Navegando por Palavras-chave "spirituality"
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- ItemSomente MetadadadosAssociation of Sociodemographic Factors with Hope for Cure, Religiosity, and Spirituality in Patients with Venous Ulcers(Lippincott Williams & Wilkins, 2015-02-01) Salomé, Geraldo Magela [UNIFESP]; Almeida, Sergio Aguinaldo de; Ferreira, Lydia Masako [UNIFESP]; Univ Vale do Sapucai UNIVAS; Universidade Federal de São Paulo (UNIFESP)OBJECTIVE: The objective of the study was to evaluate the association of sociodemographic factors with hope for cure and levels of religiosity and spirituality in patients with venous leg ulcers (VLUs).DESIGN: This was a primary, prospective, descriptive, analytical, clinical, nonrandomized study. SETTING: The study was performed at a nursing care and education center of a university hospital in interior Minas Gerais, Brazil.PATIENTS: A convenience sample of 50 adult patients with VLUs and Doppler ankle-brachial index ranging from 0.8 to 1.0 participated in the study. Patients with mixed ulcers, arterial ulcers, and diabetic foot ulcers were excluded from the study.MAIN OUTCOME MEASURES: A questionnaire assessing sociodemographic and clinical characteristics of patients, the Spirituality Self-rating Scale (SSRS), and the Herth Hope Index (HHI) were administered to all patients. MAIN RESULTS: The mean SSRS score was 10.20, and the mean HHI was 25.5, corresponding to low levels of spirituality and moderate hope for cure, respectively. Patients aged between 50 and 59 years, men, nonsmokers, and those who were unemployed had the lowest mean SSRS scores. The lowest mean HHI values were reported by patients whose ulcers had exudate and odor, those aged 20 to 39 years, retired, and living with the wound for 1 year or less. Patients who had no religion or were not practicing a religion and those who considered living with an ulcer as a punishment reported low SSRS scores.CONCLUSION: The results showed that most patients with VLUs had low levels of spirituality, did not perceive divine intervention in their daily life or practice religious activities such as prayer, and had moderate hope for cure.
- ItemSomente MetadadadosIMPACT of SPIRITUALITY/RELIGIOSITY ON MORTALITY: COMPARISON WITH OTHER HEALTH INTERVENTIONS(Elsevier B.V., 2011-07-01) Lucchetti, Giancarlo [UNIFESP]; Lucchetti, Alessandra L. G.; Koenig, Harold G.; São Paulo Med Spiritist Assoc; Universidade Federal de São Paulo (UNIFESP); Duke UnivScientists have been interested in the influence of religion on mortality for at least 130 years. Since this time. many debates have been held by researchers who believe or do not believe in this association. the objective of this study is to compare the impact of spirituality and religiosity (S/R) with other health interventions on mortality. the authors selected 25 well-known health interventions. Then, a search of online medical databases was performed. Meta-analyses between 1994 and 2009 involving mortality were chosen. the same was done for religiosity and spirituality. the combined hazard ratio was obtained directly by the systematic reviews and the mortality reductions by SIR and other health interventions were compared. Twenty-eight meta-analyses with mortality outcomes were selected (25 health interventions and three dealing with SIR). From these three meta-analyses, considering those with the most conservative results, persons with higher S/R had an 18% reduction in mortality. This result is stronger than 60.0% of the 25 systematic reviews analyzed (similar to consumption of fruits and vegetables for cardiovascular events and stronger than stain therapy). These results suggest that S/R plays a considerable role in mortality rate reductions, comparable to fruit and vegetable consumption and slat in therapy.
