#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Religious practices and long-term survival after hospital discharge for an acute coronary syndrome


Autoři: Hawa O. Abu aff001;  Kate L. Lapane aff001;  Molly E. Waring aff002;  Christine M. Ulbricht aff001;  Randolph S. Devereaux aff003;  David D. McManus aff004;  Jeroan J. Allison aff001;  Catarina I. Kiefe aff001;  Robert J. Goldberg aff001
Působiště autorů: Department of Population and Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, Massachusetts, United States of America aff001;  Department of Allied Health Sciences, University of Connecticut, Storrs, Connecticut, United States of America aff002;  Department of Community Medicine, Mercer University School of Medicine, Macon, Georgia, United States of America aff003;  Division of Cardiovascular Medicine, Department of Medicine, University of Massachusetts Medical School, Worcester, Massachusetts, United States of America aff004
Vyšlo v časopise: PLoS ONE 14(10)
Kategorie: Research Article
prolekare.web.journal.doi_sk: https://doi.org/10.1371/journal.pone.0223442

Souhrn

Background

Prior studies of healthy populations have found religious practices to be associated with survival. However, no contemporary studies have examined whether religiosity influences survival among patients discharged from the hospital after an acute coronary syndrome (ACS). The present study examined the relationship between religious practices and 2-year all-cause mortality among hospital survivors of an ACS.

Methods

Patients hospitalized for an ACS were recruited from 6 medical centers in Massachusetts and Georgia between 2011 and 2013. Study participants self-reported three items assessing religiosity: strength/comfort from religion, petition prayers for health, and awareness of intercessory prayers by others. All cause-mortality within 2-years of hospital discharge was ascertained by review of medical records at participating study hospitals and from death certificates. Cox proportional hazards models were used to estimate the multivariable adjusted risk of 2-year all-cause mortality.

Results

Participants (n = 2,068) were on average 61 years old, 34% were women, and 81% were non-Hispanic White. Approximately 85% derived strength/comfort from religion, 61% prayed for their health, and 89% were aware of intercessions. Overall, 6% died within 2 years post-discharge. After adjusting for sociodemographic variables (age, sex, and race/ethnicity), petition prayers were associated with an increased risk of 2-year all-cause mortality (HR: 1.64; 95% CI: 1.01–2.66). With further adjustment for several clinical and psychosocial measures, this association was no longer statistically significant. Strength and comfort from religion and intercessory prayers were not significantly associated with mortality.

Conclusions

Most ACS survivors acknowledge deriving strength and comfort from religion, praying for their health, and intercessions made by others for their health. Although the reported religious practices were not associated with post-discharge survival after multivariable adjustment, acknowledging that patients utilize their religious beliefs and practices as strategies to improve their health would ensure a more holistic approach to patient management and promote cultural competence in healthcare.

Klíčová slova:

Psychological and psychosocial issues – Patients – Cognitive impairment – Psychological stress – Health education and awareness – Behavioral and social aspects of health – Depression – Religion


Zdroje

1. Daniel MK. Acute Coronary Syndromes: Morbidity, Mortality, and Pharmacoeconomic Burden. Am J Manag Care. 2009;15(suppl 15):S36–S41.

2. Yusuf S, Reddy S, Ounpuu S, Anand S. Global burden of cardiovascular diseases: part I: general considerations, the epidemiologic transition, risk factors, and impact of urbanization. Circulation. 2001;104:2746–2753. doi: 10.1161/hc4601.099487 11723030

3. Pocock S, Bueno H, Licour M, et al. Predictors of one-year mortality at hospital discharge after acute coronary syndromes: A new risk score from the EPICOR (long-tErm follow uP of antithrombotic management patterns In acute CORonary syndrome patients) study. Eur Heart J Acute Cardiovasc Care. 2015;4(6):509–517. doi: 10.1177/2048872614554198 25301783

4. Boersma E, Pieper KS, Steyerberg EW, et al. Predictors of outcome in patients with acute coronary syndromes without persistent ST-segment elevation. Results from an international trial of 9461 patients. The PURSUIT Investigators. Circulation 2000; 101: 2557–2567. doi: 10.1161/01.cir.101.22.2557 10840005

