TY - JOUR
T1 - Spirituality and religiosity are associated with physical and psychological status in patients with chronic obstructive pulmonary disease
AU - Mendes, Nélia Silva
AU - Malaguti, Carla
AU - dos Anjos Sena, Lucas
AU - Lucchetti, Giancarlo
AU - de Jesus, Luciana Angélica Silva
AU - Vitorino, Luciano Magalhães
AU - Mesquita, Rafael
AU - Lee, Annemarie Louise
AU - Oliveira, Cristino Carneiro
N1 - Funding Information:
This work was supported by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior ‐ Brasil (CAPES) [grant number 001]
Publisher Copyright:
© 2021 John Wiley & Sons Ltd
Copyright:
Copyright 2021 Elsevier B.V., All rights reserved.
PY - 2022/3
Y1 - 2022/3
N2 - Background: Management strategies that incorporate spirituality and religiosity (S/R) have been associated with better health status in clinical populations. However, few data are available for patients with chronic obstructive pulmonary disease (COPD) to improve the traditional disease-model treatment. Aims: The objectives of this study were to evaluate the association between S/R and physical and psychological status in patients with stable COPD. Design: This is a cross-sectional study. Methods: Religiosity, spiritual well-being and S/R Coping were measured. Physical status was evaluated with the activity of daily living, dyspnoea and the impact of the disease. Psychological status was assessed with anxiety and depression symptoms and quality of life. Spearman correlation coefficients were calculated, multivariate linear regression was applied in the analyses. This study is reported following the STROBE recommendations. Results: Seventy-two patients with stable COPD (male 58%, aged 68 ± 9 years, forced expiratory volume in 1s (FEV1) of 49.2 ± 19.6% predicted) were included. There was no association between S/R and activity of daily living. However, higher spiritual well-being and lower Negative S/R Coping was associated with reduced dyspnoea and burden of the disease. Increased S/R and lower Negative S/R Coping was also associated with less anxiety, depression and better quality of life. Multivariate linear regression showed that S/R variables explained the physical and psychological health status in people with stable COPD. Conclusions: Higher spirituality and less negative S/R Coping are associated with reduced dyspnoea, the burden of the disease, anxiety and depression symptoms, and better quality of life in patients with stable COPD. Relevance to clinical practice: Understanding how religiosity and spirituality are associated with physical and psychological features in patients with COPD may contribute to the long-term management of this patient population.
AB - Background: Management strategies that incorporate spirituality and religiosity (S/R) have been associated with better health status in clinical populations. However, few data are available for patients with chronic obstructive pulmonary disease (COPD) to improve the traditional disease-model treatment. Aims: The objectives of this study were to evaluate the association between S/R and physical and psychological status in patients with stable COPD. Design: This is a cross-sectional study. Methods: Religiosity, spiritual well-being and S/R Coping were measured. Physical status was evaluated with the activity of daily living, dyspnoea and the impact of the disease. Psychological status was assessed with anxiety and depression symptoms and quality of life. Spearman correlation coefficients were calculated, multivariate linear regression was applied in the analyses. This study is reported following the STROBE recommendations. Results: Seventy-two patients with stable COPD (male 58%, aged 68 ± 9 years, forced expiratory volume in 1s (FEV1) of 49.2 ± 19.6% predicted) were included. There was no association between S/R and activity of daily living. However, higher spiritual well-being and lower Negative S/R Coping was associated with reduced dyspnoea and burden of the disease. Increased S/R and lower Negative S/R Coping was also associated with less anxiety, depression and better quality of life. Multivariate linear regression showed that S/R variables explained the physical and psychological health status in people with stable COPD. Conclusions: Higher spirituality and less negative S/R Coping are associated with reduced dyspnoea, the burden of the disease, anxiety and depression symptoms, and better quality of life in patients with stable COPD. Relevance to clinical practice: Understanding how religiosity and spirituality are associated with physical and psychological features in patients with COPD may contribute to the long-term management of this patient population.
KW - beliefs
KW - chronic obstructive pulmonary disease
KW - mental health
KW - physical performance
KW - religious
KW - spirituality
UR - http://www.scopus.com/inward/record.url?scp=85108359204&partnerID=8YFLogxK
U2 - 10.1111/jocn.15926
DO - 10.1111/jocn.15926
M3 - Article
C2 - 34164870
AN - SCOPUS:85108359204
SN - 0962-1067
VL - 31
SP - 669
EP - 678
JO - Journal of Clinical Nursing
JF - Journal of Clinical Nursing
IS - 5-6
ER -