- ItemAcesso aberto (Open Access)A importância da integração da espiritualidade e da religiosidade no manejo da dor e dos cuidados paliativos(Faculdade de Medicina da Universidade de São Paulo, 2007-01-01) Peres, Mario Fernando Prieto [UNIFESP]; Arantes, Ana Claudia de Lima Quintana; Lessa, Patrícia Silva; Caous, Cristofer André [UNIFESP]; Faculdade de Medicina do ABC; Instituto Israelita de Ensino e Pesquisa Albert Einstein Instituto do Cérebro; Universidade de São Paulo (USP); Hospital Israelita Albert Einstein Grupo de Estudos da Dor e Cuidados Paliativos; Universidade Federal de Pernambuco; Universidade Federal de São Paulo (UNIFESP)BACKGROUND: Pain is one of the most common physical complaints which negatively affects the patient s quality of life. Patients with chronic pain are difficult and often frustrating to treat. OBJECTIVE: To describe the current strategies for approaching patients with chronic pain based on scientific literature, emphasizing measures related to spirituality and religiosity. METHOD: For the present work, authors reviewed data supporting the application of clinical procedures regarding to chronic pain and palliative care with the importance of spirituality background incorporation based on indexed Medline data. RESULTS: Many studies have demonstrated a positive association between spirituality and religiosity and improvement of chronic diseases variables and markers. CONCLUSION: As religiosity and spirituality are notoriously related to the patient s clinical improvement, it is highly important that the recognition of these aspects and their incorporation in the management of patients with chronic pain be conducted by health professionals.
- ItemSomente MetadadadosA influência de fatores psico-socio-espirituais na saúde mental e cefaleias de moradores da comunidade de Paraisópolis(Universidade Federal de São Paulo (UNIFESP), 2013-01-30) Lucchetti, Giancarlo [UNIFESP]; Peres, Mario Fernando Prieto Peres [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Objectives: the objectives of the present study were: to estimate the prevalence of primary headaches in a low income community, to investigate the role of psycho-socio-spiritual factors on mental health (alcohol and tobacco use) and headaches in the community of ‘Paraisópolis’, Brazil and, to validate into Portuguese the instrument used in this study to measure religiosity (Duke Religion Index). Methods: A cross-sectional, population-based study was undertaken involving residents from the ‘Paraisópolis’ community, in São Paulo, Brazil. Door-to-door interviews were conducted and the questionnaire included questions about socio-demographic characteristics, questions about headaches, depression and anxiety (Mini International Neuropsychiatric Interview) and religiosity (Duke Religion Index). Statistical analysis was carried out using multivariate models and, using internal consistency and construct validity for the validation of DUREL. Results: 383 residents were evaluated, with a predominance of women (74.4%) and young adults (57.9% less than 40 years old). DUREL was validated with good internal consistency (Cronbach's alpha=0.75) and good discriminative validity. The prevalence of headache, migraine, chronic migraine and tension-type headache were 47%, 20.4%, 8.4% and 6.2% respectively. Migraine was more prevalent in women and among employed people. Psychological factors such as anxiety and subthreshold anxiety were also associated to primary headaches prevalence and, organizational and non-organizational religiosity were associated with less tobacco and alcohol use. Conclusions: The prevalence of migraine and chronic migraine in this low-income community residents were high and tension-type headache was low. The psychological, social and religious/spiritual aspects had an impact on the prevalence of headaches, alcohol and tobacco use. These aspects should be considered by health professionals working with psychiatric and neurological patients, because they may influence patient’s health-disease process.
- ItemAcesso aberto (Open Access)A religiosidade, a espiritualidade e o consumo de drogas(Faculdade de Medicina da Universidade de São Paulo, 2007-01-01) Sanchez, Zila van der Meer [UNIFESP]; Nappo, Solange Aparecida [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Centro Brasileiro de Informações sobre Drogas PsicotrópicasBACKGROUND: Religiosity and spirituality have been clearly identified as strong protective factors against drug use in many levels. OBJECTIVE: The present revision of literature intended to describe the main scientific studies that deal with the role of religiosity in the treatment and prevention of drug use. METHOD: The sources cited in this revision article are indexed in the databases PubMed and Scielo, between 1976 and 2006, treating questions relative to religiosity, spirituality and drug use. RESULTS: Studies have to the evidence that people who regularly attend a religious worship, of any kind, or that give relevant importance to their religious belief, or, still, that they practice daily the proposal of the professed religion, show minor licit and illicit durg use rate. In addition, drug addicts present better recovery rates when their treatment is permeated by a spiritual approach of any origin, when compared to drug addicts who are treated exclusively by conventional medicine. CONCLUSIONS: Due to the strong social assistance role of religions in Brazil, the exploration of this subject in the Brazilian context would be of great relevance for the public health.
