Spiritual care: A look from the perspective of the model of symptom management and palliative care
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Palabras clave

spirituality
palliative care
spiritual therapies
spiritual symptoms
nursing care
spiritual care
symptom management
end of life
terminal disease
spiritual well-being espiritualidade
cuidados paliativos
terapias espirituais
sintomas espirituais
cuidado de enfermagem
cuidado espiritual
manejo dos sintomas
fim da vida
doença terminal
bem-estar espiritual espiritualidad
cuidados paliativos
terapias espirituales
síntomas espirituales
atención de enfermería
cuidado espiritual
manejo de síntomas
final de la vida
enfermedad terminal
bienestar espiritual

Cómo citar

Cuartas-Hoyos, P., Charry-Hernández, R.-L., Ospina-Muñoz, P., & Carreño-Corredor, S. (2019). Spiritual care: A look from the perspective of the model of symptom management and palliative care. Revista Colombiana De Enfermería, 18(1), e005. https://doi.org/10.18270/rce.v18i1.2341

Resumen

Objective: To describe spiritual care from the perspective of scientific literature related to palliative care, taking into account the components of the Conceptual Model of Symptom Management, as stated by Patricia Larson and collaborators. Methodology: Systematic review, following Ganong’s guidelines, of publications made between 2002 and 2018 that are related to spiritual care and palliative care and articulated with the components of Patricia Larson's Symptom Management Model: symptom experience, symptom management strategy, and result of symptom management. Results: Of the 56 articles initially identified, 50 met the selection criteria and were classified according to the components of the Symptom Management Model. We found conceptualization of spirituality, scales for its assessment, interventions and benefits of spiritual care in patients with palliative needs. Conclusions: Spiritual care starts with perceiving the experience during the disease process or end-of-life stage, and includes timely identification of spiritual needs, their assessment through validated scales, and the use of diagnoses related to the spiritual dimension. The management strategies involved in spiritual care start from the accompaniment and active listening to the patient, from which the second and third level interventions described by the literature are derived. It is necessary to prepare nursing professionals which guide management strategies through the use of the model of Larson and collaborators, to management of symptoms in clinical practice.

https://doi.org/10.18270/rce.v18i1.2341
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Citas

Real Academia Española. Diccionario de la lengua española. Madrid, España. Real Academia Española. 2014.

https://dle.rae.es/?w=diccionario

Organización Mundial de la Salud. Cuidados Paliativos. Suiza: World Health Organization, 19 de febrero de 2018.

https://www.who.int/es/news-room/fact-sheets/detail/palliative-care

Manchola C, Brazão E, Pulschen A, Santos M. Palliative care, spirituality and narrative bioethics in a specialized health care unit. Rev. Bioét. 2016, 24(1), 165-75.

http://www.revistabioetica.cfm.org.br/index.php/revista_bioetica/article/view/1195/1422

http://dx.doi.org/10.1590/1983-80422016241118

Arrieira ICO, Thofehrn MB, Porto AR, Moura PMM, Martins CL, Jacondino MB. Spirituality in palliative care: Experiences of an interdisciplinary team. Rev Esc Enferm USP. 2018, 52, 1-7.

http://www.scielo.br/pdf/reeusp/v52/en_0080-6234-reeusp-S1980-220X2017007403312.pdf

http://dx.doi.org/10.1590/S1980-220X2017007403312

Ming-Shium T. Illness: An opportunity for spiritual growth. J Altern Complement Med. 2006, 12(10), 1029-33.

https://www.liebertpub.com/doi/abs/10.1089/acm.2006.12.1029

https://doi.org/10.1089/acm.2006.12.1029

Caro de Pallares S. Abordaje de la necesidad espiritual en la relación de ayuda. Salud Uninorte. 2004, 18, 3-7.

