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Pastoral care and religious support as a part of treatment of religious patient with the severe form of osteoarthritis

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2017
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Authors
Djurovic, Aleksandar
Sovilj, Saša
Đokić, Ivana
Brdareski, Zorica
Vukomanovic, Aleksandra
Ilic, Natasa
Milavić-Vujković, Merica
Article
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Abstract
Introduction. Religious needs of patients are consistently being neglected in the clinical medicine. Pastoral care is a religious support which a religious patient receives from priests, chaplains, imams, rabbis or other religious authorities. Religious support, in terms of clinical medicine, is a spiritual support which religious patients obtain from religious and trained medical workers. The aim of this report was to present the effects of pastoral care and religious support in hospital treatment of a 73-year-old patient with the severe form of osteoarthritis. Case report. The 73 year-old, highly religious patient with severe form of osteoarthritis was admitted at the Clinic for Physical Medicine and Rehabilitation, Military Medical Academy in Belgrade, due to heterogeneous problems in the activities of daily living. The patient walked with difficulty using a stick, suffered pain, and was anxious and depressive. In order to objectively demonstrate effects of both pastoral care and re...ligious support in this patient we performed multiple treatment with reversal design, in which the basic treatment consisting of hospital care, pharmacotherapy and physical therapy (the treatment A) was alternatively changed with the treatment that included combination of the basic treatment and religious support provided by religious physiatrist and physiotherapist (the treatment B) or combination of the basic treatment and pastoral care provided by military priest (the treatment C). The treatment A was applied three times and lasted two weeks, every time. Treatments B and C were applied once and lasted three weeks, each. The order of the treatments was: A - GT B - GT A - GT C - GT A. During the whole treatment period the patients condition was assessed by several measuring scale: the level of depression by The Hamilton Rang Scale for Depression and The Zung Self Rating Depression Scale; the level of anxiety by The Zung Self Rating Anxiety Scale; the functional capability of patient by The Barthel Index and The Functional Independent Measure. Measuring was carried out on a daily basis. In statistical analysis two nonparametric statistic were used: the percentage of non-overlapping data (PND) and the percentage of data points exceeding the median (PEM). PND and PEM values below 0.7 reflect questionable effectiveness of the treatment. The values between 0.7 and 0.9 reflect moderate effects. The values above 0.9 are considered as a highly effective treatment. The anxiety of the patient was moderately to significantly reduced after introducing religious support (treatment B: mean and mean deviation = 50.1 +/- 10.89; variability = 4.598653; mean shift = 0.219626; PND = 0.6; PEM = 0.9) and pastoral care (treatment C: mean and mean deviation = 53.5 +/- 5.90; variability = 9.062591; mean shift = 0.207407; PND = 0.9; PEM = 0.9); The patients depression was reduced after introducing pastoral care (treatment C: mean and mean deviation = 51.3 +/- 4.66; variability = 10.99005; mean shift = 0.08881; PND = 0; PEM = 0.9). On the contrary, the patients functional capability was not significantly improved. Conclusion. In the highly religious patient with severe osteoarthritis pastoral care and religious support, applied along with the standard medical treatment of this condition, produced some beneficial effects on anxiety and depressive mood, but with no significant effect on patients functional capability.

Keywords:
physical and rehabilitation medicine / osteoarthritis / religion / pastoral care / aged / treatment outcome
Source:
Vojnosanitetski pregled, 2017, 74, 1, 69-77
Funding / projects:
  • Application of the EIIP/ISM bioinformatics platform in discovery of novel therapeutic targets and potential therapeutic molecules (RS-173001)