- ItemSomente MetadadadosReligiosity and Tobacco and Alcohol Use in a Brazilian Shantytown(Informa Healthcare, 2012-01-01) Lucchetti, Giancarlo [UNIFESP]; Peres, Mario F. P. [UNIFESP]; Lucchetti, Alessandra L. G.; Koenig, Harold G.; São Paulo Med Spiritist Assoc; Hosp Joao Evangelista; Universidade Federal de São Paulo (UNIFESP); Hosp Israelita Albert Einstein; Duke UnivThis article analyzes the role of religious involvement and religious beliefs in the prevalence and frequency of smoking and alcohol consumption. This was a cross-sectional, population-based study. in 2005, we conducted door-to-door interviews with 383 people, aged 18 years or more, randomly selected from the Paraisopolis shantytown in São Paulo, Brazil. Four regression models were created to explain the relationships among religious involvement, tobacco and alcohol use, controlling for demographic, social, and psychobehavioral factors. High religious attendance was associated with less alcohol use, alcohol abuse, tobacco use, and combined alcohol/tobacco use, as well as less days consuming alcoholic beverages per week, controlling for confounding factors. Additionally, high nonorganizational religious behavior was associated with less tobacco and combined alcohol/tobacco use. Religiosity plays an important role in the control of alcohol and tobacco use in a shantytown setting; further management initiatives in the area should consider this issue. the study's limitations are noted.
- ItemAcesso aberto (Open Access)Religious beliefs and alcohol control policies: a Brazilian nationwide study(Associação Brasileira de Psiquiatria - ABP, 2014-03-01) Lucchetti, Giancarlo; Koenig, Harold G.; Pinsky, Ilana [UNIFESP]; Laranjeira, Ronaldo [UNIFESP]; Vallada, Homero; Universidade Federal de Juiz de Fora (UFJF) Department of Medicine; Hospital João Evangelista (HOJE); Associação Médico-Espírita Internacional; Duke University Medical Center; Universidade Federal de São Paulo (UNIFESP); Universidade de São Paulo (USP)Objective: The connection between lower alcohol use and religiousness has been extensively examined. Nevertheless, few studies have assessed how religion and religiousness influence public policies. The present study seeks to understand the influence of religious beliefs on attitudes toward alcohol use. Methods: A door-to-door, nationwide, multistage population-based survey was carried out. Self-reported religiousness, religious attendance, and attitudes toward use of alcohol policies (such as approval of public health interventions, attitudes about drinking and driving, and attitudes toward other alcohol problems and their harmful effects) were examined. Multiple logistic regression was used to control for confounders and to assess explanatory variables. Results: The sample was composed of 3,007 participants; 57.3% were female and mean age was 35.7 years. Religiousness was generally associated with more negative attitudes toward alcohol, such as limiting hours of sale (p < 0.01), not having alcohol available in corner shops (p < 0.01), prohibiting alcohol advertisements on TV (p < 0.01), raising the legal drinking age (p < 0.01), and raising taxes on alcohol (p < 0.05). Higher religious attendance was associated with less alcohol problems (OR: 0.61, 95%CI 0.40-0.91, p = 0.017), and self-reported religiousness was associated with less harmful effects of drinking (OR: 0.61, 95%CI 0.43-0.88, p = 0.009). Conclusions: Those with high levels of religiousness support more restrictive alcohol policies. These findings corroborate previous studies showing that religious people consume less alcohol and have fewer alcohol-related problems.
