The spiritual dimension of perceived life satisfaction in heart attack

Autores

  • Donia R Baldacchino

DOI:

https://doi.org/10.7213/revistapistispraxis.06.001.ds04

Palavras-chave:

Spirituality, Life satisfaction, Quality of life, Myocardial infarction, Maslow Hierarchy of Human Needs.

Resumo

This descriptive exploratory study was conducted in Malta in the local acute general hospital. The spiritual dimension of life satisfaction was explored twice by audio-taped face to face interviews on patients, aged > 65 years old with heart attack across the first three months (Time 1: n = 63; Time 2: n = 51) following onset of myocardial infarction. The study was guided by the theory: hierarchy of human needs. The findings identified two main themes namely: positive and negative spiritual influencing factors. The positive spiritual enhancing factors included family relationships, achievement of life goals and helping others. The spiritual negative influencing factors consisted of unfinished business and unachieved goals in life. The spiritual dimension was oriented towards finding meaning and purpose in life and turning to God for empowerment to cope with their holistic needs. Similarities were found between the findings of both data collection. While acknowledging the limitations of the study, recommendations were set to the hospital management, education sector and further research

Downloads

Não há dados estatísticos.

Biografia do Autor

Donia R Baldacchino

Ph.D. (Hull), MSc (Lond), BSc (Hons), Cert Ed, RGN, associate professor, Faculty of Health Sciences, University of Malta, visiting professor, University of South Wales, adjunct faculty member, Johns Hopkins University, Maryland - USAThis descriptive exploratory study was conducted in Malta in the local acute general hospital. The spiritual dimension of life satisfaction was explored twice by audio-taped face to face interviews on patients, aged > 65 years old with heart attack across the first three months (Time 1: n = 63; Time 2: n = 51) following onset of myocardial infarction. The study was guided by the theory: hierarchy of human needs. The findings identified two main themes namely: positive and negative spiritual influencing factors. The positive spiritual enhancing factors included family relationships, achievement of life goals and helping others. The spiritual negative influencing factors consisted of unfinished business and unachieved goals in life. The spiritual dimension was oriented towards finding meaning and purpose in life and turning to God for empowerment to cope with their holistic needs. Similarities were found between the findings of both data collection. While acknowledging the limitations of the study, recommendations were set to the hospital management, education sector and further research

Referências

AYELE, A. et al. Religious activity improves life satisfaction for some physicians and older patients. Journal of American Geriatric Society, v. 47. n. 4, p. 453455, 1999.

BALDACCHINO, D. Long-term causal meaning of myocardial infarction. British Journal of Nursing, v. 19, n. 12, p. 774-781, 2010.

BALDACCHINO, D. Myocardial Infarction: a turning point in meaning in life over time. British Journal of Nursing, v. 20, p. 107-114, 2011.

BALDACCHINO, D.; AGIUS, D.; GAUCI, D. The spiritual dimension in adaptation in chronic illness: A comparative study. In: BALDACCHINO, D. Spiritual care: being in doing. Malta: Preca Library, 2010. p. 103-122.

BALDACCHINO, D. et al. Older persons’ satisfaction with institutional services in Australia: an inspiration. In: BALDACCHINO, D. (Ed.). Spiritual care: being in doing. Malta: Preca Library, 2010. p. 123-143.

BALDACCHINO, D. et al. Psychology and theology meet: illness appraisal and spiritual coping. Western Journal of Nursing Research, v. 34, n. 6, p. 818-847, 2012.

BALDACCHINO D. et al. Spiritual coping of clients on rehabilitation: A comparative study between Malta and Norway (Part 1). British Journal of Nursing, v. 22, n. 4, p. 16-20, 2013a.

BALDACCHINO D. et al. Spiritual coping of clients on rehabilitation: a comparative study between Malta and Norway (Part 2). British Journal of Nursing, v. 22, n. 7, p. 402-408, 2013b.

BERGAN, A.; McCONATHA, J. T. Religiosity and life satisfaction. Activities, Adaptation and Aging, v. 24, n. 3, p. 23-34, 2000.