DOI: 10.2298/VSP1508025059D

ISSN: 0042-8450; 2406-0720

PubMed: 29350895

WoS: 000394485300013

Scopus: 2-s2.0-85009875696
[ Google Scholar ]
2
1
URI
https://vinar.vin.bg.ac.rs/handle/123456789/1433
Collections
  • WoS Import
Institution/Community
Vinča
TY  - JOUR
AU  - Djurovic, Aleksandar
AU  - Sovilj, Saša
AU  - Đokić, Ivana
AU  - Brdareski, Zorica
AU  - Vukomanovic, Aleksandra
AU  - Ilic, Natasa
AU  - Milavić-Vujković, Merica
PY  - 2017
UR  - https://vinar.vin.bg.ac.rs/handle/123456789/1433
AB  - Introduction. Religious needs of patients are consistently being neglected in the clinical medicine. Pastoral care is a religious support which a religious patient receives from priests, chaplains, imams, rabbis or other religious authorities. Religious support, in terms of clinical medicine, is a spiritual support which religious patients obtain from religious and trained medical workers. The aim of this report was to present the effects of pastoral care and religious support in hospital treatment of a 73-year-old patient with the severe form of osteoarthritis. Case report. The 73 year-old, highly religious patient with severe form of osteoarthritis was admitted at the Clinic for Physical Medicine and Rehabilitation, Military Medical Academy in Belgrade, due to heterogeneous problems in the activities of daily living. The patient walked with difficulty using a stick, suffered pain, and was anxious and depressive. In order to objectively demonstrate effects of both pastoral care and religious support in this patient we performed multiple treatment with reversal design, in which the basic treatment consisting of hospital care, pharmacotherapy and physical therapy (the treatment A) was alternatively changed with the treatment that included combination of the basic treatment and religious support provided by religious physiatrist and physiotherapist (the treatment B) or combination of the basic treatment and pastoral care provided by military priest (the treatment C). The treatment A was applied three times and lasted two weeks, every time. Treatments B and C were applied once and lasted three weeks, each. The order of the treatments was: A - GT B - GT A - GT C - GT A. During the whole treatment period the patients condition was assessed by several measuring scale: the level of depression by The Hamilton Rang Scale for Depression and The Zung Self Rating Depression Scale; the level of anxiety by The Zung Self Rating Anxiety Scale; the functional capability of patient by The Barthel Index and The Functional Independent Measure. Measuring was carried out on a daily basis. In statistical analysis two nonparametric statistic were used: the percentage of non-overlapping data (PND) and the percentage of data points exceeding the median (PEM). PND and PEM values below 0.7 reflect questionable effectiveness of the treatment. The values between 0.7 and 0.9 reflect moderate effects. The values above 0.9 are considered as a highly effective treatment. The anxiety of the patient was moderately to significantly reduced after introducing religious support (treatment B: mean and mean deviation = 50.1 +/- 10.89; variability = 4.598653; mean shift = 0.219626; PND = 0.6; PEM = 0.9) and pastoral care (treatment C: mean and mean deviation = 53.5 +/- 5.90; variability = 9.062591; mean shift = 0.207407; PND = 0.9; PEM = 0.9); The patients depression was reduced after introducing pastoral care (treatment C: mean and mean deviation = 51.3 +/- 4.66; variability = 10.99005; mean shift = 0.08881; PND = 0; PEM = 0.9). On the contrary, the patients functional capability was not significantly improved. Conclusion. In the highly religious patient with severe osteoarthritis pastoral care and religious support, applied along with the standard medical treatment of this condition, produced some beneficial effects on anxiety and depressive mood, but with no significant effect on patients functional capability.
T2  - Vojnosanitetski pregled
T1  - Pastoral care and religious support as a part of treatment of religious patient with the severe form of osteoarthritis
VL  - 74
IS  - 1
SP  - 69
EP  - 77
DO  - 10.2298/VSP1508025059D
ER  - 
@article{
author = "Djurovic, Aleksandar and Sovilj, Saša and Đokić, Ivana and Brdareski, Zorica and Vukomanovic, Aleksandra and Ilic, Natasa and Milavić-Vujković, Merica",
year = "2017",
