Psychosocial Intervention Psychosocial Intervention
Psychosocial Intervention 24 (2015) 79-82 - Vol. 24 No.2 DOI: 10.1016/j.psi.2015.06.002
Espiritualidad en atención paliativa: Evidencias sobre la intervención con counselling
Spirituality in palliative care: Evidence of counselling
David Rudillaa,, , Amparo Oliverb, Laura Galianaa,b,c, Pilar Barretoc
a Hospital General Universitario, Valencia, España
b Departamento de Metodología de las Ciencias del Comportamiento, Universitat de València, España
c Departamento de Personalidad, Evaluación y Tratamientos Psicológicos, Universitat de València, España
Received 25 May 2015, Accepted 04 June 2015
Resumen

Las necesidades espirituales, cuando son elaboradas de forma efectiva, ayudarán a la persona al final de la vida a encontrar significado, mantener la esperanza y aceptar la muerte. El counselling es una de las terapias más utilizadas para mejorar estas necesidades. El objetivo del presente trabajo es ofrecer evidencia sobre la eficacia de esta terapia para la mejora de la espiritualidad de los pacientes atendidos en diversos dispositivos de salud. Para conseguirlo, se llevó a cabo una intervención de tres semanas en 131 pacientes de atención domiciliaria y hospitalizados. Tenían una edad media de 70.61 años (DT = 11.17). El 51.1% eran hombres. Se evaluó la espiritualidad de los pacientes antes y después de la intervención y se llevó a cabo un análisis de varianza multivariado (MANOVA) para estudiar las diferencias entre estos dos momentos temporales, así como ANOVA de continuación. Los resultados indicaron un efecto positivo y de gran tamaño de la intervención sobre la espiritualidad, F(3, 110) = 31.266, p < .001, η2 = .460. Este estudio puede servir como punto de partida para la implementación de programas de intervención en el contexto de los cuidados paliativos.

Keywords
  • Necesidades espirituales
  • Cuidados paliativos
  • Final de la vida
Abstract

When spiritual needs are effectively elaborated, they can help the individual to find meaning, sustain hope, and accept death in the context of the end of life. Counselling has been one of the therapies that is most used to meet these needs. The aim of this work is to offer evidence on the efficacy of this therapy to improve the spirituality of patients attended in several health devices. In order to achieve this objective, a three-week intervention was carried out with 131 home care and hospitalized patients. The mean age was 70.61 (SD = 11.17); 51.1% were men. Spirituality was assessed before and after the intervention, and a multivariate analysis of variance (MANOVA) was used to study the differences between these two moments, together with follow-up ANOVAs. Results indicated a positive effect, with a large effect size, F(3, 110) = 31.266, p < .001, η2 = .460. This study can be the starting point for the implementation of intervention programs in the context of palliative care.

Keywords
  • Spiritual needs
  • Palliative care
  • End of life
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Psychosocial Intervention 24 (2015) 79-82 - Vol. 24 No.2 DOI: 10.1016/j.psi.2015.06.002