Influence of spirituality on renal function of kidney transplant patients
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1590/1982-0194201700073 http://hdl.handle.net/11449/165964 |
Resumo: | Objective: To evaluate influence of spirituality on renal function of kidney transplant patients. Methods: This cross-sectional study included 81 kidney transplant patients who had undergone transplantation between 30 and 60 months previously. Patients were followed up for 12 months. The analysis was carried out in a large public hospital in the countryside of Sao Paulo, Brazil. Based on the Duke University Religion Index-religiosity and spirituality scale, we divided patients into two groups (spiritualized [n=52] and less spiritualized [n=29]), considering the median spirituality. For statistical analysis, we used inductive tests and analysis with linear mixed models, with a level of significance of 5% (p<0.05). Results: Clinical characteristics, immunosuppression, social support, adherence to drug therapy, quality of life, and depression did not differ between groups. Renal function after 12 months was significantly higher in the spiritualized group from 9 months on. After 12 months, the percentage of patients with creatinine clearance higher than 60 ml/min was 61.5% in the spiritualized group and 34.5% in the less spiritualized group (p=0.02). Multivariate analysis showed that the less spiritualized group had a 4.7 times greater risk [1.4 - 16.8] for worsening in renal function (p=0.01). Conclusion: More spiritualized patients had better renal function after 1 year of transplantation. This result was independent of clinical features, social support, and adherence to immunosuppressive therapy. A holistic approach in health with emphasis on spirituality is encouraged. |
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Influence of spirituality on renal function of kidney transplant patientsSpiritualityKidney transplantationChronic diseaseReligionReligion and medicineObjective: To evaluate influence of spirituality on renal function of kidney transplant patients. Methods: This cross-sectional study included 81 kidney transplant patients who had undergone transplantation between 30 and 60 months previously. Patients were followed up for 12 months. The analysis was carried out in a large public hospital in the countryside of Sao Paulo, Brazil. Based on the Duke University Religion Index-religiosity and spirituality scale, we divided patients into two groups (spiritualized [n=52] and less spiritualized [n=29]), considering the median spirituality. For statistical analysis, we used inductive tests and analysis with linear mixed models, with a level of significance of 5% (p<0.05). Results: Clinical characteristics, immunosuppression, social support, adherence to drug therapy, quality of life, and depression did not differ between groups. Renal function after 12 months was significantly higher in the spiritualized group from 9 months on. After 12 months, the percentage of patients with creatinine clearance higher than 60 ml/min was 61.5% in the spiritualized group and 34.5% in the less spiritualized group (p=0.02). Multivariate analysis showed that the less spiritualized group had a 4.7 times greater risk [1.4 - 16.8] for worsening in renal function (p=0.01). Conclusion: More spiritualized patients had better renal function after 1 year of transplantation. This result was independent of clinical features, social support, and adherence to immunosuppressive therapy. A holistic approach in health with emphasis on spirituality is encouraged.Univ Estadual Paulista, Botucatu, SP, BrazilUniv Sao Paulo, Hosp Reabil Anomal Craniofaciais, Bauru, SP, BrazilUniv Estadual Paulista, Botucatu, SP, BrazilUniv Fed Sao Paulo, Dept EnfermagenUniversidade Estadual Paulista (Unesp)Universidade de São Paulo (USP)Bravin, Ariane Moyses [UNESP]Trettene, Armando dos Santos [UNESP]Cavalcante, Ricardo de Souza [UNESP]Banin, Vanessa Burgugi [UNESP]Moura Ribeiro Paula, Niura Aparecida de [UNESP]Saranholi, Tais Lopes [UNESP]Popim, Regina Celia [UNESP]Modelli de Andrade, Luis Gustavo [UNESP]2018-11-29T05:57:14Z2018-11-29T05:57:14Z2017-09-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article504-511application/pdfhttp://dx.doi.org/10.1590/1982-0194201700073Acta Paulista De Enfermagem. Sao Paulo: Univ Fed Sao Paulo, Dept Enfermagen, v. 30, n. 5, p. 504-511, 2017.0103-2100http://hdl.handle.net/11449/16596410.1590/1982-0194201700073S0103-21002017000500504WOS:000422882200008S0103-21002017000500504.pdfWeb of Sciencereponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengActa Paulista De Enfermageminfo:eu-repo/semantics/openAccess2023-10-27T06:12:08Zoai:repositorio.unesp.br:11449/165964Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462023-10-27T06:12:08Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Influence of spirituality on renal function of kidney transplant patients |
