Espiritualidad en atención paliativaevidencias sobre la intervención con "counselling"

  1. Rudilla, David
  2. Oliver Germes, Amparo
  3. Galiana Llinares, Laura
  4. Barreto Martín, María Pilar
Journal:
Psychosocial Intervention

ISSN: 1132-0559

Year of publication: 2015

Volume: 24

Issue: 2

Pages: 79-82

Type: Article

DOI: 10.1016/J.PSI.2015.06.002 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Psychosocial Intervention

Abstract

When spiritual needs are effectively elaborated, they can help the individual to find meaning, sustain hope, and accept death in the context of the end of life. Counselling has been one of the therapies that is mostused to meet these needs. The aim of this work is to offer evidence on the efficacy of this therapy to improve the spirituality of patients attended in several health devices. In order to achieve this objective, a three-week intervention was carried out with 131 home care and hospitalized patients. The mean age was 70.61 (SD = 11.17); 51.1% were men. Spirituality was assessed before and after the intervention, and a multivariate analysis of variance (MANOVA) was used to study the differences between these two moments, together with follow-up ANOVAs. Results indicated a positive effect, with a large effect size, F(3,110) = 31.266, p < .001, ?2 = .460. This study can be the starting point for the implementation of intervention programs in the context of palliative care.

Bibliographic References

  • Arranz, P. y Cancio, H. (2000). Counselling: Habilidades de información y comunicación con el paciente oncológico En F. Gil (Ed.), Manual de Psico-Oncología (pp. 39-56). Madrid: NovaSidonia.
  • Bayés, R., Limonero, J. T., Romero, E. y Arranz, P. (2000). ¿Qué puede ayudarnos a morir en paz? Medicina Clínica, 115, 579-582.
  • Benito, E., Oliver, A., Galiana, L., Barreto, P., Pascual, A., Gomis, C. y Barbero, J. (2014). Development and validation of a new tool for the assessment and spiritual care of palliative care patients. Journal of Pain and Symptom Management, 47, 1008-1018.
  • Boutron, I., Moher, D., Altman, D. G., Schulz, K. F., Ravaud, P., y CONSORT Group (2008). Methods and processes of the CONSORT Group: example of an extension for trials assessing nonpharmacologic treatments. Annals of Internal Medicine, 148(4), W60-66.
  • Breibart, W. (2007). Who needs the concept of spirituality? Human beings seem to! Palliative and Supportive Care, 5, 105-106.
  • Breitbart, W., Poppito, S., Rosenfeld, B., Vickers, A. J., Li, Y., Abbey, J., ... Cassileth, B. R. (2012). Pilot randomized controlled trial of individual meaning-centered psychotherapy for patients with advanced cancer. Journal of Clinical Oncology, 30, 1304-1309.
  • Breitbart, W., Rosenfeld, B., Gibson, C., Pessin, H., Poppito, S., Nelson, C., ... Olden, M. (2010). Meaning-centered group psychotherapy for patients with advanced cancer: a pilot randomized controlled trial. Psychooncology, 19, 21-28.
  • Breitbart, W., Rosenfeld, B., Pessin, H., Applebaum, A., Kulikowski, J. y Lichtenthal, W. G. (2015). Meaning-Centered Group Psychotherapy: An Effective Intervention for Improving Psychological Well-Being in Patients With Advanced Cancer. Journal of Clinical Oncology, 33, 749-756.
  • Cohen, J. (1992). A power primer. Psychological Bulletin, 112, 155-159.
  • Corr, C. A. y Corr, D. M. (2012). Death and dying, life and living (7a Ed.). Belmont, CA: Wadsworth.
  • Delgado-Guay, M. O., Hui, D., Parsons, H. A., Govan, K., de la Cruz, M., Thorney, S. y Bruera, E. (2011). Spirituality, religiosity and spiritual pain in advanced cancer patients. Journal of Pain and Symptom Management, 41, 986-994.
  • Fegg, M. J. (2006). Strategic Therapy in Palliative Care. European Psychotherapy, 6, 271-308.
  • Fombuena, M., Galiana, L., Barreto, P., Oliver, A., Pascual, A. y Soto-Rubio, A. (2015). Spirituality in patients with advanced illness: The role of symptom control, resilience and social network. Journal of Health Psychology, 1-10, doi: 10.1177/1359105315586213.
  • Galiana, L., Oliver, A., Gomis, C., Barbero, J. y Benito, E. (2014). Cuestionarios de evaluación e intervención espiritual en cuidados paliativos. Medicina paliativa, 21, 62-74.
  • Gysels, M. y Higginson, I. (2004). Improving supportive and palliative care for adults with cancer: Research evidence. London: National Institute for Clinical Excellence.
  • Haugan, G. (2013). Meaning-in-life in nursing-homes patients: a correlate with physical and emotional symptoms. Journal of Clinical Nursing, 23, 1030-1043.
  • Houmann, L. J., Cochinov, H. M., Kristjanson, L. J., Petersen, M. A. y Groenvold, M. (2014). A prospective evaluation of Dignity Therapy in advanced cancer patients admitted to palliative care. Palliative Medicine, 28, 448-458.
