A Survey on Relationship of Spirituality with the Perception of Suffering and Quality of Life in Patients with Type 2 Diabetes

Document Type : Original Research

Authors
H. Shahbazi 1
H. Ghajari 2
G. Shakerinejad 3
F. Ghofranipour 1
1 Department of Health Education, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
2 Department of Health, Abadan School of Medical Sciences, Abadan, Iran
3 Department of Health Education, Academic Center for Education, Culture and Research (ACECR)-Khuzestan, Ahvaz, Iran
Abstract
Aims: Spirituality can be an important source of coping with the disease, reduce feelings of suffering and improving the quality of life in patients with chronic diseases. The purpose of the current study was to determine the relationship of spirituality with the perception of suffering and quality of life in patients with type 2 diabetes.

Instruments & Methods: This was a descriptive-correlation study. Participants were 145 patients with type 2 diabetes of rural health clinics and the valley hospital in Khorramshahr city which were selected via stratified random and available sampling methods. Data collection tools were version of 29-item of the spiritual questionnaire (Parsian and Dunning), experience and perception of suffering questionnaire (Schulz) and version of 26-item of the quality of life questionnaire (WHO). Data were analyzed using SPSS 16.0 software and Pearson's correlation, T-test, ANOVA, Post Hoc, and stepwise regression analytical statistics.

Findings: The spirituality average scores were 79.41±15.82, perception of suffering average scores, 54.89±2.14, and quality of life 74.44±1.65. There was a significant negative relationship between spirituality and feelings of suffering (p<0.05) and a significant positive relationship between spirituality and quality of life (p<0.0001).

Conclusion: A strong correlation between spirituality with quality of life and suffering in patients with type II diabetes demonstrates the roles and responsibilities of healthcare providers, including physicians and nurses and the patient's family in meeting the varied spiritual and religious needs of patients along with therapeutic actions. Paying attention to improve spiritual health is also important in education programs for these patients.

Keywords

Subjects

  1. 1] Shojaeizadeh D, Estebsari F, Azam K, Batebi A, Mostafaei D. Comparison of Diabetes Type II Patients Life Style Effective Factors With That of Healthy People. Journal Of Shahid Sadoughi University Of Medical Sciences And Health Services 2008;16 (2); 71-79.
    2] Wilkinson A, Whitehead L, Ritchie L. Factors influencing the ability to self-manage diabetes for adults living with type 1 or 2 diabetes. International journal of nursing studies 2014;51(1):111-22. [PubMed: 23473390 ]
    3] FarhadMolashahi L, Kadeh H, Saravani S, Dashipoor A. Level of Glycemic Control in Diabetic Patients Reffering to Zahedan Dental School (Iran) in 2005. Journal of Mashhad Dental School 2011;3(35):195-204.
    4] Jalilian F, Motlagh FZ, Solhi M, Gharibnavaz H. Effectiveness of self-management promotion educational program among diabetic patients based on health belief model. Journal of education and health promotion. 2014;3(14). [PubMed: 24741654]
    5] International Diabetes Federation, Gestational Diabetes, IDF Diabetes Atlas, 7th ed. Brussels, Belgium: International Diabetes Federation. 2015. [IDF]
    6] Hemmati Maslak pak M, Ahmadi F, Anoosheh M. Spiritual beliefs and quality of life: A qualitative research about diabetic adolescent girls' perception. koomesh 2010;12(2):144-51.
    7] Weaver RR, Lemonde M, Payman N, Goodman WM. Health capabilities and diabetes self-management: The impact of economic, social, and cultural resources. Social Science & Medicine 2014;102:58-68. [PubMed: 24565142]
    8] Saeidi Taheri Z, Asadzandi M. Spirituality and spiritual care. Nursing Faculty 2014; 15(54): 59-66.
    9] Jahani A, Rejeh N, Heravi-Karimooi M, Hadavi A, Zayeri F, Khatooni A. The relationship between spiritual health and quality of life in patients with coronary artery disease. Islamic Life Center Health 2013;1(2):17-21. [DOI: 10.5812/ilch.8575]
    10] Hoseindokht A, Fathi-ashtiani A, Taghizadeh M. Relationship between spiritual intelligence and spiritual well-being with quality of life and marital satisfaction. Psychology and Religion 2013;6(2):57-74.
