A espiritualidade na prática da Medicina de Família e Comunidade: uma revisão integrativa

Orlando Otávio Zuba Miranda de Almeida; Débora Carvalho Ferreira

doi:10.5712/rbmfc18(45)3296

Authors

Orlando Otávio Zuba Miranda de Almeida Universidade Federal de Viçosa – Viçosa (MG), Brazil.
Débora Carvalho Ferreira Universidade Federal de Viçosa – Viçosa (MG), Brazil. https://orcid.org/0000-0003-3348-3267

DOI:

https://doi.org/10.5712/rbmfc18(45)3296

Keywords:

Spirituality, Primary health care, Patient-centered care, Integrality in health.

Abstract

Spirituality is another aspect of health care and its importance in clinical practice in primary health care is perceived every day. To explain spirituality; to analyze the perception of spirituality by users of the Basic Health Units and doctors; and to discuss how it can be learned and developed in the medical field and in residency in Family Practice. An integrative review carried out in the Bireme and PubMed databases with the descriptors "Spirituality" and "Primary Health Care" combined with the Boolean operator AND. From 9 selected articles, thematic cores were developed with the synthesis of quantitative and qualitative information: concept of health, spirituality, spirituality instrument, perception of doctors and patients, perception and attitude of doctors, perception of users, and teaching of spiritual care. Spirituality is understood as a motivating force that governs decisions and guides the individual as a component of health. It should be considered in the daily practice of primary care in contexts of health promotion, distinct comorbidities and community approach. Spiritual care is based on the basic principle of person-centered medicine, respecting individualities through active and respectful listening.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Author Biography

Débora Carvalho Ferreira, Universidade Federal de Viçosa – Viçosa (MG), Brazil.

Médica com especialidade em Medicina de Família e Comunidade. Mestra em Saúde Coletiva pela Universidade Federal de Juiz de Fora (UFJF). Doutora em Bioética, Ética Aplicada e Saúde Coletiva pelo programa de Pós-Graduação Interinstitucional da UFRJ/UERJ/UFF/ENSP. Professora do Departamento de Medicina e Enfermagem da Universidade Federal de Viçosa/MG. Integrante da Comissão de Assessora de Área da Medicina do ENADE 2019 do INEP/MEC. Supervisora do Programa Mais Médico. Tutora do Curso EAD de Preceptoria em Medicina de Família e Comunidade pela UNASUS/UFRGS.

References

Vasconcelos EM. A espiritualidade no cuidado e na educação em saúde. In: Vasconcelos EM. A espiritualidade no trabalho em saúde. 3. ed. São Paulo. Hucitec; 2015.

Paiva GJ. Ética da misericórdia: associações com a psicologia. Bol - Acad Paul Psicol 2017;37(92):1-10.

Aristóteles. Da compaixão. In: Aristóteles. Retórica das Paixões. São Paulo. Martins Fontes; 2000. p. 53-57.

Patel KK, Frausto KA, Staunton AD, Souffront J, Derose KP. Exploring community health center and faith-based partnerships: community residents' perspectives. J Health Care Poor Underserved 2013;24(1):262-74. https://doi.org/10.1353/hpu.2013.0016 DOI: https://doi.org/10.1353/hpu.2013.0016

Katerndahl DA. Impact of Spiritual Symptoms and Their Interactions on Health Services and Life Satisfaction. Ann Fam Med 2008;6(5):412-20. https://doi.org/10.1370/afm.886 DOI: https://doi.org/10.1370/afm.886

Appleby A, Swinton J, Bradbury I, Wilson P. GPs and spiritual care: signed up or souled out? A quantitative analysis of GP trainers’ understanding and application of the concept of spirituality. Educ Prim Care 2018;29(6):367-375. https://doi.org/10.1080/14739879.2018.1531271 DOI: https://doi.org/10.1080/14739879.2018.1531271

Fuchs JR, Fuchs JW, Hauser JM, Coors ME. Patient desire for spiritual assessment is unmet in urban and rural primary care settings. BMC Health Serv Res 2021;21(1):1-9. https://doi.org/10.1186/s12913-021-06300-y DOI: https://doi.org/10.1186/s12913-021-06300-y

MacLean CD, Susi B, Phifer N, Schultz L, Bynum D, Franco M, et al. Patient preference for physician discussion and practice of spirituality. J Gen Intern Med 2003;18(1): 38-43. https://doi.org/10.1046/j.1525-1497.2003.20403.x DOI: https://doi.org/10.1046/j.1525-1497.2003.20403.x

Holmes SM, Rabow MW, Dibble SL. Screening the soul: communication regarding spiritual concerns among primary care physicians and seriously ill patients approaching the end of life. Am J Hosp Palliat Care 2006;23(1):25-33. https://doi.org/10.1177/104990910602300105 DOI: https://doi.org/10.1177/104990910602300105

Daaleman TP, Frey BB.. The spirituality index of well-being: a new instrument for health-related quality-of-life research. Ann Fam Med 2004;2(5):499-503. https://doi.org/10.1370/afm.89 DOI: https://doi.org/10.1370/afm.89

Saguil A, Fitzpatrick AL, Clark G. Are residents willing to discuss spirituality with patients? J Relig Health 2011;50(2):279-88 https://doi.org/10.1007/s10943-011-9467-7 DOI: https://doi.org/10.1007/s10943-011-9467-7

Ellis MR, Campbell JD. Concordant spiritual orientations as a factor in physician–patient spiritual discussions: a qualitative study. J Relig Health 2005;44(1):39-53. https://doi.org/10.1007/s10943-004-1144-7 DOI: https://doi.org/10.1007/s10943-004-1144-7