abstract = "Introduction. Religious needs of patients are consistently being neglected in the clinical medicine. Pastoral care is a religious support which a religious patient receives from priests, chaplains, imams, rabbis or other religious authorities. Religious support, in terms of clinical medicine, is a spiritual support which religious patients obtain from religious and trained medical workers. The aim of this report was to present the effects of pastoral care and religious support in hospital treatment of a 73-year-old patient with the severe form of osteoarthritis. Case report. The 73 year-old, highly religious patient with severe form of osteoarthritis was admitted at the Clinic for Physical Medicine and Rehabilitation, Military Medical Academy in Belgrade, due to heterogeneous problems in the activities of daily living. The patient walked with difficulty using a stick, suffered pain, and was anxious and depressive. In order to objectively demonstrate effects of both pastoral care and religious support in this patient we performed multiple treatment with reversal design, in which the basic treatment consisting of hospital care, pharmacotherapy and physical therapy (the treatment A) was alternatively changed with the treatment that included combination of the basic treatment and religious support provided by religious physiatrist and physiotherapist (the treatment B) or combination of the basic treatment and pastoral care provided by military priest (the treatment C). The treatment A was applied three times and lasted two weeks, every time. Treatments B and C were applied once and lasted three weeks, each. The order of the treatments was: A - GT B - GT A - GT C - GT A. During the whole treatment period the patients condition was assessed by several measuring scale: the level of depression by The Hamilton Rang Scale for Depression and The Zung Self Rating Depression Scale; the level of anxiety by The Zung Self Rating Anxiety Scale; the functional capability of patient by The Barthel Index and The Functional Independent Measure. Measuring was carried out on a daily basis. In statistical analysis two nonparametric statistic were used: the percentage of non-overlapping data (PND) and the percentage of data points exceeding the median (PEM). PND and PEM values below 0.7 reflect questionable effectiveness of the treatment. The values between 0.7 and 0.9 reflect moderate effects. The values above 0.9 are considered as a highly effective treatment. The anxiety of the patient was moderately to significantly reduced after introducing religious support (treatment B: mean and mean deviation = 50.1 +/- 10.89; variability = 4.598653; mean shift = 0.219626; PND = 0.6; PEM = 0.9) and pastoral care (treatment C: mean and mean deviation = 53.5 +/- 5.90; variability = 9.062591; mean shift = 0.207407; PND = 0.9; PEM = 0.9); The patients depression was reduced after introducing pastoral care (treatment C: mean and mean deviation = 51.3 +/- 4.66; variability = 10.99005; mean shift = 0.08881; PND = 0; PEM = 0.9). On the contrary, the patients functional capability was not significantly improved. Conclusion. In the highly religious patient with severe osteoarthritis pastoral care and religious support, applied along with the standard medical treatment of this condition, produced some beneficial effects on anxiety and depressive mood, but with no significant effect on patients functional capability.",
journal = "Vojnosanitetski pregled",
title = "Pastoral care and religious support as a part of treatment of religious patient with the severe form of osteoarthritis",
volume = "74",
number = "1",
pages = "69-77",
doi = "10.2298/VSP1508025059D"
}
Djurovic, A., Sovilj, S., Đokić, I., Brdareski, Z., Vukomanovic, A., Ilic, N.,& Milavić-Vujković, M.. (2017). Pastoral care and religious support as a part of treatment of religious patient with the severe form of osteoarthritis. in Vojnosanitetski pregled, 74(1), 69-77.
https://doi.org/10.2298/VSP1508025059D
Djurovic A, Sovilj S, Đokić I, Brdareski Z, Vukomanovic A, Ilic N, Milavić-Vujković M. Pastoral care and religious support as a part of treatment of religious patient with the severe form of osteoarthritis. in Vojnosanitetski pregled. 2017;74(1):69-77.
doi:10.2298/VSP1508025059D .
Djurovic, Aleksandar, Sovilj, Saša, Đokić, Ivana, Brdareski, Zorica, Vukomanovic, Aleksandra, Ilic, Natasa, Milavić-Vujković, Merica, "Pastoral care and religious support as a part of treatment of religious patient with the severe form of osteoarthritis" in Vojnosanitetski pregled, 74, no. 1 (2017):69-77,
https://doi.org/10.2298/VSP1508025059D . .

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