title |
Influence of spirituality on renal function of kidney transplant patients |
spellingShingle |
Influence of spirituality on renal function of kidney transplant patients Bravin, Ariane Moyses [UNESP] Spirituality Kidney transplantation Chronic disease Religion Religion and medicine |
title_short |
Influence of spirituality on renal function of kidney transplant patients |
title_full |
Influence of spirituality on renal function of kidney transplant patients |
title_fullStr |
Influence of spirituality on renal function of kidney transplant patients |
title_full_unstemmed |
Influence of spirituality on renal function of kidney transplant patients |
title_sort |
Influence of spirituality on renal function of kidney transplant patients |
author |
Bravin, Ariane Moyses [UNESP] |
author_facet |
Bravin, Ariane Moyses [UNESP] Trettene, Armando dos Santos [UNESP] Cavalcante, Ricardo de Souza [UNESP] Banin, Vanessa Burgugi [UNESP] Moura Ribeiro Paula, Niura Aparecida de [UNESP] Saranholi, Tais Lopes [UNESP] Popim, Regina Celia [UNESP] Modelli de Andrade, Luis Gustavo [UNESP] |
author_role |
author |
author2 |
Trettene, Armando dos Santos [UNESP] Cavalcante, Ricardo de Souza [UNESP] Banin, Vanessa Burgugi [UNESP] Moura Ribeiro Paula, Niura Aparecida de [UNESP] Saranholi, Tais Lopes [UNESP] Popim, Regina Celia [UNESP] Modelli de Andrade, Luis Gustavo [UNESP] |
author2_role |
author author author author author author author |
dc.contributor.none.fl_str_mv |
Universidade Estadual Paulista (Unesp) Universidade de São Paulo (USP) |
dc.contributor.author.fl_str_mv |
Bravin, Ariane Moyses [UNESP] Trettene, Armando dos Santos [UNESP] Cavalcante, Ricardo de Souza [UNESP] Banin, Vanessa Burgugi [UNESP] Moura Ribeiro Paula, Niura Aparecida de [UNESP] Saranholi, Tais Lopes [UNESP] Popim, Regina Celia [UNESP] Modelli de Andrade, Luis Gustavo [UNESP] |
dc.subject.por.fl_str_mv |
Spirituality Kidney transplantation Chronic disease Religion Religion and medicine |
topic |
Spirituality Kidney transplantation Chronic disease Religion Religion and medicine |
description |
Objective: To evaluate influence of spirituality on renal function of kidney transplant patients. Methods: This cross-sectional study included 81 kidney transplant patients who had undergone transplantation between 30 and 60 months previously. Patients were followed up for 12 months. The analysis was carried out in a large public hospital in the countryside of Sao Paulo, Brazil. Based on the Duke University Religion Index-religiosity and spirituality scale, we divided patients into two groups (spiritualized [n=52] and less spiritualized [n=29]), considering the median spirituality. For statistical analysis, we used inductive tests and analysis with linear mixed models, with a level of significance of 5% (p<0.05). Results: Clinical characteristics, immunosuppression, social support, adherence to drug therapy, quality of life, and depression did not differ between groups. Renal function after 12 months was significantly higher in the spiritualized group from 9 months on. After 12 months, the percentage of patients with creatinine clearance higher than 60 ml/min was 61.5% in the spiritualized group and 34.5% in the less spiritualized group (p=0.02). Multivariate analysis showed that the less spiritualized group had a 4.7 times greater risk [1.4 - 16.8] for worsening in renal function (p=0.01). Conclusion: More spiritualized patients had better renal function after 1 year of transplantation. This result was independent of clinical features, social support, and adherence to immunosuppressive therapy. A holistic approach in health with emphasis on spirituality is encouraged. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-09-01 2018-11-29T05:57:14Z 2018-11-29T05:57:14Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1590/1982-0194201700073 Acta Paulista De Enfermagem. Sao Paulo: Univ Fed Sao Paulo, Dept Enfermagen, v. 30, n. 5, p. 504-511, 2017. 0103-2100 http://hdl.handle.net/11449/165964 10.1590/1982-0194201700073 S0103-21002017000500504 WOS:000422882200008 S0103-21002017000500504.pdf |
url |
http://dx.doi.org/10.1590/1982-0194201700073 http://hdl.handle.net/11449/165964 |
identifier_str_mv |
Acta Paulista De Enfermagem. Sao Paulo: Univ Fed Sao Paulo, Dept Enfermagen, v. 30, n. 5, p. 504-511, 2017. 0103-2100 10.1590/1982-0194201700073 S0103-21002017000500504 WOS:000422882200008 S0103-21002017000500504.pdf |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Acta Paulista De Enfermagem |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
504-511 application/pdf |
dc.publisher.none.fl_str_mv |
Univ Fed Sao Paulo, Dept Enfermagen |
publisher.none.fl_str_mv |
Univ Fed Sao Paulo, Dept Enfermagen |
dc.source.none.fl_str_mv |
Web of Science reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
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1799964724835647488 |