The Spiritual Dimension of Comprehensive Kidney Care
DOI:
https://doi.org/10.71749/pkj.95Palavras-chave:
Kidney Failure, Chronic/psychology, Religion, Renal Dialysis/psychology, SpiritualityResumo
Chronic kidney disease (CKD) is a global health problem that affects millions of people around the world.1 As a progressive disease, it poses physical, emotional and psychological challenges. Therefore, CKD requires a comprehensive dimension of care beyond the one provided by conventional medicine. Spirituality has emerged as a way of providing patients with a sense of purpose and connection throughout their illness. In healthcare, spirituality encompasses more than religious beliefs. It involves a search for meaning, purpose and transcendence in the patient’s life, as well as an experience of connection with oneself, others, nature or a higher power. This review highlights the importance of addressing spirituality in the treatment of patients with CKD and its role as a fundamental element of palliative care. By an analysis of the overlap between spirituality and CKD, this article attempts to demonstrate the way in which spiritual care is able to increase patient wellbeing, improve quality of life and inform a holistic, compassionate and holistic palliative care practice.Downloads
Referências
Jager KJ, Kovesdy C, Langham R, Rosenberg M, Jha V, Zoccali C. A single number for advocacy and communication‑worldwide more than 850 million individuals have kidney diseases. Nephrol Dial Transpl. 2019;34:1803‑5. doi:10.1093/ndt/gfz174
McClellan WM, Abramson J, Newsome B, Temple E, Wadley VG, Audhya P, et al. Physical and psychological burden of chronic kidney disease among older adults. Am J Nephrol. 2010;31:309‑17. doi:10.1159/000285113
Chatrung C, Sorajjakool S, Amnatsatsue K. Wellness and Religious Coping Among Thai Individuals Living with Chronic Kidney Disease in Southern California. J Relig Health. 2015;54:2198‑211. doi:10.1007/s10943‑014‑9958‑4
de Brito Sena MA, Damiano RF, Lucchetti G, Peres MF. Defining Spirituality in Healthcare: A Systematic Review and Conceptual Framework. Front Psychol. 2021;12. doi:10.3389/fpsyg.2021.756080
Hill PC, Pargament KI. Advances in the Conceptualization and Measurement of Religion and Spirituality: Implications for Physical and Mental Health Research. Am Psychol. 2003;58:64‑74. doi:10.1037/0003‑066X.58.1.64
Koenig HG. Handbook of Religion and Health. Oxford: Oxford University Press; 2001.
Puchalski CM, Vitillo R, Hull SK, Reller N. Improving the spiritual dimension of whole person care: Reaching national and international consensus. J Palliat Med. 2014;17:642‑56. doi:10.1089/jpm.2014.9427
Kimmel PL, Emont SL, Newmann JM, Danko H, Moss AH. ESRD Patient Quality of Life: Symptoms, Spiritual Beliefs, Psychosocial Factors, and Ethnicity. Am J Kidney Dis. 2003;42:713. doi:10.1053/S0272‑6386(03)00907‑7
Balboni TA, Vanderweele TJ, Doan‑Soares SD, Long KN, Ferrell BR, Fitchett G, et al. Spirituality in Serious Illness and Health. JAMA. 2022;328:184‑97. doi:10.1001/jama.2022.11086
Davison SN, Jhangri GS. Existential and supportive care needs among patients with chronic kidney disease. J Pain Symptom Manage. 2010;40:838‑43. doi:10.1016/j.jpainsymman.2010.03.015
Maugans TA. The SPIRITual History. Arch Fam Med. 1996;5:11-6.