http://rcientificas.uninorte.edu.co/index.php/salud/article/viewArticle/4157

Sandoval PE, Rangel NE, Allende SR, Ascencio L. Concepto de espiritualidad del equipo multidisciplinario de una unidad de cuidados paliativos: un estudio descriptivo. Psicooncología. 2014, 11(2-3), 333-44.

http://revistas.ucm.es/index.php/PSIC/article/viewFile/47392/44425

http://dx.doi.org/10.5209/rev_PSIC.2014.v11.n2-3.47392

Guirao JA. La espiritualidad como dimensión de la concepción holística de salud. Ene de Enfermería. 2013, 7(1), 1-9.

http://www.ene-enfermeria.org/ojs/index.php/ENE/article/view/252/206

Rivas AC, Romero AV, Vásquez M. Bienestar espiritual de los pacientes con enfermedades crónicas de una institución de cuidado domiciliario. Duazary. 2013, 10(1), 20-26.

http://revistas.unimagdalena.edu.co/index.php/duazary/article/view/202

Quiceno JM, Vinaccia S. Creencias-prácticas y afrontamiento espiritual-religioso y características sociodemográficas en enfermos crónicos. Rev. Psic. Avances de la Disciplina. 2011, 5(1), 25-36.

http://www.revistas.usb.edu.co/index.php/Psychologia/article/view/1119/911

Ortega AM, González MD. El valor de la dimensión espiritual en el final de la vida desde la perspectiva de los profesionales de enfermería. Med Paliat. 2016, 23(2), 93-98.

https://www.clinicalkey.es/#!/content/playContent/1-s2.0-S1134248X14000317?returnurl=null&referrer=null

http://dx.doi.org/10.1016/j.medipa.2013.09.004

Conchon M, Nascimento L, Fonseca L, Aroni P. Sede perioperatória: uma análise sob a perspectiva da Teoría de Manejo de Síntomas. Rev Esc Enferm USP. 2015, 49(1), 120-26.

http://www.journals.usp.br/reeusp/article/view/103170

https://doi.org/10.1590/S0080-623420150000100016

Humphreys J, Janson S, Donesky DA, Dracup K, Lee KA, Puntillo K, et ál. Theory of symptom management. En: Smith MJ, Liehr PR, editores. Middle range theory for nursing. 3.a ed. Nueva York, Springer. 2008, p. 145-58.

http://stikespanritahusada.ac.id/wp-content/uploads/2017/04/Mary-Jane-Smith-PhD-RN-Patricia-R.-Liehr-PhD-RN-Middle-Range-Theory-for-Nursing_-Third-Edition-Springer-Publishing-Company-2013.pdf

Dodd M, Janson S, Facione N, Faucett J, Froelicher ES, Humphreys J, et ál. Advancing the science of symptom management. J Adv Nurs. 2008, 33(5), 668-76.

https://onlinelibrary.wiley.com/doi/abs/10.1046/j.1365-2648.2001.01697.x

https://doi.org/10.1046/j.1365-2648.2001.01697.x

Ganong L. Integrative reviews of nursing research. Es Nurs Heal. [Internet]. 1987;10(1), 1-11.

https://onlinelibrary.wiley.com/doi/abs/10.1002/nur.4770100103

https://doi.org/10.1002/nur.4770100103

Panzini RG, Rocha NS, Bandeira DR, Fleck MPA. Qualidade de vida e espiritualidade. Rev. Psiquiatr. Clín. 2007, 34(l1), 105-15.

https://www.lume.ufrgs.br/bitstream/handle/10183/20617/000644798.pdf?sequence=1&isAllowed=y

http://dx.doi.org/10.1590/S0101-60832007000700014

Waldow VR. Cuidado humano: la vulnerabilidad del ser enfermo y su dimensión de trascendencia. Index Enferm. 2014, ;23(4):234-38. Disponible en:

http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1132-12962014000300009&lng=en&nrm=iso&tlng=en

https://doi.org/10.4321/S1132-12962014000300009

Prado TP, Chaves ECL, Lunes DH. Angústia espiritual: a busca por novas evidências. J. Res. Fundam. Care. Online. 2015, 7(2), 2591-602.

http://www.redalyc.org/articulo.oa?id=505750946037

http://dx.doi.org/10.9789/2175-5361.2015.v7i2.2591-2602

Singh KD. The grace in dying: how we are transformed spiritually as we die. San Francisco, Harper San Francisco, 1998.

