Cuestionarios de atención espiritual en cuidados paliativos: revisión de la evidencia para su aplicación clínica

• Autores: Laura Galiana Llinares, Amparo Oliver Germes, Enric Benito Oliver, Noemí Sansó Martínez
• Localización: Psicooncología: investigación y clínica biopsicosocial en oncología, ISSN 1696-7240, Vol. 13, Nº. 2-3, 2016, págs. 385-397
• Idioma: español
• Enlaces
  • Texto completo
• Dialnet Métricas: 10 Citas
• Resumen
  • español

    Objetivo: Revisar los cuestionarios de evaluación de necesidades y recursos espirituales en cuidados paliativos más recientes y evaluar su aplicabilidad clínica en nuestro entorno.

    Método: Revisión sistemática, siguiendo las guías PRISMA de las publicaciones realizadas durante 2015-2016 de trabajos sobre espiritualidad.

    Los artículos debían estar centrados en el cuidado espiritual o la evaluación de la espiritualidad, basados en población de cuidados paliativos; y sometidos a revisión por pares.

    Resultado: de los 42 artículos identificados, tras evaluación independiente de dos observadores, 15 cumplieron criterios de selección.

    Estos se analizan respecto sus características, propiedades psicométricas y aplicabilidad.

    Conclusiones: La necesidad de mejorar la atención espiritual en el proceso de morir ha llevado a la aparición de múltiples herramientas de evaluación y acompañamiento espiritual.

    Su uso debe ponderarse con la experiencia del clínico y su aplicabilidad según el entorno cultural en el que se ha construido y sus propiedades psicométricas

  • English

    Objective: review of the more recent questionnaires assessing spiritual needs and resources in palliative care, and determine their clinical applicability in our environment.

    Methods: systematic review, following PRISMA guidelines, of all publications about spirituality appeared on 2015-2016. Papers had to be focused on spiritual care or spirituality assessment, based on a palliative care population, and gone through a peer review.

    Results: a total of 42 publications were identified, but after the evaluation of two independent observers, only 15 fulfilled the selection criteria. The selected papers were analyzed according to their characteristics, psychometric properties and applicability.

    Conclusions: the need of improving spiritual care in the dying process lead to the advent of many assessment and spiritual care tools.

    Their use has to be considered together with the clinician experience, their applicability on the cultural context and their psychometric properties.

