Religious/Spiritual Coping and Quality of Life of 5-Years Cancer Survivors After Hematopoietic Stem Cell Transplantation
DOI:
https://doi.org/10.32635/2176-9745.RBC.2022v68n4.2812Keywords:
quality of life, hematopoietic stem cell transplantation, oncology nursing, adaptation, psychological, health personnelAbstract
Introduction: Hematopoietic stem cell transplantation is a complex treatment, with healing potential, however, it presents a significant risk of serious complications and consequent impairment in health-related quality of life. Given this scenario, it is necessary for the health team to recognize the demands that patients are exposed to, and the coping strategies used, in order to promote interventions that aim to improve health-related quality of life, and decrease the discomforts resulting from the diagnosis and treatment. Objective: To correlate the use of religious/spiritual coping with quality of life after five years of hematopoietic stem cell transplantation. Method: Analytical and longitudinal study, with 55 patients in a referral hospital for the procedure in Latin America. Data were collected from 2013 to 2021, with the Functional Assessment of Cancer Therapy – Bone Marrow Transplantation and Religious/Spiritual Coping Scale questionnaires. Correlations between variables by the Spearman’s correlation coefficient. Results: 30 patients died before completing five years of treatment. Quality of life showed better rates in the fifth year (116.1/148). There was greater use of positive religious/spiritual coping (3.15/5.00). A significant negative correlation between quality-of-life scores (-0.624/p<0.00) and negative religious/spiritual coping was found. Conclusion: Recognizing the multidimensionality of the quality of life construct, including the spiritual domain, can help the patient to cope with the disease and treatment.
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References
Chabannon C, Kuball J, Bondanza A, et al. Hematopoietic stem cell transplantation in its 60s: a platform for cellular therapies. Sci Transl Med. 2018;10(436):eaap9630. doi: https://doi.org/10.1126/scitranslmed.aap9630
Marques ACB, Szczepanik AP, Machado CAM, et al. Hematopoietic stem cell transplantation and quality of life during the first year of treatment. Rev Latino-Am Enfermagem. 2018;26:e3065. doi: https://doi.org/10.1590/1518-8345.2474.3065
El-Jawahri A, Nelson AM, Gray TF, et al. Palliative and end-of-life care for patients with hematologic malignancies. J Clin Oncol. 2020;38(9):944-53. doi: https://doi.org/10.1200/JCO.18.02386
Turke KC, Canonaco JS, Artioli T, et al. Depression, anxiety and spirituality in oncology patients. Rev Assoc Med Bras. 2020;66(7):960-5. doi: https://doi.org/10.1590/1806-9282.66.7.960
Moraes Filho LS, Khoury HTT. Uso do coping religioso/espiritual diante das toxicidades da quimioterapia no paciente oncológico. Rev Bras Cancerol. 2018;64(1):27-3. doi: https://doi.org/10.32635/2176-9745.RBC.2018v64n1.112
Costa DT, Silva DMR, Cavalcanti IDL, et al. Religious/spiritual coping and level of hope in patients with cancer in chemotherapy. Rev Bras Enferm. 2019;72(3):640-6. doi: https://doi.org/10.1590/0034-7167-2018-0358
Koenig HG, Al-Zaben F, VanderWeele T. Religion and psychiatry: recent developments in research. BJPsych Adv. 2020;26(5):262-72. doi: https://doi.org/10.1192/bja.2019.81
Panzini RG, Bandeira DR. Spiritual/religious coping. Arch Clin Psychiatry. 2007;34(Supl 1):126-35. doi: https://doi.org/10.1590/S0101-60832007000700016
Foch GFL, Silva AMB, Enumo SRF. Spiritual/religious coping: a systematic literature review (2003-2013). Arq Bras Psicol [Internet]. 2017 [cited 2022 Oct 20];69(2):53-71. Available from: http://pepsic.bvsalud.org/scielo.php?script=sci_arttext&pid=S1809-52672017000200005&lng=pt
Jaramillo RG, Monteiro PS, Borges MS. Coping religioso/espiritual: um estudo com familiares de crianças e adolescentes em tratamento quimioterápico. Cogitare Enferm. 2019;24:e62297. doi: http://doi.org/10.5380/ce.v24i0.62297
Malta M, Cardoso LO, Bastos FI, et al. STROBE initiative: guidelines on reporting observational studies. Rev Saude Publica. 2010;44(3):559-65. doi: https://doi.org/10.1590/S0034-89102010000300021
