Alexandru Burlacu1, Bogdan Artene1, Ionut Nistor2,3, Smaranda Buju4, Daniel Jugrin5, Ionut Mavrichi6, Adrian Covic7,8. 1. Department of Interventional Cardiology - Cardiovascular Diseases Institute, 'Grigore T. Popa' University of Medicine, Iasi, Romania. 2. Department of Nephrology, 'Grigore T. Popa' University of Medicine, Iasi, Romania. ionutni@yahoo.com. 3. Dialysis and Renal Transplant Center -‛C.I. Parhon' University Hospital, and'Grigore T. Popa', Nephrology Clinic, University of Medicine, Iasi, Romania. ionutni@yahoo.com. 4. Department of Teacher Training, Asachi' Technical University, Iasi, Romania. 5. Theology, Center for Studies and Interreligious and Intercultural Dialogue, University of Bucharest, Bucharest, Romania. 6. Sociology Department, Faculty of Theology, University of Bucharest, Bucharest, Romania. 7. Dialysis and Renal Transplant Center -‛C.I. Parhon' University Hospital, and'Grigore T. Popa', Nephrology Clinic, University of Medicine, Iasi, Romania. 8. The Academy of Romanian Scientists (AOSR), Bucharest, Romania.
Abstract
PURPOSE: End-stage renal disease (ESRD) patients often report a combination of disturbing physical symptoms and psychological distress which result in significantly reduced quality of life (QoL). Coping with a chronic disease is a complex matter involving also the family and a multi-disciplinary team. Recently, observational studies suggested that spirituality (S) and religiosity (R) are two important determinants in coping with a chronic/terminal disease. Both concepts were studied in various settings, involving ESRD and QoL. This systematic review aims to synthesize all instruments used to assess R/S, to examine the strategies evaluating QoL of dialysis patients and to analyse their correlations. METHODS: In accordance with the PRISMA, a systematic search was conducted in PubMed and SCOPUS (between Jan 1980-Dec 2018, PROSPERO number CRD42019116837). Eligible studies included patients on dialysis therapy, religiously/spiritually assessed and contained QoL evaluation. RESULTS: Of the initial 311 studies, 261 papers were excluded. Consequently, 50 papers with a total 9265 patients were available for inclusion. From a list of 177 R/S scales available worldwide, we identified 24 tools. We organized all QoL parameters into 10 classes. In all studies, R/S variables were positively correlated with at least one QoL variable. CONCLUSIONS: In this systematic review, we synthesized the studies involving R/S assessment in dialysis patients and their benefit on QoL. R/S has a positive impact on most QoL parameters in 5D-CKD. We suggest that nephrology guidelines on palliative care and/or elderly should include specific recommendations on R/S support and opportunities for integrated specific therapies.
PURPOSE: End-stage renal disease (ESRD) patients often report a combination of disturbing physical symptoms and psychological distress which result in significantly reduced quality of life (QoL). Coping with a chronic disease is a complex matter involving also the family and a multi-disciplinary team. Recently, observational studies suggested that spirituality (S) and religiosity (R) are two important determinants in coping with a chronic/terminal disease. Both concepts were studied in various settings, involving ESRD and QoL. This systematic review aims to synthesize all instruments used to assess R/S, to examine the strategies evaluating QoL of dialysis patients and to analyse their correlations. METHODS: In accordance with the PRISMA, a systematic search was conducted in PubMed and SCOPUS (between Jan 1980-Dec 2018, PROSPERO number CRD42019116837). Eligible studies included patients on dialysis therapy, religiously/spiritually assessed and contained QoL evaluation. RESULTS: Of the initial 311 studies, 261 papers were excluded. Consequently, 50 papers with a total 9265 patients were available for inclusion. From a list of 177 R/S scales available worldwide, we identified 24 tools. We organized all QoL parameters into 10 classes. In all studies, R/S variables were positively correlated with at least one QoL variable. CONCLUSIONS: In this systematic review, we synthesized the studies involving R/S assessment in dialysis patients and their benefit on QoL. R/S has a positive impact on most QoL parameters in 5D-CKD. We suggest that nephrology guidelines on palliative care and/or elderly should include specific recommendations on R/S support and opportunities for integrated specific therapies.
Entities:
Keywords:
Dialysis; End-stage renal disease; Quality of life; Religiosity; Spirituality
Authors: Tomás Caycho-Rodríguez; Lindsey W Vilca; Thomas G Plante; Andrea Vivanco-Vidal; Daniela Saroli-Araníbar; Carlos Carbajal-León; Brian Norman Peña-Calero; Michael White Journal: Pastoral Psychol Date: 2021-08-31
Authors: Jennifer S Scherer; Kaylin C Milazzo; Paul L Hebert; Ruth A Engelberg; Danielle C Lavallee; Elizabeth K Vig; Manjula Kurella Tamura; Glenda Roberts; J Randall Curtis; Ann M O'Hare Journal: JAMA Netw Open Date: 2021-08-02