• Referencias bibliográficas
  • 1. selman L, Harding R, Gysels M, Speck P, Higginson IJ. The measurement of spirituality in palliative care and the content of tools validated...
  • 2. Vachon M, Fillion L, Achille M. A conceptual analysis of spirituality at the end of life. J Palliat Med 2009;12:53-9. Doi: 10.1089/jpm.2008.0189.
  • 3. National Consensus Project for Quality Palliative Care. Clinical practice guidelines for quality palliative care. 2011. [Accesso 11 de...
  • 4. National Quality Forum. A national framework and preferred practices for palliative and hospice care: A Consensus Report. Washington, DC:...
  • 5. Benito E, Barbero J, Dones M. Espiritualidad en clínica. Una propuesta de evaluación y acompañamiento Espiritual en Cuidados Paliativos....
  • 6. Nolan S, Saltmarch P, Leget C. Spiritual care in palliative care: Working towards an EAPC Task Force. Eur J Pal Care 2011;18: 86-89.
  • 7. Puchalski C. M,Vitillo R, Hull SK, Reller N. Improving the spiritual dimension of whole person care: Reaching national and international...
  • 8. National Comprehensive Cancer Network. Guidelines version 2 2013. Distress management. [Acceso 15 de octubre de 2016] Disponible en: http://wwwnccn.org/professionals/phsician-gls/pdf/palliative.pdf....
  • 9. National Consensus Project. Clinical practice guidelines 2013. Available at: http://www.nationalconsensusproject.org/NCP. Accessed May...
  • 10. Guía de Espiritualidad en clínica. Sociedad Española de Cuidados Paliativos (SECPAL), 2008.
  • 11. Pearce MJ, Coan AD, Herndon JE, Koenig HG, Abernethy AP. Unmet spiritual care needs impact emotional and spiritual wellbeing in advanced...
  • 12. Winkelman WD, Lauderdale K, Balboni MJ, Phelps AC, Peteet JR, Block SD, et al. The relationship of spiritual concerns to the quality of...
  • 13. Balboni TA, Vanderwerker LC, Block SD, Paulk ME, Lathan CS, Peteet JR, et al.. Religiousness and spiritual support among advanced cancer...
  • 14. Barreto P, Fombuena M, Diego R, Galiana L, Oliver A, Benito E. Bienestar emocional y espiritualidad al final de la vida. Med Paliativ...
  • 15. Benito E, Oliver A, Galiana L, Barreto P, Pascual A, Gomis C, et al. Development and validation of a new tool for the assessment and espiritual...
  • 16. Cannon AJ, Darrington DL, Reed EC, Loberiza FR. Spirituality, patients’ worry, and follow-up health-care utilization among cancer survivors....
  • 17. Ferrell B, Otis-Green S, Economou D. Spirituality in cancer care at the end of life. Cancer J 2013;19:431-7. Doi: 10.1097/PPO.0b013e3182a5baa5
  • 18. Peteet JR, Balboni MJ. Spirituality and religion in oncology. CA Cancer J Clin. 2013;63:280-9. Doi: 10.3322/caac.21187.
  • 19. Puchalski C, Ferrell B, Virani R, Otis-Green S, Baird P, Bull J, et al. Improving the quality of spiritual care as a dimension of palliative...
  • 20. Visser A, Garssen B, Vingerhoets A. Spirituality and well-being in cancer patients: a review. Psychooncology 2010; 19: 565-72. Doi: 10.1002/pon.1626.
  • 21. Balboni TA, Paulk ME, Balboni MJ, et al. Provision of spiritual care to patients with advanced cancer: Associations with medical care...
  • 22. Balboni T, Balboni M, Paulk ME, Phelps AC, Loggers ET, Wright AA, et al. Support of cancer patients’ spiritual needs and associations...
  • 23. Park CL, Cho D, Blank TO, Wortmann JH. Cognitive and emotional aspects of fear of recurrence: predictors and relations with adjustment...
  • 24. Park C, Edmondson D, Hale-Smith A, Blank T. Religiousness/spirituality and health behaviors in younger adult cancer survivors: Does faith...
  • 25. Hodge DR. A Template for spiritual assessment: A review of the JCAHO requirements and guidelines for implementation. Social Work 2006;51:317-326.
  • 26. Ramondetta L, Sun C, Surbone A, Olver I, Ripamonti C, Konishi T, et al. Surprising results regarding MASCC members’ beliefs about spiritual...
  • 27. Dones M, Collette N, Barbero J, Gomis C, Balbuena P, Benito E. ¿Cómo percibimos los profesionales el acompañamiento espiritual en Cuidados...
  • 28. Oliver A, Galiana L, Benito E. Evaluation tools for spiritual support in end of life care: increasing evidence for their clinical application....
  • 29. Costantini M, Rabitti E, Beccaro M, Fusco F, Peruselli C, La Ciura P, Valle A, Suriani C, et al. Validity, reliability and responsiveness...
  • 30. Galiana L, Oliver A, Gomis C, Barbero J, Benito E. Cuestionarios de evaluación e intervención espiritual en cuidados paliativos: una revisión...
  • 31. Hill PC, Hood RWJ. Measures of religiosity. 1999. Birmingham, AL: Religious Education Press.
  • 32. Moher D, Liberati A, Tetzlaff J, Altman DG; PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA...
  • 33. Masso M, Allingham SF, Johnson CE, Pidgeon T, Yates P, Currow D, et al. Palliative care problem severity score: Reliability and acceptability...
  • 34. Rice L. The Spiritual comfort measure. J Palliat Med 2015;18:910-1. Doi: 10.1089/jpm.2015.0262.
  • 35. Cook N, Klauer R, Spencer R, et al. The Spiritual comfort measure. The Center for Hospice and Palliative Care, 2005.
  • 36. Rao S, Salins N, Deodhar J, Muckaden M. Developing a comprehensive cancer specific geriatric assessment tool. Indian J Cancer 2015;52:94-7....
  • 37. Best M, Aldridge L, Butow P, Olver I, Price M, Webster F. Assessment of spiritual suffering in the cancer context: A systematic literature...
  • 38. Steinhauser K, Voils CI, Clipp EC, Bosworth HB, Christakis NA, Tulsky JA. Are you at peace?: One item to probe spiritual concerns at the...
  • 39. Canada AL, Murphy PE, Fitchett G, Peterman AH, Schover LR. A three-factor model for the FACIT-Sp. Psychooncology 2008;17:908-16. Doi:...
  • 40. Murphy PE, Canada AL, Fitchett G, Stein K, Portier K, Crammer C, Peterman AH. An examination of the 3-factor model and structural invariance...
  • 41. Peterman AH, Fitchett G, Brady MJ, Hernandez, Cella D. Measuring spiritual well-being in people with cancer: The functional assessment...
  • 42. Evangelista CB, Lopes MEL, Costa SFG, Batista PSS, Batista JBV, et al. Palliative care and spirituality: an integrative literature review....
  • 43. Gomez-Castillo BJ, Hirsch R, Groninger H, Baker K, Cheng MJ, Phillips J, et al. Increasing the number of outpatients receiving spiritual...
  • 44. Currow DC, Allingham S, Yates P, Johnson C, Clark K, Eagar K. Improving national hospice/palliative care service symptom outcomes systematically...
  • 45. Salsman JM, Fitchett G, Merluzzi TV, Sherman AC, Park CL. Religion, spirituality, and health outcomes in cancer: A case for a meta-analytic...
  • 46. Sun V, Kim JY Irish TL, Borneman T, Sidhu RK, Klein L, Ferrell B. Palliative care and spiritual well-being in lung cancer patients and...
  • 47. Chandrasekar D, Tribett E, Ramchandran K. Integrated Palliative Care and Oncologic Care in Non-Small-Cell Lung Cancer. Curr Treat Options...
  • 48. Scheffold K, Philipp R, Engelmann D, Schulz-Kindermann F, Rosenberger C, Oechsle K, et al. Efficacy of a brief manualized intervention...
  • 49. Chochinov HM, Johnston W, McClement SE, Hack TF, Dufault B, Enns M, et al. Dignity and distress towards the end of life across four non-cancer...
  • 50. Rullán M, Carvajal A, Núñez-Córdoba JM, Martínez M, Carrasco JM, García I, et al. Spanish version of the Patient Dignity Inventory: Translation...
  • 51. Smith KA, Harvath TA, Goy ER, Ganzini L. Predictors of pursuit of physician-assisted death. J Pain Symptom Manage. 2015;49:555-61. Doi:...
  • 52. Sinclair S, Pereira J, Raffin S. A thematic review of the spirituality literature within palliative care J Palliat Med 2006; 9:464-79....