurs. Health., 14(1), e1425583. https://doi.org/10.15210/jonah.v14i1.25583
Spinale, J., Cohen, S. D., Khetpal, P., Peterson, R. A., Clougherty, B., Puchalski, C. M., Patel, S. S., & Kimmel, P. L. (2008). Spirituality, social support, and survival in dialysis patients. Journal of the American Society of Nephrology, 3(6), 1620-1627. https://doi.org/10.2215/CJN.01790408
Tinel, J. S., Souza, D. C. de, Santana, J. R. C. de, & Marinho, C. L. A. (2024). Religious/spiritual coping in people with chronic kidney disease: A cross-sectional study. Revista Cuidarte, 15(2), e2797. https://doi.org/10.15649/cuidarte.2797
Vitorino, L. M., Lucchetti, G., Leão, F. C., Vallada, H., & Peres, M. F. P. (2018). The association between spirituality and religiousness and mental health. Scientific Reports, 8, Article 17233. https://doi.org/10.1038/s41598-018-35380-w
Vitorino, L. M., Lucchetti, G., Santos, A. E. O., & Mota, C. A. (2016). Spiritual religious coping is associated with quality of life in institutionalized older adults. Journal of Religion and Health, 55(2), 549-559. https://doi.org/10.1007/s10943-015-0148-9
Webster, A. C., Nagler, E. V., Morton, R. L., & Masson, P. (2016). Chronic kidney disease. The Lancet, 389(10075), 1238-1252. https://doi.org/10.1016/S0140-6736(16)32064-5
World Health Organization. (2019). Global Health Estimates 2019: Disease burden by Cause, Age, Sex, by Country and by Region, 2000-2019. Geneva. Retrieved from https://www.who.int/docs/default-source/gho-documents/global-health-estimates/ghe2019_daly-methods.pdf
World Health Organization. (1998). The World Health Organization quality of life assessment (WHOQOL): Development and general psychometric properties. Social Science & Medicine (1982), 46(12), 1569–1585. https://doi.org/10.1016/S0277-9536(98)00009-4
Yodchai, K., Dunning, T., Savage, S., & Hutchinson, A. M. (2016). The role of religion and spirituality in coping with kidney disease and hemodialysis in Thailand. Scandinavian Journal of Caring Sciences, 30(3), 540-548. https://doi.org/10.1111/scs.12355
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Firmino Lopes da Silva Junior; Paulo Jorge de Almeida Matos; Kai Noe Visnes; Marta Monzó Alcón; Paula Guimarães Brito Costa Tavares; Erika de Nazaré Rodrigues da Silva
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