Redondo-Elvira T, Ibáñez-del-Parto C, Barbas-Abad S. Espiritualmente resilientes. Relación entre espiritualidad y resiliencia en cuidados paliativos. Clín Salud. 2017, 28 (3), 117-21.

http://scielo.isciii.es/pdf/clinsa/v28n3/1130-5274-clinsa-28-03-00117.pdf

http://dx.doi.org/10.1016/j.clysa.2017.09.001

Barreto P, Fombuena M, Diego R, Galiana L, Oliver A, Benito E. Bienestar emocional y espiritualidad al final de la vida. Med Paliat. 2015, 22(1), 25-32.

https://www.clinicalkey.es/#!/content/playContent/1-s2.0-S1134248X13000578?returnurl=null&referrer=null

http://dx.doi.org/10.1016/j.medipa.2013.02.002

Pérez-García E. Enfermería y necesidades espirituales en el paciente con enfermedad en etapa terminal. Enferm Cuidado Humanizado. 2016, 5(2), 41-45.

http://www.scielo.edu.uy/pdf/ech/v5n2/v5n2a06.pdf

http//: dx.doi.org.10.22235/ech.v5i2.1286

Hart M. Spiritual care. En: Emanuel LL, Librach SL, editores. Palliative care core skills and clinical competencies. Saunders Elsevier, EE.UU, Elsevier. 2011, 584-98.

https://www.clinicalkey.es/#!/browse/book/3-s2.0-C20090420506

Benito E, Dones M, Barbero J. El acompañamiento espiritual en cuidados paliativos. Psicooncología. 2016, 13(2-3), 367-84.

http://revistas.ucm.es/index.php/PSIC/article/view/54442/49745

http://dx.doi.org/10.5209/PSIC.54442

Oliver A, Benito E, Sansó N, Galiana L. Cuestionarios de atención espiritual en cuidados paliativos: revisión de la evidencia para su aplicación clínica. Psicooncología. 2016, 3(2-3), 385-97.

https://revistas.ucm.es/index.php/PSIC/article/view/54443

https://doi.org/10.5209/PSIC.54443

Rivera A, Montero M. Ejercicio clínico y espiritualidad. Anales de Psicología. 2007, 23(1), 125-36.

http://www.redalyc.org/articulo.oa?id=16723116

Benito E, Barbero J, Payás A. El acompañamiento espiritual en cuidados paliativos: una introducción y una propuesta. 2008.

http://www.secpal.com/%5CDocumentos%5CBlog%5Carchivo_9.pdf

Reig-Ferrer A, Ferrer-Cascales R, Fernández-Pascual MD, Albaladejo-Blásquez N, Priego M. Evaluación del bienestar espiritual en pacientes en cuidados paliativos. Med Pal. 2013, 22(2), 60-8.

https://www.sciencedirect.com/science/article/pii/S1134248X13000864

http://dx.doi.org/10.1016/j.medipa.2013.03.008

Bermejo JC. La escucha activa en cuidados paliativos. Ars Médica. 2005, 34(2), 1-18.

http://www.arsmedica.cl/index.php/MED/article/view/209

http://dx.doi.org/10.11565/arsmed.v34i2.209

Herdman TH, Kamitsuru S. Diagnósticos enfermeros: definiciones y clasificación 2015-2017. Barcelona, Elsevier, España, 2017.