Puchalski C, Romer AL. Taking a spiritual history allows clinicians to understand patients more fully. J Palliat Med. 2000;3:129‑37. doi:10.1089/jpm.2000.3.129
Borneman T, Ferrell B, Puchalski CM. Evaluation of the FICA tool for spiritual assessment. J Pain Symptom Manage. 2010;40:163‑73. doi:10.1016/j.jpainsymman.2009.12.019
Vermandere M, Choi YN, De Brabandere H, Decouttere R, De Meyere E, Gheysens E, et al. GPs’ views concerning spirituality and the use of the FICA tool in palliative care in Flanders: a qualitative study. Br J Gen Pract. 2012;62:e718‑25. doi:10.3399/bjgp12X656865
Best M, Butow P, Olver I. The doctor’s role in helping dying patients with cancer achieve peace: A qualitative study. Palliat Med. 2014;28:1139‑45. doi:10.1177/0269216314536455
Neely D, Minford E. FAITH: Spiritual History‑Taking Made Easy. Clin Teacher. 2007. doi:10.1111/j.1743‑498X.2009.00317.x
Kellehear A. Spirituality and palliative care: A model of needs. Palliat Med. 2000;14:149-55. doi:10.1191/026921600674786394
Saguil A, Phelps K. The spiritual assessment. Am Fam Physician. 2012;86:546-50.
Power J. Spiritual assessment: developing an assessment tool. Nurs Older People. 2006;18:16‑8. doi:10.7748/nop2006.03.18.2.16.c2413
Larocca‑Pitts MA. FACT: Taking a spiritual history in a clinical setting. J Health Care Chaplain. 2008;15:1‑12. doi:10.1080/08854720802698350
Galek K, Flannelly KJ, Vane A, Galek RM. Assessing a patient’s spiritual needs: a comprehensive instrument. Holist Nurs Pract. 2005;19:62‑9. doi:10.1097/00004650‑200503000‑00006
Anandarajah G, Hight E. Spirituality and medical practice: using the HOPE questions as a practical tool for spiritual assessment. Am Fam Physician. 2001;63:81-9.
Benito E, Oliver A, Galiana L, Barreto P, Pascual A, Gomis C, et al. Development and validation of a new tool for the assessment and spiritual care of palliative care patients. J Pain Symptom Manage. 2014;47:1008‑18.e1. doi:10.1016/j.jpainsymman.2013.06.018
Maugans TA. The SPIRITual history. Arch Fam Med. 1996;5:11-6.
Rombold B. Spirituality and Palliative Care: Social and Pastoral Perspectives. Oxford: Oxford University Press; 2003.
Kim YJ, Choi O, Kim B, Chun J, Kang KA. Comparison of Spiritual Needs between Patients with Progressive Terminal Kidney Disease and Their Family Caregivers. Korean J Hospice Palliat Care. 2020;23:27‑38. doi:10.14475/kjhpc.2020.23.1.27
Zhu N, Virtanen S, Xu H, Carrero JJ, Chang Z. Association between incident depression and clinical outcomes in patients with chronic kidney disease. Clin Kidney J. 2023;16:2243‑53. doi:10.1093/ckj/sfad127
Lopes AA, Bragg J, Young E, Goodkin D, Mapes D, Combe C, et al. Depression as a predictor of mortality and hospitalization among hemodialysis patients in the United States and Europe. Kidney Int. 2002;62:199-207. doi:10.1046/j.1523‑1755.2002.00411.x
Finkelstein FO, West W, Gobin J, Finkelstein SH, Wuerth D. Spirituality, quality of life and the dialysis patient. Nephrol Dial Transpl. 2007;22:2432‑4. doi:10.1093/ndt/gfm215
Watnick S, Wang PL, Demadura T, Ganzini L. Validation of 2 depression screening tools in dialysis patients. Am J Kidney Dis. 2005;46:919‑24. doi:10.1053/j.ajkd.2005.08.006
Murtagh FEM, Addington-Hall J, Higginson IJ. The Prevalence of Symptoms in End‑Stage Renal Disease: A Systematic Review. Adv Chronic Kidney Dis. 2007;14:82‑99. doi:10.1053/j.ackd.2006.10.001
Cilona L, Veronese N, Lalicata D, Tantillo F, Naro L, Dominguez LJ, et al. Spirituality and heart failure: a systematic review. Aging Clin Exp Res. 2023;35:2355‑61. doi:10.1007/s40520-023-02557-x
