The prevalence of spiritual struggle among patients with chronic illness
- Author:
Stephanie M. Cancino-Ruiz
1
;
Regina S. Piano
1
;
Ma. Teresa Tricia Bautista
1
Author Information
- Publication Type:Other Types
- Keywords: Spiritual assessment; Medical care
- MeSH: Chronic Disease; Spirituality; Humans
- From: The Filipino Family Physician 2019;57(1):2-8
- CountryPhilippines
- Language:English
-
Abstract:
Background:During the last 10 years, there is an increase in the number of studies showing positive associations between spirituality and health. Studies cited that many patients would like spiritual issues embedded into their medical care but not many physicians deal with this elusive domain of well-being. Spiritual screening is a first step towards addressing the spiritual needs of patients.
Objectives:To determine the prevalence of spiritual struggle in chronically ill patients.
Data Collection:This is a descriptive cross-sectional type of study. Using the STATCALC of Epi Info Software for a simple random sampling, we enrolled 80 chronically ill patients from the service wards of the Quirino Memorial Medical Center, aged 19 years old and above, non-pregnant, and claimed to be Christians. Patients’ religious disposition was screened using the Religious Struggle Screening Protocol (RUSH Protocol) resulting to 3 actions: 1) referral to chaplain/spiritual counselor for a visit, 2) referral to chaplain/spiritual counselor for spiritual assessment, or 3) No Action. A patient perception feedback was likewise conducted.
Results:Among 80 patients recruited, 100% of the subjects recognized the importance of spirituality in coping with their condition; of which 90% expressed desire to be visited or referred for spiritual support. As to the degree of comfort received from one’s religion or spirituality in their journey with illness, 82% receive complete level of comfort, and almost all of them (96%) wished to be visited by a chaplain. The remaining 18% claimed to receive less comfort than needed, and therefore, have the potential for religious/spiritual struggle -- 80% of which, desired to be referred for spiritual assessment. All patients found it helpful to be asked about their spiritual needs during history-taking, with 95% feeling comfortable with the way the spiritual needs were elicited by the researcher using the RUSH Protocol algorithm.
Conclusion:Spiritual issues should be considered as part of the patients’ medical care. The RUSH Protocol may be formally integrated in the history taking as an initial step for spiritual assessment to support vulnerable patients with chronic illness. - Full text:PAFP-Journal-2019-1-6-12.pdf