BRINK, E.; KARLSON, B. W.; HALLBERG, L. R. M. Readjustment five months after a first-time myocardial infarction: reorienting the active self. Journal of Advanced Nursing, v. 53, n. 4, p. 403-411, 2006.

CASSAR, S.; BALDACCHINO, D. Quality of life post Percutaneous Coronary Intervention (PCI) (Part 1). British Journal of Nursing, v. 21, n. 15, p. 897902, 2012a.

CASSAR, S.; BALDACCHINO, D. Quality of life post Percutaneous Coronary Intervention (PCI) (Part 2). British Journal of Nursing, v. 21, n. 19, p. 11251130, 2012b.

CHIU, L. F. et al. An integrative review of concept of spirituality in the health sciences. Westem Journal of Nursing Research, v. 26, n. 4, p. 405-428, 2004.

FRANKL, V. E. Man’s search for meaning: an introduction to logotherapy.

ed. New York: Simon & Schuster, 1984.

GROENEVELD, P. W.; SUE, J. J.; MATTA, M. A. The costs and quality-of-life outcomes of drug-eluting coronary stents: a systematic review. Journal of Interventional Cardiology, v. 20, n. 1, p. 1-9, 2007.

HUTTON, J. M.; PERKINS, S. J. A qualitative study of men’s experience of myocardial infarction. Psychology, Health and Medicine, v. 13, n. 1, p. 87-97, 2008.

KALFOSS, M. H.; LOW, G.; MOLZAHN, A. E. The suitability of the WHOQOLBREF for Canadian and Norwegian older adults. European Journal of Ageing, v. 5, n. 1, p. 77-89, 2008.

KEATON, K. A.; PIERCE, L. L. Cardiac therapy for men with coronary artery disease: the lived experience. Journal of Holistic Nursing, v. 18, n. 1, p. 63-85. 2000.

KING, M.; SPECK, P.; THOMAS, A. The effects of spiritual beliefs on outcome from illness. Social Science and Medicine, v. 48, p. 1291-1299, 1999.

KONSTANTINA, A; DOKOUTSIDOU, H. Quality of life after coronary intervention. Health Science Journal, v. 3, n. 2, p. 66-71, 2009.

KOUTSOS, P.; WERTHEIM, E. H.; KORNBLUM, J. Paths to interpersonal forgiveness: the role of personality, disposition to forgive and contextual factors in predicting forgiveness following a specific offence. Personality and Individual Differences, v. 44, p. 337-348, 2008.

KRISTOFFERZON, M. L.; LÖFMARK, R.; CARLSSON, M. Striving for balance in daily life: experiences of Swedish women and men shortly after a myocardial infarction. Journal of Clinical Nursing, v. 16, p. 391-401, 2007.

LARSEN, K. E. et al. Depression in women with heart disease: the importance of social role performance and spirituality. Journal of Clinical Psychology in Medical Settings, v. 13, n. 1, p. 39-45, 2006.

LUKKARINEN, H. Quality of life in Coronary Artery Disease. Nursing Research, v. 47, n. 6, p. 337-343, 1998.

LINDQVIST, R.; CARLSSON, M.; SJODEN, P. Coping strategies and health-related quality of life among spouses of continuous ambulatory peritoneal dialysis, haemodialysis and transplant patients. Scandinavian Journal of Advanced Nursing, v. 31, n. 6, p. 1398-1408, 2000.

MARTENSSON, J.; KARLSSON, J., FRIDLUND, B. Female patients with congestive heart failure: how they conceive their life situation. Journal of Advanced Nursing, v. 28, n. 6, p. 1216-1224, 1998.

MASLOW, A. H. Toward a psychology of being. 3. ed. New York: John Wiley & Sons, 1999.

McCULLOUGH, M. E.; WORTHINGTON, E. L. Encouraging clients to forgive people who have hurt them; review, critique, & research prospectus. Journal of Psychology & Theology, v. 22, n. 1, p. 3-20, 1994.

McSHERRY, W. The principle components model: a model for advancing spirituality and spiritual care within nursing and healthcare practice. Journal of Clinical Nursing, v. 15, p. 905-917, 2006.

