eISSN: 2300-6722
ISSN: 1899-1874
Medical Studies/Studia Medyczne
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2/2024
vol. 40
 
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abstract:
Original paper

Relationship between the level of spirituality and quality of life or psychological well-being in elderly patients hospitalised for heart failure

Ewa Radwańska
1
,
Katarzyna Szwamel
1
,
Ewelina Lepsy
1
,
Alina Żurek
2
,
Piotr Jerzy Gurowiec
3, 4
,
Dariusz Krok
5
,
Grzegorz Żurek
6

  1. Institute of Health Sciences, University of Opole, Opole, Poland
  2. Institute of Psychology, University of Wroclaw, Wroclaw, Poland
  3. Department of Electrocardiology and Heart Failure, Faculty of Health Sciences, Medical University of Silesia, Katowice, Poland
  4. Department of Electrocardiology, Faculty of Health Sciences, Medical University of Silesia, Katowice, Poland
  5. Institute of Psychology, University of Opole, Opole, Poland
  6. Department of Biostructure, Wroclaw University of Health and Sport Sciences, Wroclaw, Poland
Medical Studies/Studia Medyczne 2024; 40 (2): 124–142
Online publish date: 2024/06/29
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Introduction
Spiritual care is increasingly acknowledged as part of a holistic approach in medicine.

Aim of the research
Establish the level of quality of life, spirituality, and psychological well-being in elderly patients hospitalised for heart failure depending on their gender and NYHA class and the analysis of factors determining spirituality in this group of patients.

Material and methods
A cross sectional study was conducted. A total of 211 patients with heart failure were surveyed. The Self-Description Questionnaire by Heszen-Niejodek, The Polish version of World Health Organisation Quality of Life Instrument Short Form (WHOQOL-BREF), The Minnesota Living with Heart Failure Questionnaire, and the Psychological Well-being Scale were used.

Results
The respondents with heart failure reported high values of general spirituality and were moderately religious and ethically sensitive. A higher level of spirituality means higher quality of life in such domains as general quality of life perception, physical, psychological, social, and environmental. Being male and of higher class of heart failure worsened the quality of life in most domains. The results of multiple regression indicated that the worse the condition of the disease, the more parameters of QoL affected spirituality and its aspects.

Conclusions
Planning any steps aimed at providing spiritual support in patients with heart failure should be dependent upon their gender and NYHA classification. Improving the quality of life of patients with heart failure may be achieved through ensuring spiritual support from medical staff. It would be beneficial to introduce some principles of providing spiritual care into medical staff educational programmes.

keywords:

quality of life, patients, spirituality, heart failure

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