Rosas-Jiménez CA, Díaz-Díaz A. La escucha: elemento fundamental en la atención espiritual del cuidado paliativo. Pers Bioet. 2017, 21(2), 280-91.

http://www.scielo.org.co/scielo.php?script=sci_abstract&pid=S0123-31222017000200280&lng=en&nrm=iso&tlng=es

http://dx.doi.org/10.5294/pebi.2017.21.2.8

Wittenberg E, Ragan SL, Ferrell B. Exploring nurse communication about spirituality. Am J Hosp Palliat Med. 2016, 34(6), 566-71.

http://journals.sagepub.com/doi/abs/10.1177/1049909116641630?journalCode=ajhb

http://dx.doi.org/10.1177/1049909116641630

Veloza MM, Pérez B. La espiritualidad: componente del cuidado de enfermería. Hallazgos. 2009, 6(11), 151-60.

http://revistas.usta.edu.co/index.php/hallazgos/article/view/1734

https://doi.org/10.15332/s1794-3841.2009.0011.08

Uribe SP, Lagoueyte MI. “Estar ahí”, significado del cuidado espiritual: la mirada de los profesionales de enfermería. Av Enferm. 2014, 32(2), 261-70.

http://www.scielo.org.co/pdf/aven/v32n2/v32n2a10.pdf

Benito E, Barbero J, Dones M. Espiritualidad en clínica. Una propuesta de evaluación y acompañamiento espiritual en cuidados paliativos. Monografías SECPAL. 2014, 6, 147-52.

http://www.secpal.com/%5CDocumentos%5CBlog%5CMonografia%20secpal.pdf

Tosao C. Abordaje aconfesional de la espiritualidad en cuidados paliativos. FMC. 2012, 19(6), 331-8.

https://dialnet.unirioja.es/servlet/articulo?codigo=3990588

Rudilla D, Oliver A, Galiana L y Barreto P. Espiritualidad en atención paliativa: evidencias sobre la intervención con counselling. Interv Psicosoc. 2015, 24 (2), 79-82.

http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1132-05592015000200003

http://dx.doi.org/10.1016/j.psi.2015.06.002

Dones M, Collete N, Barbero J, Gomis C, Balbuena P, Benito E. ¿Cómo percibimos los profesionales el acompañamiento espiritual en los equipos de cuidados paliativos en España? Med Pal. 2016, 23(2), 63-71.

https://www.sciencedirect.com/science/article/pii/S1134248X13001171

https://doi.org/10.1016/j.medipa.2013.07.002

Klein JP, Bassols M. El arteterapia, un acompañamiento en la creación y la transformación. Arteterapia. Papeles de Arteterapia y Educación Artística para la Inclusión Social. 2006, 1, 19-25.

https://revistas.ucm.es/index.php/ARTE/article/viewFile/ARTE0606110019A/9023

Collette N. Arteterapia en el final de la vida. Fundamentos y metodología de la intervención en una unidad de cuidados paliativos. Arteterapia. Papeles de Arteterapia y Educación Artística para la Inclusión Social. 2015, 10, 65-85.

http://revistas.ucm.es/index.php/ARTE/article/viewFile/51684/47927

http://dx.doi.org/10.5209/rev_ARTE.2015.v10.51684

Hamilton JB, Worthy VC, Kurtz MJ, Cudjoe J, Johnstone PA. Using religious songs as an integrative and complementary therapy for the management of psychological symptoms among African American cancer survivors. Cáncer Nurs. 2016, 39(6), 488-94.

https://www.ncbi.nlm.nih.gov/pubmed/26859281

https://doi.org/10.1097/NCC.0000000000000335

Jorna M, Ball K, Salmon J. Effects of a holistic health program on women's physical activity and mental and spiritual health. Journal of Science and Medicine in Sport. 2006, 9 (5), 395-401.

https://www.sciencedirect.com/science/article/pii/S1440244006001411

https://doi.org/10.1016/j.jsams.2006.06.011

Zimmer Z, Jagger C, Chiu CT, Oftedal MB, Rojo F, Saito Y. Spiritualty, religiosity, aging and health in global perspective: A review. SSM-Population Health. 2016, 2, 373-81.

