A influência da espiritualidade e crenças religiosas no enfrentamento e na qualidade de vida das pessoas com doença renal crônica

Autores

DOI:

https://doi.org/10.33448/rsd-v13i9.46949

Palavras-chave:

Doença renal crônica; Religião; Religião e medicina; Espiritualidade; Falência renal crônica.

Resumo

Objetivo: Analisar a relação entre crenças religiosas e/ou espirituais na qualidade de vida das pessoas submetidas à diálise, avaliar a adaptação dessas pessoas ao tratamento e explorar a conexão entre espiritualidade, religiosidade e qualidade de vida. Metodologia: Trata-se de uma Revisão Sistemática da Literatura (RSL) utilizando a metodologia PICO para analisar a relação entre crenças religiosas, espirituais e a qualidade de vida em portadores de doença renal crônica (DRC) submetidos à diálise. Foram selecionados estudos publicados entre 2014 e 2023 em português, inglês e espanhol nas bases de dados B-On e PubMed. Foram identificados sete estudos que exploraram diversas dimensões dessa relação, utilizando abordagens qualitativas e quantitativas. Resultados e Discussão: Os estudos indicam que a espiritualidade e religiosidade desempenham papéis significativos no enfrentamento da DRC e na melhoria da qualidade de vida das pessoas com DRC. Destacam-se também a correlação positiva entre espiritualidade e esperança, é enfatizada a importância da fé na adaptação ao tratamento e no encontro de significado na vida. A diversidade cultural dos estudos selecionados revela nuances na prática espiritual, influenciando a compreensão e aplicabilidade dos resultados globalmente. Considerações finais: Os resultados sugerem que a espiritualidade/religiosidade pode fortalecer a resiliência emocional e melhora o bem-estar da pessoa com DRC, e que pode reduzir a depressão e oferecer suporte emocional. A compreensão das diferenças culturais e a sensibilidade na adaptação de intervenções espirituais são cruciais para oferecer um cuidado mais eficaz e adequado, respeitando as diversas práticas religiosas, espirituais e/ou a ausência delas.

Referências

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

Publicado

30/09/2024

Como Citar

SILVA JUNIOR, F. L. da .; MATOS, P. J. de A. .; VISNES, K. N. .; MONZÓ ALCÓN, M.; TAVARES, P. G. B. C. .; SILVA, E. de N. R. da . A influência da espiritualidade e crenças religiosas no enfrentamento e na qualidade de vida das pessoas com doença renal crônica. Research, Society and Development, [S. l.], v. 13, n. 9, p. e12513946949, 2024. DOI: 10.33448/rsd-v13i9.46949. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/46949. Acesso em: 5 jan. 2025.

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