MURRAY, K; CIARROCHI, J. W. The dark side of religion, spirituality and the moral emotions: Shame, guilt, and negative religiosity as markers of life dissatisfaction. Journal of Pastoral Counselling, v. 22, p. 22-35, 2007.

MURRAY, S. A. et al. Exploring the spiritual needs of people dying of lung cancer or heart failure: a prospective qualitative interview study of patients and their carers. Palliative Medicine, v. 18, p. 39-45, 2004.

OTTO, R. The idea of the holy: an inquiry into the non-rational factor in the idea of the divine and its relation to the rational. London: Oxford University Press, 1950.

PARK, C. L. et al. Social support, appraisals, and coping as predictors of depression in congestive heart failure clients. Psychology and Health, v. 21, n. 6, p. 773-789, 2006.

PILKINGTON, F. B.; MITCHELL, G. J. Quality of life for women living with a gynaecologic cancer. Nursing Science Quarterly, v. 17, n. 2, p. 147-155, 2004.

PRINCE-PAUL, M. Relationships among communicative acts, social well-being and spiritual well-being on the quality of life at the end of life in patients with cancer enrolled in hospice. Journal of Palliative Medicine, v. 11, p. 20-25, 2008.

RAD, A. M. M.; De MORAES, A. Factors affecting employees’ job satisfaction in public hospitals. Journal of General Management, v. 34, n. 4, p. 51-66, 2009.

RAHOLM, M. B. Weaving the fabric of spirituality as experienced by clients who have undergone a coronary bypass surgery. Journal of Holistic Nursing, v. 20, n. 1, p. 31-47, 2002.

RENETZKY, L. The fourth dimension: applications to the social services. In: MOBERG, D. O. Spiritual well-being: sociological perspectives. New York: University Press of America, 1979.

ROEBUCK, A.; FURZE, G.; THOMPSON, D. R. Health-related quality of life after myocardial infarction: an interview study. Journal of Advanced Nursing, v. 34, n. 6, p. 787-794, 2001.

SCHNEIDER, M. A. Broadening our perspective on spirituality and coping among women with breast cancer and their families: implications for practice. Indian Journal of Palliative Care, v. 13, n. 2, p. 25-31, 2007.

SMELTZER, S. C. et al. Brunner & Suddarth’s textbook of medical-surgical nursing. 10. ed. Philadelphia: Lippincott Williams & Wilkins, 2004.

STURESSON, M.; BRANHOLM, I. Life satisfaction in subjects with chronic obstructive pulmonary disease. Work, v. 14, p. 77-82, 2000.

UTSEY, S. O. et al. Spiritual wellbeing as a mediator of the relation between culture- specific coping and quality of like in a community sample of African Americans. Journal of Cross-cultural Psychology, v. 38, n. 2, p. 123-136, 2007.

WANG, W. et al. Chinese couples’ experiences during convalescence from a first heart attack: a focus group study. Journal of Advanced Nursing, v. 61, n. 3, p. 307-315, 2007.

WESTIN, L. et al. Differences in quality of life in men and women with ischaemic heart disease. Scandinavian Cardiovascular Journal, v. 33, p. 160-165, 1999.

WHITE, J.; HUNTER, M.; HOLTTUM, S. How do women experience myocardial infarction? A qualitative exploration of illness perceptions, adjustment and coping. Psychology, Health & Medicine, v. 12, n. 3, p. 278-288, 2007.

WHOQOL GROUP. The World Health Organization Quality of Life Assessment (WHOQOL): position paper from the World Health Organization. Social Science and Medicine, v. 41, p. 1403-1409, 1995.

WRIGHT, S. G.; SAYRE-ADAMS, J. Sacred space: right relationship and spirituality in healthcare. Edinburgh: Churchill Livingstone

Downloads

Publicado

2014-09-13

Como Citar

Baldacchino, D. R. (2014). The spiritual dimension of perceived life satisfaction in heart attack. Revista Pistis & Praxis, 6(1), 67–88. https://doi.org/10.7213/revistapistispraxis.06.001.ds04