Spirituality alleviates the burden on family members caring for patients receiving palliative care exclusively.
Emotional burden
Family caregivers
Palliative care
Spirituality
Journal
BMC palliative care
ISSN: 1472-684X
Titre abrégé: BMC Palliat Care
Pays: England
ID NLM: 101088685
Informations de publication
Date de publication:
03 Jun 2020
03 Jun 2020
Historique:
received:
08
04
2019
accepted:
27
05
2020
entrez:
5
6
2020
pubmed:
5
6
2020
medline:
14
1
2021
Statut:
epublish
Résumé
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. 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. 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. 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.
Sections du résumé
BACKGROUND
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
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
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
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.
Identifiants
pubmed: 32493301
doi: 10.1186/s12904-020-00585-2
pii: 10.1186/s12904-020-00585-2
pmc: PMC7271458
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
77Références
Psychooncology. 2016 Dec;25(12):1448-1455
pubmed: 26374624
J Palliat Med. 2004 Feb;7(1):19-25
pubmed: 15008126
PLoS One. 2015 Jan 23;10(1):e0115332
pubmed: 25616059
Aging Ment Health. 2018 Jan;22(1):141-147
pubmed: 27661263
J Pain Symptom Manage. 2018 Nov;56(5):816-822
pubmed: 29857181
Psychooncology. 2008 Nov;17(11):1121-8
pubmed: 18322902
J Pain Symptom Manage. 2010 Aug;40(2):163-73
pubmed: 20619602
Oncol Nurs Forum. 2013 May 1;40(3):E119-25
pubmed: 23615145
J Gen Intern Med. 2011 Jul;26(7):751-8
pubmed: 21336669
J Palliat Med. 2014 Jun;17(6):642-56
pubmed: 24842136
Br J Psychiatry. 1986 Jan;148:23-6
pubmed: 3955316
JAMA. 2008 May 28;299(20):2440-1
pubmed: 18505954
Support Care Cancer. 2006 Apr;14(4):379-85
pubmed: 16283208
Medicine (Baltimore). 2015 Nov;94(47):e2145
pubmed: 26632743
Int J Palliat Nurs. 2017 Jul 2;23(7):332-339
pubmed: 28756752
Acta Oncol. 2013 Feb;52(2):364-71
pubmed: 23215830
Curr Opin Support Palliat Care. 2007 Dec;1(4):260-6
pubmed: 18685372
J Gen Intern Med. 2011 Nov;26(11):1345-57
pubmed: 21725695
Iran J Psychiatry Behav Sci. 2016 Mar 31;10(1):e4011
pubmed: 27284281
J Palliat Med. 2009 Oct;12(10):885-904
pubmed: 19807235
J Pain Symptom Manage. 2012 Feb;43(2):182-94
pubmed: 22248787
Support Care Cancer. 2018 Aug;26(8):2633-2640
pubmed: 29460194
J Pain Symptom Manage. 2011 Oct;42(4):604-22
pubmed: 21640549
Qual Life Res. 2014 Sep;23(7):1909-20
pubmed: 24578149
J Occup Health. 2016;58(1):66-71
pubmed: 26549835
Oncol Nurs Forum. 2006 Jul 01;33(4):729-35
pubmed: 16858453
Crit Care Med. 2010 Apr;38(4):1078-85
pubmed: 20124890
Psychooncology. 2013 Feb;22(2):403-10
pubmed: 22135229
Support Care Cancer. 2015 Aug;23(8):2383-9
pubmed: 25591628
Curr Opin Support Palliat Care. 2012 Jun;6(2):269-74
pubmed: 22469668
Med Clin (Barc). 2005 May 7;124(17):651-3
pubmed: 15882512
J Clin Oncol. 2007 Dec 20;25(36):5753-7
pubmed: 18089871
Ann Behav Med. 2002 Winter;24(1):22-33
pubmed: 12008791
Health Qual Life Outcomes. 2005 Sep 06;3:53
pubmed: 16144546
Eur J Cancer Care (Engl). 2018 Jan;27(1):
pubmed: 28295762
Curr Opin Support Palliat Care. 2014 Sep;8(3):308-13
pubmed: 25029394
Rev Lat Am Enfermagem. 2014 Nov-Dec;22(6):911-7
pubmed: 25591085
Palliat Med. 2010 Dec;24(8):753-70
pubmed: 20659977
Cancer. 2015 Oct 15;121(20):3737-45
pubmed: 26150131
Crit Care Med. 2014 Sep;42(9):1991-2000
pubmed: 24797373