  • Hui, D., de la Cruz, M., Thorney, S., Parsons, H. A., Delgado-Guay, M. y Bruera, E. (2011). The frequency and correlates of spiritual distress among patients with advanced cancer admitted to an acute palliative care unit. American Journal of Hospice Palliative Care, 28, 264-270.
  • Kandasamy, A., Chaturvedi, S. K. y Desai, G. (2011). Spirituality, distress, depression, anxiety, and quality of life in patients with advanced cancer. Indian Journal of Cancer, 48, 55-59.
  • Kissane, D. W., Bloch, S., Smith, G. C., Miach, P., Clarke, D. M., Ikin, J., ... McKenzie, D. (2003). Cognitive-existential group psychotherapy for women with primary breast cancer: a randomised controlled trial. Psychooncology, 12, 532-546.
  • Kissane, D. W., McKenzie, M., Bloch, S., Moskowitz, C., McKenzie, D. P. y O'Neill, I. (2006). Family focused grief therapy: a randomized, controlled trial in palliative care and bereavement. The American Journal of Psychiatry, 163, 1208-1218.
  • Krikorian, A. y Limonero, J. T. (2012). An integrated view of suffering in palliative care. Journal of Palliative Care, 28, 41-49.
  • Leget, C. (2012). Spiritual care in palliative care. Developments in Europe. Comunicación presentada en Glasgow, 13-14 marzo 2012. Recuperado de http://www.nes.scot.nhs.uk/media/859386/carlo-leget.pdf.McClain et al. (2003)
  • Li, M., Fitzgerald, P. y Rodin, G. (2012). Evidence-based treatment of depression in patients with cancer. Journal of Clinical Oncology, 30, 1187-1196.
  • Lorenz, K. A., Lynn, J., Dy, S. M., Shugarman, L. R., Wilkinson, A., Mularski, R. A., ... Shekelle, P. G. (2008). Evidence for improving palliative care at the end of life: a systematic review. Annals of Internal Medicine, 148, 147-159.
  • McClain, C. S, Rosenfeld, B. y Breitbart, W. (2003) Effect of spiritual well-being on endof-life despair in terminally-ill cancer patients. Lancet, 361, 1603-1607.
  • National Comprehensive Cancer Network (2013). Clinical practice guidelines in oncology. Palliative care. Retrieved from http://oralcancerfoundation.org/treatment/pdf/palliative.pdf
  • Newell, S. A., Sanson-Fisher, R. W. y Savolainen, N. J. (2002). Systematic review of psychological therapies for cancer patients: overview and recommendations for future research. Journal of the National Cancer Institute, 94, 558-584.
  • OMS (2002). Definition of palliative care. Recuperado de: http://www.who.int/cancer/palliative/definition/en/.
  • Organización Mundial de la Salud (2004). Hechos sólidos en cuidados paliativos. Recuperado de http://www.msssi.gob.es/organizacion/sns/planCalidadSNS/cuidadosPaliativos.html
  • Porche, K., Reymond, L., O'Callaghan, J. y Charles, M. (2014). Depression in palliative care patients: a survey of assessment and treatment practices of Australian and New Zealand palliative care specialists. Australian Health Review, 38, 1-7.
  • Powers, D. V., Cramer, R. J. y Grubka, J. M. (2007). Spirituality, life stress, and affective well-being. Journal of Psychology and Theology, 35, 235-243.
  • Price, A. y Hotopf, M. (2009). The treatment of depression in patients with advanced cáncer undergoing palliative care. Current Opinion in Supportive and Palliative Care, 3, 61-66.
  • Puchalski, C. y Ferrell, B. (2010). Making health care whole. Integrating spirituality into patient care. West Conshohocken, PA: Templeton Press.
  • Radbruch, L., Payne, S. y el Comité Directivo de la EAPC (2009a). White Paper on standards and norms for hospice and palliative care in Europe. Recommendations from the European Association for Palliative Care: part 1. European Journal of Palliative Care, 16, 278-289.
  • Radbruch, L., Payne, S. y el Comité Directivo de la EAPC (2009b). White Paper on standards and norms for hospice and palliative care in Europe. Recommendations from the European Association for Palliative Care: part 2. European Journal of Palliative Care, 16, 278-289.
  • Rajmohan, V. y Kumar, K. S. (2013). Psychiatric morbidity, pain perception, and functional status of chronic pain patients in palliative care. Indian Journal of Palliative Care, 19, 146-151.
  • Rudilla D. (2014). Elaboración y estudio de una herramienta de evaluación de la dignidad al final de la vida (tesis doctoral no publicada). Universitat de València.
  • Rudilla, D., Barreto, P., Oliver, A. y Galiana, L. (2015). Eficacia del counselling y la terapia de la dignidad en pacientes paliativos. Medicina Paliativa, 22(2). doi: 10.1016/j. medipa.2014.09.005
  • Saunders, C. (2011). Velad conmigo. Inspiración para una vida en cuidados paliativos. Houston, EEUU/Barcelona, España: IAHPC Press, Obra Social "la Caixa".
  • Tabachnick, G. G. y Fidell, L. S. (2007). Using Multivariate Statistics (6th Edition). Boston: Allyn and Bacon.
  • Uitterhoeve, R., Vernooy, M., Litjens, M., Potting, K., Bensing, J., De Mulder, P. y van Achterberg, T. (2004). Psychosocial interventions for patients with advanced cancer - a systematic review of the literature. British Journal of Cancer, 91, 1050-1062.
Data source: Dialnet