    11] Braam AW, Schrier AC, Tuinebreijer WC, Beekman AT, Dekker JJ, de Wit MA. Religious coping and depression in multicultural Amsterdam: A comparison between native Dutch citizens and Turkish, Moroccan and Surinamese/Antillean migrants. Journal of affective disorders 2010;125(1):269-78. [PubMed: 20334926]
    12] Cordova CM. The Lived Experience of Spirituality among Type 2 Diabetic Mellitus Patients with Macrovascular and/or Microvascular Complications: Catholic University of America 2011. Theses and Dissertations from CUA Ph.D. students who graduated in the school year 2010/2011 [WRLC]
    13] Jafari N, Farajzadegan Z, Loghmani A, Majlesi M, Jafari N. Spiritual well-being and quality of life of Iranian adults with type 2 diabetes. Evidence-Based Complementary and Alternative Medicine 2014;2014. [PubMed: 24600478]
    14] Koffman J, Morgan M, Edmonds P, Speck P, Higginson IJ. “I know he controls cancer”: The meanings of religion among Black Caribbean and White British patients with advanced cancer. Social science & medicine 2008;67(5):780-9. [PubMed: 18554767]
    15] Rafferty KA, Billig AK, Mosack KE. Spirituality, Religion, and Health: The Role of Communication, Appraisals, and Coping for Individuals Living with Chronic Illness. Journal of religion and health 2014:1-16. [PubMed: 25341570]
    16] Ragsdale JR, Hegner MA, Mueller M, Davies S. Identifying Religious and/or Spiritual Perspectives of Adolescents and Young Adults Receiving Blood and Marrow Transplants: A Prospective Qualitative Study. Biology of Blood and Marrow Transplantation 2014;20(8):1242-7. [PubMed: 24769327]
    17] Ramirez SP, Macêdo DS, Sales PMG, Figueiredo SM, Daher EF, Araújo SM, et al. The relationship between religious coping, psychological distress and quality of life in hemodialysis patients. Journal of psychosomatic research 2012;72(2):129-35. [PubMed: 22281454]
    18] Reynolds N, Mrug S, Britton L, Guion K, Wolfe K, Gutierrez H. Spiritual coping predicts 5-year health outcomes in adolescents with cystic fibrosis. Journal of Cystic Fibrosis 2014;2014(13):293-600. [PubMed: 24534722]
    19] Pirasteh Motlagh AK, Nikmanesh Z. The Relationship Of Spirituality With The Pain And Quality Of Life In Patients With HIV/Aids. Armaghane-danesh, Yasuj University of Medical Sciences Journal (YUMSJ). 2012;4(17):337-48.
    20] Puchalski CM. The role of spirituality in health care. Proceedings (Baylor University Medical Center). 2001;14(4):352-7. [PubMed: 16369646]
    21] Nikbakht Nasrabadi A, Sanago K, Joybari L. A phenomenological analysis of post operative pain experiences in three subcultures in Iran. Hayat. 2005;11(2):33-40.
    22] Choe M-A, Padilla GV, Chae YR, Kim S. Quality of life for patients with diabetes in Korea—I: the meaning of health-related quality of life. International journal of nursing studies. 2001;38(6):673-82. [PubMed: 11602271]
    23] Jadidi A, Farahaninia M, Janmohammadi S, Haghani H. The relationship between spiritual well-being and quality of life among elderly people residing in Kahrizak senior house. Iran Journal of Nursing. 2011;24(72):48-56. [PubMed: 25882262]
    24] White ML. Spirituality Self-care Effects on Quality of Life for Patients Diagnosed with Chronic Illness. Bulletin luxembourgeois des questions sociales. 2012;29:285-304. [ISSN: 2071-2486]
    25] Jahanlou AS, Sobhani A, Alishan N. A comparison of two standard quality of life questionnaires for evaluation of the relationship between personality characteristics and glycemic control in diabetic patients. Arak Medical University Journal. 2010;13(3):28-34.
    26] Rubin RR, Peyrot M. Quality of life and diabetes. Diabetes/metabolism research and reviews. 1999;15(3):205-18. [PubMed: 10441043]
    27] Nejat S, Montazeri A, Holakouie Naieni K, Mohammad K, Majdzadeh S. The World Health Organization quality of Life (WHOQOL-BREF) questionnaire: Translation and validation study of the Iranian version. Journal of School of Public Health and Institute of Public Health Research. 2006;4(4):1-12. [PubMed: 18366715]
    28] Krause N, Bastida E. Religion, suffering, and health among older Mexican Americans. Journal of Aging Studies. 2009;23(2):114-23. [PubMed: 21415936]
    29] Oreopoulos DG. Is There Meaning in Suffering? Humane Medicine. 2005;5(2):1-5.