Registro Brasileiro de Transplantes: dimensionamento dos transplantes no Brasil e em cada estado (2013-2020) [Internet]. São Paulo: Associação Brasileira de Transplantes de Órgãos. Ano XXVI, No 4, 2020 [acesso 2022 out 20]. Disponível em: https://site.abto.org.br/wp-content/uploads/2020/08/2020_populacao_1.pdf
Mastropietro AP, Oliveira EA, Santos MA, et al. Functional Assessment of Cancer Therapy Bone Marrow Transplantation: tradução e validação. Rev Saúde Pública. 2007;41(2):260-8. doi: https://doi.org/10.1590/S0034-89102007000200013
Panzini RG, Bandeira DR. Escala de coping religioso-espiritual (Escala CRE): elaboração e validação de construto. Psicol Estud. 2005;10(3):507-16. doi: https://doi.org/10.1590/S1413-73722005000300019
FACT-BMT Scoring Guidelines [Internet]. Version 4. FACIT.org. 2003 [cited 2022 Oct 20]. Available from: https://www.facit.org/measures-scoring-downloads/fact-bmt-scoring-downloads
Conselho Nacional de Saúde (BR). Resolução nº 466, de 12 de dezembro de 2012. Aprova as diretrizes e normas regulamentadoras de pesquisas envolvendo seres humanos [Internet]. Diário Oficial da União, Brasília, DF. 2013 jun 13 [acesso 2020 out 20]; Seção 1:59. Disponível em: https://conselho.saude.gov.br/resolucoes/2012/Reso466.pdf
Szczepanik AP, Marques ACB, Maftum MA, et al. Estratégias de enfrentamento utilizadas durante o tratamento por pacientes submetidos ao transplante de células-tronco hematopoiéticas. Rev Enf Ref. 2018;4(19):29-38. doi: https://doi.org/10.12707/RIV18055
Linares-Fernández S, Pérez-Marfil MN, Cruz-Quintana F, et al. Psycho-oncological intervention in haematopoietic progenitor cell transplant (HPT): effects of emotional impact. Ter Psicol. 2017;35(3):259-70. doi: https://doi.org/10.4067/S0718-48082017000300259
Ochoa CY, Haardörfer R, Escoffery C, et al. Examining the role of social support and spirituality on the general health perceptions of Hispanic cancer survivors. Psychooncology. 2018;27(9):2189-97. doi: https://doi.org/10.1002/pon.4795
Bevans M, El-Jawahri A, Tierney DK, et al. National institutes of health hematopoietic cell transplantation late effects initiative: the patient-centered outcomes working group report. Biol Blood Marrow Transplant. 2017;23(4):538-51. doi: https://doi.org/10.1016/j.bbmt.2016.09.011
Kim I, Koh Y, Shin D, et al. Importance of monitoring physical function for quality of life assessments in hematopoietic stem cell transplantation patients: a prospective cohort study. In Vivo. 2020;34(2):771-7. doi: https://doi.org/10.21873/invivo.11837
Lassiter JM, Poteat T. Religious coping and depressive symptoms among black americans living with HIV: an intersectional approach. Psycholog Relig Spiritual. 2020;12(3):261-68. doi: https://doi.org/10.1037/rel0000284
Souza EA, Ramos BDS, Silva LQM, et al. Espiritualidade, coping religioso espiritual e qualidade de vida em pacientes no serviço de oncologia em um hospital público de referência no nordeste do Brasil [trabalho de conclusão de curso na Internet]. Recife (PE): Faculdade Pernambucana de Saúde; 2019 [acesso 2020 out 20]. Disponível em: https://tcc.fps.edu.br/jspui/handle/fpsrepo/464
Peres MFP, Oliveira AB, Leão FC, et al. Religious landscape in Brazil: comparing different representative nationwide approaches to obtain sensitive information in healthcare research. SSM Popul Health. 2018;6:85-90 doi: https://doi.org/10.1016/j.ssmph.2018.08.007
Miura CRM, Campanharo CRV, Batista REA, et al. Qualidade de vida e experiências religiosas/espirituais de pacientes com câncer em um serviço de emergência. Cogit Enferm. 2020;25:e67474. doi: https://doi.org/10.5380/ce.v25i0.67474
Moreira WC, Nóbrega MPSS, Lima FPS, et al. Effects of the association between spirituality, religiosity and physical activity on health/mental health: a systematic review. Rev Esc Enferm USP. 2020;54:e03631. doi: https://doi.org/10.1590/S1980-220X2019012903631
Saad M, Medeiros R. Implications for public health of the religiosity-longevity relation. Rev Assoc Med Bras. 2017;63(10):837-41. doi: https://doi.org/10.1590/1806-9282.63.10.837
Greer JA, Applebaum AJ, Jacobsen JC, et al. Understanding and addressing the role of coping in palliative care for patients with advanced cancer. J Clin Oncol. 2020;38(9):915-25. doi: https://doi.org/10.1200/JCO.19.00013
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