- ItemSomente MetadadadosReligiousness and headache: Is there a relation? Results from a representative sample of adults living in a low-income community(Sage Publications Ltd, 2015-03-01) Lucchetti, Giancarlo; Lucchetti, Alessandra L. G.; Prieto Peres, Mario F. [UNIFESP]; Univ Fed Juiz de Fora; Universidade Federal de São Paulo (UNIFESP); Brazilian Med Spiritist Assoc; Albert Einstein HospBackground the use of religious behaviors to alleviate the consequences of stressful life circumstances is a frequent strategy employed by pain sufferers. Specifically in the field of headache research, to date, few studies have assessed spiritual and religious beliefs.Objective the objective of this article is to investigate the relation between religiousness (organizational, non-organizational and intrinsic) and headache disorders in a representative sample of adults living in a low-income community.Methods This was a cross-sectional, population-based study. in 2005, we conducted door-to-door interviews with 439 people, aged more than 18 years, randomly selected from a low-income community in Brazil. Four regression models were created to explain the relationships between religious involvement and headache, controlling for demographics, depression/anxiety and alcohol use and smoking.Results of the 439 households contacted, at least one member from 383 (87.2%) households participated. We interviewed more women (74.4%) and more subjects aged 18-39 years. the mean age was 41.7 (SD 8.5) years. Bivariate analysis shows that high religious attendance, non-organizational religiousness and intrinsic religiousness were associated with presence of headache and presence of migraine. After the logistic regression models, only high non-organizational religiousness remained associated with presence of headache (odds ratio (OR): 1.22 (1.01-1.49)). All other religious variables were unrelated to the presence of headache and its types.Conclusion There is a modest relationship between high non-organizational religiousness and presence of headache. Headache sufferers may use coping strategies such as private religious behaviors to try to overcome suffering.
- ItemSomente MetadadadosSpirituality and subjective wellbeing in patients with lower-limb ulceration(Ma Healthcare Ltd, 2013-05-01) Salomé, Geraldo Magela; Pereira, Vanessa Rosa; Ferreira, Lydia Masako [UNIFESP]; Sapucai Valley Univ UNIVAS; Univ Vale Sapucai; Universidade Federal de São Paulo (UNIFESP)Objective: To assess subjective wellbeing and spirituality in patients with either venous leg ulcers (VLUs) or diabetic foot ulcers (DFUs).Method: This was a prospective, descriptive, analytical study conducted from December 2011 to October 2012. The study was approved by the Institutional Research Ethics Committee. A convenience, non-probability sample of 80 patients with either VLUs (n=40) or DFUs (n=40) were consecutively selected from an outpatient clinic of a university hospital in the city of Pouso Alegre, Brazil. Most participants were practising Catholics. The Subjective Wellbeing Scale and Spirituality Self-Rating Scale were administered to all participants.Results: Thirty-two (80%) patients with foot ulcers and 22 (55%) patients with leg ulcers reported going to church sometimes or rarely. Most participants regarded religiosity and spirituality as synonymous, and living with the ulcers was seen as a punishment. The mean scores on the positive affect, negative affect, and life satisfaction components of the Subjective Wellbeing Scale were 2.48, 1.57 and 1.88, respectively, for patients with DFUs, and 2.55, 1.55 and 1.50, respectively, for patients with VLUs, with significant difference in life satisfaction between groups (p=0.003). The mean score on the Spirituality Self-Rating Scale was 11.40 for patients with VLUs and 12.85 for those with DFUs, showing that the participants had low levels of spirituality.Conclusion: VLUs and DFUs had a negative impact on subjective wellbeing and spirituality, but patients with DFUs showed poorer subjective wellbeing and spirituality than those with VLUs.Declaration of interest: The authors have no conflict of interests or competing financial interests to declare with regard to this manuscript. V. R. Pereira would like to acknowledge the scholarship from the Undergraduate Scholarship Program (PROBIC) of the Sapucai Valley University (UNIVAS). The scholarship sponsor had no roles in the design and conduct of the study, including collection, management, analysis and interpretation of data, preparation, review, and approval of the article.