    30] Saffari M, Pakpour AH, Naderi MK, Koenig HG, Baldacchino DR, Piper CN. Spiritual coping, religiosity and quality of life: A study on Muslim patients undergoing haemodialysis. Nephrology. 2013;18(4):269-75. [PubMed: 23432815]
    31] Adegbola M. Spirituality, self-efficacy, and quality of life among adults with sickle cell disease. Southern online journal of nursing research. 2011;11(1):1-16. [PubMed: 21769284]
    32] Kimmel PL, Emont SL, Newmann JM, Danko H, Moss AH. ESRD patient quality of life: symptoms, spiritual beliefs, psychosocial factors, and ethnicity. American Journal of Kidney Diseases. 2003;42(4):713-21. [PubMed: 14520621]
    33] Krupski TL, Kwan L, Fink A, Sonn GA, Maliski S, Litwin MS. Spirituality influences health related quality of life in men with prostate cancer. Psycho‐Oncology. 2006;15(2):121-31. [PubMed: 15880458]
    34] Hadadi M, Ghasemzadeh A, Nashiba N, Ashrafi S. The Effectiveness of Self-awareness Training on Students' Academic Achievement Motivation and their Aggression. Educational Development of Jundishapur 2014;5(1): 45-51.
    35] Shojaee MS. The theory of Islam and spiritual needs of its correspondence with Maslow′s hierarchy of needs Biuarterly. J Studies in Islam and psychology. 2008;1(1):87-116.
    36] Habibi A, savadpour MT. spiritual well-being in cancer patients who undergo chemotherapy. Iranian Journal of Health & Care. 2012;13(3):16-20.
    37] Afzalaghaee M, Dehghani M, Alimi R, Mehdinejad M. Predictors of Quality of Life in Patients with Epilepsy. Knowledge & Health. 2015;10(1):11-8.
    38] Yazdanfar A, Ahmadpanah M, Kheradmand Z. Comparison of quality of life in patients with acne and vitiligo. Dermatology and Cosmetic. 2014;5(1):33-40.
    39] Szepietowski JC, Reich A, Wesołowska‐Szepietowska E, Baran E. Quality of life in patients suffering from seborrheic dermatitis: influence of age, gender and education level. Mycoses. 2009;52(4):357-63. [PubMed: 18793259]
    40] Glasgow RE, Ruggiero L, Eakin EG, Dryfoos J, Chobanian L. Quality of life and associated characteristics in a large national sample of adults with diabetes. Diabetes care. 1997;20(4):562-7. [PubMed: 9096981]
  2. Shojaeizadeh DA, Estebsari F, Aezam K, Batebi A, Mostafaei DA. Comparison of diabetes type II patients life style effective factors with that of healthy people. J Shahid Sadoughi Univ Med Sci J. 2008;16(2):71-9. [Persian] [Link]
  3. Wilkinson A, Whitehead L, Ritchie L. Factors influencing the ability to self-manage diabetes for adults living with type 1 or 2 diabetes. Int J Nurs Stud. 2014;51(1):111-22. [Link] [DOI:10.1016/j.ijnurstu.2013.01.006]
  4. FarhadMolashahi L, Kadeh H, Saravani S, Dashipoor A. Level of glycemic control in diabetic patients reffering to Zahedan Dental School (Iran) in 2005. J Mashhad Dental Sch. 2011;35(3):195-204. [Link]
  5. Jalilian F, Motlagh FZ, Solhi M, Gharibnavaz H. Effectiveness of self-management promotion educational program among diabetic patients based on health belief model. J Educ Health Promot. 2014;3(14). [Link] [DOI:10.4103/2277-9531.127580]
  6. International Diabetes Federation. Gestational diabetes, IDF diabetes atlas. 7th Edition. Brussels: International Diabetes Federation; 2015. [Link]
  7. Maslakpak MH, Ahmadi F, Anoosheh M. Spiritual beliefs and quality of life: A qualitative research about diabetic adolescent girls' perception. KOOMESH. 2011;12(2):144-51. [Persian] [Link]
  8. Weaver RR, Lemonde M, Payman N, Goodman WM. Health capabilities and diabetes self-management: The impact of economic, social, and cultural resources. Soc Sci Med. 2014;102:58-68. [Link] [DOI:10.1016/j.socscimed.2013.11.033]
  9. Asadzandi M. Access to the sound heart identifies the concept of spiritual health. J Med Jurisprud. 2014;6(18):143-73. [Persian] [Link]