https://www.sciencedirect.com/science/article/pii/S2352827316300179

https://doi.org/10.1016/j.ssmph.2016.04.009

Delgado-Guay MO. Spirituality and religiosity in supportive and palliative care. Curr Opin Support Palliat Care. 2014, 8(3), 308-13.

https://journals.lww.com/co-supportiveandpalliativecare/Fulltext/2014/09000/Spirituality_and_religiosity_in_supportive_and.21.aspx

http://dx.doi.org/10.1097/SPC.0000000000000079

Bhatnagar S, Gielen J, Satija A, Singh SP, Noble S, Chaturvedi SK. Signs of spiritual distress and its implications for practice in Indian palliative care. Indian J Palliat Care. 2017, 23(3), 306-11.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5545957/

http://dx.doi.org/10.4103/IJPC.IJPC_24_17

Catania G, Bagnasco A, Zanini M, Aleo G, Sasso L. Spiritual assessment within clinical interventions focused on quality of life assessment in palliative care: A secondary analysis of a systematic review. Religions. 2016, 7(3), 1-9.

https://www.researchgate.net/publication/297358170_Spiritual_Assessment_within_Clinical_Interventions_Focused_on_Quality_of_Life_Assessment_in_Palliative_Care_A_Secondary_Analysis_of_a_Systematic_Review

https://doi.org/10.3390/rel7030025

Da Silva JB, Da Silva LB. Relação entre religião, espiritualidade e sentido da vida. Logos & Existência. 2014, 3(2), 203-15.

http://www.periodicos.ufpb.br/index.php/le/article/viewFile/22107/12148

Kestenbaum A, Shields M, James J, Hocker W, Morgan S, Karve S, et ál. What impact do chaplains have? A pilot study of spiritual AIM for advanced cancer patients in outpatient palliative care. J Pain Symptom Manage. 2017, 54(5), 707-14.

https://www.sciencedirect.com/science/article/pii/S0885392417302919

https://doi.org/10.1016/j.jpainsymman.2017.07.027

El Nawawi NM, Balboni MJ, Balboni TA. Palliative care and spiritual care: the crucial role of spiritual care in the care of patients with advanced illness. Curr Opin Support Palliat Care. 2012, 6(2), 269-74.

https://journals.lww.com/co-supportiveandpalliativecare/Abstract/2012/06000/Palliative_care_and_spiritual_care___the_crucial.25.aspx

http://dx.doi.org/10.1097/SPC.0b013e3283530d13

Kelley AS, Morrison RS. Palliative care for the seriously ill. N Engl J Med. 2015, 373(8), 747-55.

https://www.nejm.org/doi/full/10.1056/NEJMra1404684

http://dx.doi.org/10.1056/NEJMra1404684

Puchalski CM. Spirituality in geriatric palliative care. Clin Geriatr Med. 2015, 31(2), 245-52.

https://www.geriatric.theclinics.com/article/S0749-0690(15)00012-9/fulltext

https://doi.org/10.1016/j.cger.2015.01.011

Mistretta EG. Spirituality in young adults with end-stage cancer: a review of the literature and a call for research. Ann Palliat Med. 2017, 6(3), 279-83.

https://www.ncbi.nlm.nih.gov/pubmed/28724300

http://dx.doi.org/10.21037/apm.2017.06.17

Rufino M, Ramos A, Prada ML, Güell E, Fariñas O, Blasco T, et ál. Which spiritual sentences are expressed by patients attending a palliative care unit? Med Paliativa. 2016, 23(4), 172-78.

http://www.elsevier.es/es-revista-medicina-paliativa-337-articulo-que-referencias-espirituales-verbalizan-los-S1134248X14000846

http://dx.doi.org/10.1016/j.medipa.2014.04.003

Balboni TA, Balboni MJ. The spiritual event of serious illness. J Pain Symptom Manage. 2018, 56(5), 816-22.

