Contributions
Abstract: PB1745
Type: Publication Only
Session title: Quality of life, palliative care, ethics and health economics
Background
Studies indicate that spirituality and religious practices can result in positive impacts in the quality of life (QOL) in many pathologies. From decreased anxiety or depression symptoms to a greater sense of peace and acceptance.
Aims
It is then questioned the spirituality impact in hematological patients QOL.
Methods
This systematic review included studies on the impact spirituality has in the QOL of hematological patients. Three electronic databases (SciELO, LILACS, PubMed) were consulted in search for articles published in the last ten years, in English, Spanish and Portuguese, using the following keywords searched in DeCs/ MeSH: spirituality, quality of life and hematology and its correlates in Portuguese and Spanish.
The initial online search led to the retrieval of 195 references and reviewers extracted data independently. A total of 11 articles were used in the review. The checklist of 27 items and 4-step flow chart (Table 1) indicated by the PRISMA methodology were used.
Results
It was observed that spirituality and religiosity have been associated with a better quality of life (QOL) in hematological patients. The study by Sirilla J, (2013) reported an improvement in QOL in patients who underwent bone marrow transplantation, as well as in the studies by Durner J, (2013), demonstrating improvement in patients with multiple myeloma and Thomas ML. (2012) in myelodysplastic syndromes. Rodin G. et al. (2013) found that spirituality is related to less symptoms of post-traumatic stress in patients with acute leukemia and Bediako SM et al. (2011) observed fewer hospital admissions among adults with sickle cell disease.
The study by Maheri A, et al. (2016) in adults with thalassemia affirms that spiritual growth is one of the most significant predictive factors of QOL, and emphasizes the importance of including spirituality in health care. Abdol Jabbari M, et al. (2018), observed that among parents of children diagnosed with cancer had developed spiritual tactics to deal with the disease, even under stressful conditions. According to Jabbari, reaching a certain spiritual level provided greater adherence to treatment and raised the hope.
Sheikhzakaryaee, et al. (2018) also explores the experiences of parents with children with cancer and their spiritual strategies. The results obtained were reduction of anxiety, depression and loneliness of patients and increase in QOL, with an expansion in positive and pleasure feelings.
The research carried out by Prince, et al. (2015) reports that patients subjected to allogeneic hematopoietic stem cell transplantation with greater spiritual well-being achieved a better QOL, while those who reported lower spiritual well-being affirmed emotional and QOL damage.
The study by Kiyancicek, (2017) with family members who assisted cancer patients obtained the following results: of 230 participants, 47.1% believed exercising spirituality helped them to deal with stress; 35% affirmed that after the diagnosis they dedicated more time to spiritual practices. In contrast, 30% affirmed that they spent less time exercising spirituality and 35.6% said nothing had changed.
Conclusion
The analyzed studies showed that spirituality has great potential in improving QOL for hematological patients and their relatives. However, despite the fact that complementary medicine has been gaining ground in helping various hematological diseases treatments, for spirituality to be truly added in daily practices, further studies should be strongly considered. In addition, health professionals must recognize the value of patients' psycho spiritual well being.
Keyword(s): Quality of life
Abstract: PB1745
Type: Publication Only
Session title: Quality of life, palliative care, ethics and health economics
Background
Studies indicate that spirituality and religious practices can result in positive impacts in the quality of life (QOL) in many pathologies. From decreased anxiety or depression symptoms to a greater sense of peace and acceptance.
Aims
It is then questioned the spirituality impact in hematological patients QOL.
Methods
This systematic review included studies on the impact spirituality has in the QOL of hematological patients. Three electronic databases (SciELO, LILACS, PubMed) were consulted in search for articles published in the last ten years, in English, Spanish and Portuguese, using the following keywords searched in DeCs/ MeSH: spirituality, quality of life and hematology and its correlates in Portuguese and Spanish.
The initial online search led to the retrieval of 195 references and reviewers extracted data independently. A total of 11 articles were used in the review. The checklist of 27 items and 4-step flow chart (Table 1) indicated by the PRISMA methodology were used.
Results
It was observed that spirituality and religiosity have been associated with a better quality of life (QOL) in hematological patients. The study by Sirilla J, (2013) reported an improvement in QOL in patients who underwent bone marrow transplantation, as well as in the studies by Durner J, (2013), demonstrating improvement in patients with multiple myeloma and Thomas ML. (2012) in myelodysplastic syndromes. Rodin G. et al. (2013) found that spirituality is related to less symptoms of post-traumatic stress in patients with acute leukemia and Bediako SM et al. (2011) observed fewer hospital admissions among adults with sickle cell disease.
The study by Maheri A, et al. (2016) in adults with thalassemia affirms that spiritual growth is one of the most significant predictive factors of QOL, and emphasizes the importance of including spirituality in health care. Abdol Jabbari M, et al. (2018), observed that among parents of children diagnosed with cancer had developed spiritual tactics to deal with the disease, even under stressful conditions. According to Jabbari, reaching a certain spiritual level provided greater adherence to treatment and raised the hope.
Sheikhzakaryaee, et al. (2018) also explores the experiences of parents with children with cancer and their spiritual strategies. The results obtained were reduction of anxiety, depression and loneliness of patients and increase in QOL, with an expansion in positive and pleasure feelings.
The research carried out by Prince, et al. (2015) reports that patients subjected to allogeneic hematopoietic stem cell transplantation with greater spiritual well-being achieved a better QOL, while those who reported lower spiritual well-being affirmed emotional and QOL damage.
The study by Kiyancicek, (2017) with family members who assisted cancer patients obtained the following results: of 230 participants, 47.1% believed exercising spirituality helped them to deal with stress; 35% affirmed that after the diagnosis they dedicated more time to spiritual practices. In contrast, 30% affirmed that they spent less time exercising spirituality and 35.6% said nothing had changed.
Conclusion
The analyzed studies showed that spirituality has great potential in improving QOL for hematological patients and their relatives. However, despite the fact that complementary medicine has been gaining ground in helping various hematological diseases treatments, for spirituality to be truly added in daily practices, further studies should be strongly considered. In addition, health professionals must recognize the value of patients' psycho spiritual well being.
Keyword(s): Quality of life