  10. Jahani A, Rejeh N, Heravi-Karimooi M, Hadavi A, Zayeri F, Khatooni AR. The relationship between spiritual health and quality of life in patients with coronary artery disease. Islam Life Cent Health. 2013;1(2):17-21. [Link] [DOI:10.5812/ilch.8575]
  11. Hoseindokht A, Fathi-ashtiani A, Taghizadeh M. The relationship between spiritual intelligence and spiritual well-being with quality of life and marital satisfaction. RAVANSHENASI VA DIN. 2013;6(2):57-74. [Persian] [Link]
  12. Braam AW, Schrier AC, Tuinebreijer WC, Beekman AT, Dekker JJ, De Wit MA. Religious coping and depression in multicultural Amsterdam: A comparison between native Dutch citizens and Turkish, Moroccan and Surinamese/Antillean migrants. J Affect Disord. 2010;125(1-3):269-78. [Link] [DOI:10.1016/j.jad.2010.02.116]
  13. Cordova CM. The lived experience of spirituality among type 2 diabetic mellitus patients with Macrovascular and/or Microvascular complications [Dissertation]. Washington, D.C.: The Catholic University of America; 2011. [Link]
  14. Jafari N, Farajzadegan Z, Loghmani A, Majlesi M, Jafari N. Spiritual well-being and quality of life of Iranian adults with type 2 diabetes. Evid Based Complement Altern Med. 2014;2014:619028. [Link] [DOI:10.1155/2014/619028]
  15. Koffman J, Morgan M, Edmonds P, Speck P, Higginson IJ. "I know he controls cancer": The meanings of religion among Black Caribbean and White British patients with advanced cancer. Soc Sci Med. 2008;67(5):780-9. [Link] [DOI:10.1016/j.socscimed.2008.05.004]
  16. Rafferty KA, Billig AK, Mosack KE. Spirituality, religion, and health: the role of communication, appraisals, and coping for individuals living with chronic illness. J Relig Health. 2015;54(5):1870-85. [Link] [DOI:10.1007/s10943-014-9965-5]
  17. Ragsdale JR, Hegner MA, Mueller M, Davies S. Identifying religious and/or spiritual perspectives of adolescents and young adults receiving blood and marrow transplants: A prospective qualitative study. Biol Blood Marrow Transplant. 2014;20(8):1242-7. [Link] [DOI:10.1016/j.bbmt.2014.04.013]
  18. Ramirez SP, Macêdo DS, Sales PM, Figueiredo SM, Daher EF, Araújo SM, et al. The relationship between religious coping, psychological distress and quality of life in hemodialysis patients. J Psychosom Res. 2012;72(2):129-35. [Link] [DOI:10.1016/j.jpsychores.2011.11.012]
  19. Reynolds N, Mrug S, Britton L, Guion K, Wolfe K, Gutierrez H. Spiritual coping predicts 5-year health outcomes in adolescents with cystic fibrosis. J Cyst Fibros. 2014;13(5):593-600. [Link] [DOI:10.1016/j.jcf.2014.01.013]
  20. Pirasteh Motlagh AK, Nikmanesh Z. The relationship of spirituality with the pain and quality of life in patients with HIV/Aids. ARMAGHAN DANESH. 2012;17(4):337-48. [Link]
  21. Puchalski CM. The role of spirituality in health care. Proc Bayl Univ Med Cent. 2001;14(4):352-7. [Link] [DOI:10.1080/08998280.2001.11927788]
  22. Nikbakht Nasrabadi A, Sanago K, Joybari L. A phenomenological analysis of post operative pain experiences in three subcultures in Iran. J Hayat. 2005;11(2):33-40. [Persian] [Link]
  23. Choe MA, Padilla GV, Chae YR, Kim S. Quality of life for patients with diabetes in Korea-I: The meaning of health-related quality of life. Int J Nurs Stud. 2001;38(6):673-82. [Link] [DOI:10.1016/S0020-7489(00)00115-2]
  24. Jadidi A, Farahaninia M, Janmohammadi S, Haghani H. The relationship between spiritual well-being and quality of life among elderly people residing in Kahrizak senior house. Iran J Nurs 2008-5923. 2011;24(72). [Link]
  25. White ML. Spirituality self-care effects on quality of life for patients diagnosed with chronic illness. Bull Luxemb Des Quest Soc. 2012;29:285-304. [Link]
  26. Jahanlou SH, Sobhani A, Alishan N. A comparison of two standard quality of life questionnaires for evaluation of the relationship between personality characteristics and glycemic control in diabetic patients. Arak Med Univ J. 2010;13(3):28-34. [Persian] [Link]