https://www.jpsmjournal.com/article/S0885-3924(18)30285-9/fulltext

https://doi.org/10.1016/j.jpainsymman.2018.05.018

Boston PH, Mount BM. The caregiver´s perspective on existential and spiritual distress in palliative care. J Pain Symptom Manage. 2006, 32 (1), 13-26.

https://www.jpsmjournal.com/article/S0885-3924(06)00268-5/fulltext

https://doi.org/10.1016/j.jpainsymman.2006.01.009

Bermejo JC, Lozano B, Villacieros M, Gil M. Atención espiritual en cuidados paliativos. Valoración y vivencia de los usuarios. 2013, 20(3), 93-102.

https://www.sciencedirect.com/science/article/pii/S1134248X12000559

https://doi.org/10.1016/j.medipa.2012.05.004

Serrano-Pejenaute I, Ortiz-Jauregui MA. Bizitzaren amaierako arreta espirituala. Osasun profesionalen parte hartzea. Gac Med Bilbao. 2018, 115(2), 67-76.

http://www.gacetamedicabilbao.eus/index.php/gacetamedicabilbao/article/view/663/669

Ortiz-Gonçalves B, Albarrán E, Labajo E, Santiago-Saez SA, Perea-Pérez B. Decisiones al final de la vida: resultados del cuestionario validado por experto. Gac Sanit. 2018, 32(4), 333-38.

https://www.sciencedirect.com/science/article/pii/S0213911117303138

https://doi.org/10.1016/j.gaceta.2017.09.011

Nolan S, Saltmarsh P, Leget, CJW. Spiritual care in palliative care: working towards and EAPC task force. EJPC. 2011, 18(2), 86-9.

https://www.narcis.nl/publication/RecordID/oai:tilburguniversity.edu:publications%2Fdb717cd1-7ebb-403d-87aa-7d9ce8d02e3d

Del Rincón-Fernández C. Psychological and spiritual needs of children with severe encephalopathy and their families. Rev Neurol. 2018, 66:S57-S60.

https://www.neurologia.com/articulo/2018206

https://doi.org/10.33588/rn.66S02.2018206

Rudilla D, Soto A, Pérez MA, Galiana L, Fombuena M, Oliver A, et ál. Intervenciones psicológicas en espiritualidad en cuidados paliativos: una revisión sistemática. Med Paliat. 2018, 25(3), 203-12.

https://doi.org/10.1016/j.medipa.2016.10.004

Bermejo J, Villacieros M. Components of hope in situation of terminality. Study for development of a measurement scale. Gerokomos. 2016, 27(3), 97-103.

http://www.gerokomos.com/wp-content/uploads/2016/11/27-3-2016-097.pdf

Longuiniere ACF, Yarid SD, Sampaio E. Influence of the religiosity/spirituality of health professionals on critical-patient care. Rev Cuidarte. 2018, 9(1), 1961-72.

http://www.scielo.org.co/pdf/cuid/v9n1/2216-0973-cuid-9-1-1961.pdf

http://dx.doi.org/10.15649/cuidarte.v9i1.413

Monareng L. An exploration of how spiritual nursing care is applied in clinical nursing practice. Health SA Gesondheid. 2013, 18(1), 1-8.

https://www.ajol.info/index.php/hsa/article/view/90843/80273

http://dx.doi.org/10.4102/hsag.v18i1.635

Pinedo M, Jiménez J. Care nursing the spiritual dimension of the patient. Systematic review. Cult Cuid. 2017, 21(48):110-18.

https://rua.ua.es/dspace/bitstream/10045/69293/1/CultCuid_48_13.pdf

http://dx.doi.org/10.14198/cuid.2017.48.13

Hinshaw DB. Spiritual issues in surgical palliative care. Surgi Clin. 2005, 85(2), 257-72.

https://doi.org/10.1016/j.suc.2004.11.002

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