Assessing spirituality: is there a beneficial role in the management of COPD?

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Abstract

Here,we report on the role of spirituality assessment in the management of chronic obstructive pulmonary disease (COPD). Although a positive effect of addressing spirituality in health care has been proved in a number of chronic diseases, its potential in COPD has received less attention. Although limited, available evidence suggests that spirituality may play an important role in improving quality of life of patients with COPD. The fruitful results in other long-term conditions may lay the foundation for further research on addressing spirituality in COPD. This should focus where the burden of COPD is greatest, including low-resource settings globally. Implementation research should include exploration of an acceptable consultation process to identify patients who would welcome spiritual discussions; how to integrate spiritual approaches into health care professional curricula so that they are aware of its importance and have the confidence to raise it with patients and how to integrate spiritual approaches into holistic COPD care.

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Most cited references 52

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A total of 268 medically ill, elderly, hospitalized patients responded to measures of religious coping and spiritual, psychological and physical functioning at baseline and follow-up two years later. After controlling for relevant variables, religious coping was significantly predictive of spiritual outcome, and changes in mental and physical health. Generally, positive methods of religious coping (e.g. seeking spiritual support, benevolent religious reappraisals) were associated with improvements in health. Negative methods of religious coping (e.g. punishing God reappraisal, interpersonal religious discontent) were predictive of declines in health. Patients who continue to struggle with religious issues over time may be particularly at risk for health-related problems.

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Research on Religion, Spirituality, and Mental Health: A Review

Harold G. Koenig (2009)

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Religion, spirituality, and medicine: research findings and implications for clinical practice.

Harold G. Koenig (2004)

A growing body of scientific research suggests connections between religion, spirituality, and both mental and physical health. The findings are particularly strong in patients with severe or chronic illnesses who are having stressful psychologic and social changes, as well as existential struggles related to meaning and purpose. Recent studies indicate that religious beliefs influence medical decisions, such as the use of chemotherapy and other life-saving treatments, and at times may conflict with medical care. This article addresses the ways physicians can use such information. Spirituality is an area that makes many physicians uncomfortable, since training in medical schools and continuing medical education programs are limited. Not only do most physicians lack the necessary training, they worry about spending additional time with patients and overstepping ethical boundaries. While these concerns are valid, each can be addressed in a sensible way. Taking a spiritual history, supporting the patient's beliefs, and orchestrating the fulfillment of spiritual needs are among the topics this article will address. The goal is to help physicians provide medical care that is sensitive to the way many patients understand and cope with medical illness.

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Author and article information

Contributors

Ioanna Tsiligianni: i.tsiligianni@uoc.gr

Journal

Journal ID (nlm-ta): NPJ Prim Care Respir Med

Journal ID (iso-abbrev): NPJ Prim Care Respir Med

Title: NPJ Primary Care Respiratory Medicine

Publisher: Nature Publishing Group UK (London )

ISSN (Electronic): 2055-1010

Publication date (Electronic): 28 May 2019

Publication date PMC-release: 28 May 2019

Publication date Collection: 2019

Volume: 29

Electronic Location Identifier: 23

Affiliations

[1 ]ISNI 0000 0004 0576 3437, GRID grid.8127.c, Health Planning Unit, Department of Social Medicine, , University of Crete, School of Medicine, ; Heraklion, Greece

[2 ]Moires Health Care Center, Crete, Greece

[3 ]International Primary Care Respiratory Group, London, UK

Article

Publisher ID: 134

DOI: 10.1038/s41533-019-0134-x

PMC ID: 6538715

PubMed ID: 31138810

SO-VID: bcdd90ab-ff88-42e2-9e50-9fe203c6c218

License:

Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.