  27. Rubin RR, Peyrot M. Quality of life and diabetes. Diabetes Metab Res Rev. 1999;15(3):205-18.
    https://doi.org/10.1002/(SICI)1520-7560(199905/06)15:3<205::AID-DMRR29>3.0.CO;2-O [Link] [DOI:10.1002/(SICI)1520-7560(199905/06)15:33.0.CO;2-O]
  28. Nejat SA, Montazeri A, Holakouie Naieni K, Mohammad KA, Majdzadeh SR. The World Health Organization quality of Life (WHOQOL-BREF) questionnaire: Translation and validation study of the Iranian version. J Sch Public Health Inst Public Health Res. 2006;4(4):1-12. [Persian] [Link]
  29. Krause N, Bastida E. Religion, suffering, and health among older Mexican Americans. J Aging Stud. 2009;23(2):114-23. [Link] [DOI:10.1016/j.jaging.2008.11.002]
  30. Oreopoulos A. Is there meaning in suffering?. Hum Med. 2005;5(2):1-5. [Link]
  31. Saffari M, Pakpour AH, Naderi MK, Koenig HG, Baldacchino DR, Piper CN. Spiritual coping, religiosity and quality of life: a study on M uslim patients undergoing haemodialysis. Nephrology. 2013;18(4):269-75. [Link] [DOI:10.1111/nep.12041]
  32. Adegbola M. Spirituality, self-efficacy, and quality of life among adults with sickle cell disease. South Online J Nurs Res. 2011;11(1):5. [Link] [DOI:10.5402/2011/672579]
  33. Kimmel PL, Emont SL, Newmann JM, Danko H, Moss AH. ESRD patient quality of life: symptoms, spiritual beliefs, psychosocial factors, and ethnicity. Am J Kidney Dis. 2003;42(4):713-21. [Link] [DOI:10.1016/S0272-6386(03)00907-7]
  34. Krupski TL, Kwan L, Fink A, Sonn GA, Maliski S, Litwin MS. Spirituality influences health related quality of life in men with prostate cancer. Psycho Oncol J Psychol Soc Behav Dimens Cancer. 2006;15(2):121-31. [Link] [DOI:10.1002/pon.929]
  35. Ashrafi S, Hadadi M, Nashiba N, Ghasemzadeh A. The effectiveness of self-awareness training on students' academic achievement motivation and their aggression. Educ Dev Jundishapur. 2014;5(1):45-51. [Persian] [Link]
  36. Shojaee MS. The theory of Islam and spiritual needs of its correspondence with Maslow′s hierarchy of needs Biuarterly. J Stud Islam Psychol. 2008;1(1):87-116. [Link]
  37. Habibi A, Savadpour MT. Spiritual well-being in cancer patients who undergo chemotherapy. J Health Care. 2012;13(3):16-20. [Persian] [Link]
  38. Afzalaghaee M, Dehghani M, Salimi R, Mehdinejad M. Predictors of quality of life in patients with epilepsy. Knowl Health. 2015;10(1):11-8. [Persian] [Link]
  39. Yazdanfar A, Ahmadpanah M, Kheradmand Z. Comparison of quality of life in patients with acne and vitiligo. J Dermatol Cosmet. 2014;5(1):33-40. [Persian] [Link]
  40. Szepietowski JC, Reich A, Wesołowska‐Szepietowska E, Baran E, National Quality of Life in Dermatology Group. Quality of life in patients suffering from seborrheic dermatitis: influence of age, gender and education level. Mycoses. 2009;52(4):357-63. [Link] [DOI:10.1111/j.1439-0507.2008.01624.x]
  41. Glasgow RE, Ruggiero L, Eakin EG, Dryfoos J, Chobanian L. Quality of life and associated characteristics in a large national sample of adults with diabetes. Diabetes Care. 1997;20(4):562-7. [Link] [DOI:10.2337/diacare.20.4.562]
Health Education and Health Promotion
Volume 8, Issue 3
Autumn 2020
Pages 141-147