Spinale J, Cohen SD, Khetpal P, Peterson RA, Clougherty B, Puchalski CM, et al. Spirituality, social support, and survival in hemodialysis patients. Clin J Am Soc Nephrol. 2008;3:1620‑7. doi:10.2215/CJN.01790408
Paul Victor CG, Treschuk JV. Critical literature review on the definition clarity of the concept of faith, religion, and spirituality. J Holistic Nurs. 2020;38:107‑13. doi:10.1177/0898010119895368
Bruce MA, Thorpe RJ Jr, Kermah D, Shen J, Nicholas SB, Beech BM, et al. Religious Service Attendance and Mortality among Adults in the United States with Chronic Kidney Disease. Int J Environ Res Public Health. 2021;18:13179. doi:10.3390/ijerph182413179
Freire de Medeiros CM, Arantes EP, Tajra RD, Santiago HR, Carvalho AF, Libório AB. Resilience, religiosity and treatment adherence in hemodialysis patients: a prospective study. Psychol Health Med. 2017;22:570‑7. doi:10.1080/13548506.2016.1191658
Fradelos EC. Spiritual Well-Being and Associated Factors in End‑Stage Renal Disease. ScientificWorldJournal. 2021;2021:6636854. doi:10.1155/2021/6636854
Gelfand SL, Fitchett G, Moss AH. Recognizing the Potential Importance of Religion and Spirituality in the Care of Black Americans with Kidney Failure. J Am Soc Nephrol. 2022;33:1255‑7. doi:10.1681/ASN.2021101367
Rosa MS, Mendes‑Castillo AM. Understanding the experience of spirituality of patients on the waiting list for organ transplantation. Braz J Tranpl. 2023;26:e0223. doi:10.53855/bjt.v26i1.470_in
Mckie AL, Gaida F. A scoping review of spirituality and religiosity in people who have had a kidney transplant. Nurs Open. 2022;9:2277‑88. doi:10.1002/nop2.1271
Hawamdeh S, Almari AM, Almutairi AS, Dator WL. Determinants and prevalence of depression in patients with chronic renal disease, and their caregivers. Int J Nephrol Renovasc Dis. 2017;10:183‑9. doi:10.2147/IJNRD.S139652
Vigna PM, De Castro I, Fumis RL. Spirituality alleviates the burden on family members caring for patients receiving palliative care exclusively. BMC Palliat Care. 2020;19:77. doi:10.1186/s12904‑020‑00585‑2
Fradelos E, Tzavella F, Koukia E, Zyga S. 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. Open Access Library J. 2015;2:1‑7. doi:10.4236/oalib.1101783
Farzi S, Farzi S, Moladoost A, Ehsani M, Shahriari M, Moieni M. Caring burden and quality of life of family caregivers in patients undergoing hemodialysis: a descriptive‑analytic study. Int J Community Based Nurs Midwifery. 2019;7:88‑96. doi:10.30476/IJCBNM.2019.44888
Frontini R, Sousa H, Ribeiro, Figueiredo D. “What do we fear the most?”: Exploring fears and concerns of patients, family members and dyads in end-stage renal disease. Scand J Caring Sci. 2021;35:1216‑25. doi:10.1111/scs.12940
Puchalski CM, Blatt B, Kogan M, Butler A. Spirituality and health: the development of a field. Acad Med. 2014;89:10‑6. doi:10.1097/ACM.0000000000000083
Paal P, Helo Y, Frick E. Spiritual Care Training Provided to Healthcare Professionals: A Systematic Review. J Pastoral Care Counsel. 2015;69:19‑30. doi:10.1177/1542305015572955
Razzera BN, Adamoli AN, Ranheiri MF, Oliveira MD, Feoli AM. Impacts of mindfulness‑based interventions in people undergoing hemodialysis: a systematic review. J Bras Nefrol. 2022;44:84‑96. doi:10.1590/2175‑8239‑JBN‑2021‑0116
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Direitos de Autor (c) 2025 Ana Mateus, Francisco Ferreira da Silva
Este trabalho encontra-se publicado com a Licença Internacional Creative Commons Atribuição-NãoComercial 4.0.