5. Eagle KA, Lim MJ, Dabbous OH, et al. A validated prediction model for all forms of acute coronary syndrome: Estimating the risk of 6-month postdischarge death in an international registry. JAMA 2004; 291: 2727–2733. doi: 10.1001/jama.291.22.2727 15187054

6. Koenig HG. Religion, spirituality, and health: the research and clinical implications. ISRN Psychiatry. 2012;278730. doi: 10.5402/2012/278730 23762764

7. Park CL. Religiousness/Spirituality and Health: A Meaning Systems Perspective. J Behav Med. 2007; 30: 319–328. doi: 10.1007/s10865-007-9111-x 17522971

8. Bernardi L, Sleight P, Bandinelli G, Cencetti S, Fattorini L, Wdowczyc-Szulc J, Lagi A. Effect of rosary prayer and yoga mantras on autonomic cardiovascular rhythms: Comparative study. British Medical Journal. 2001; 325:1446–1449.

9. Berntson GG, Norman GJ, Hawkley LC, Cacioppo JT. Spirituality and autonomic cardiac control. Ann Behav Med. 2008; 35(20): 198–208.

10. Krause N, Wulff KM. Church-based social ties, a sense of belonging in a congregation, and physical health status. International Journal for the Psychology of Religion. 2005; 15: 73–93.

11. Gall T, Charbonneau C, Clarke N, et al. Understanding the nature and role of spirituality in relation to coping and health: a conceptual framework. Canadian Psychology. 2005; 46(2):88–104.

12. VanderWeele TJ, Jeffrey Yu, Yvette C, et al. Attendance at Religious Services, Prayer, Religious Coping, and Religious/Spiritual Identity as Predictors of All-Cause Mortality in the Black Women's Health Study. Am J Epidemiol 2017; 185 (7): 515–522. doi: 10.1093/aje/kww179 28338863

13. Strawbridge WJ, Cohen RD, Shema SJ, Kaplan GA. Frequent attendance at religious services and mortality over 28 years. Am J Public Health. 1997;87(6):957–961. doi: 10.2105/ajph.87.6.957 9224176

14. Gupta R, Prakash H, Gupta VP, Gupta KD. Prevalence and determinants of coronary heart disease in a rural population of India. Journal of Clinical Epidemiology. 1997; 50: 203–209. doi: 10.1016/s0895-4356(96)00281-8 9120514

15. Blumenthal JA, Babyak MA, Ironson J, Thoresen C, Powell L, Czajkowski S, et al. Spirituality, religion, and clinical outcomes in patients recovering from an acute myocardial infarction. Psychosomatic Medicine. 2007; 69: 501–508. doi: 10.1097/PSY.0b013e3180cab76c 17636153

16. Li S, Stampfer MJ, Williams DR, VanderWeele TJ. Association of Religious Service Attendance with Mortality Among Women. JAMA Intern Med. 2016;176(6):777–785. doi: 10.1001/jamainternmed.2016.1615 27183175

17. Kalamazoo MI. Fetzer Institute, National Institute on Aging Working Group: Multidimensional Measurement of Religiousnes s, Spirituality for Use in Health Research. A Report of a National Working Group Supported by the Fetzer Institute in Collaboration with the National Institute on Aging. 1999

18. National Center for Complementary and Alternative Medicine, Complementary, Alternative, or Integrative Health: What’s in a Name? National Center for Complementary and Alternative Medicine, 2008. https://nccih.nih.gov/health/integrative-health

19. Waring ME, McManus RH, Saczynski JS, et al. Transitions, Risks, and Actions in Coronary Events-Center for Outcomes Research and Education (TRACE-CORE): design and rationale. Circ Cardiovasc Qual Outcomes. 2012; 5:44–50. doi: 10.1161/CIRCOUTCOMES.111.961474

20. Goldberg RJ, Saczynski JS, McManus DD, et al. Characteristics of Contemporary Patients Discharged from the Hospital After an Acute Coronary Syndrome. The American journal of medicine. 2015;128(10):1087–1093. doi: 10.1016/j.amjmed.2015.05.002 26007672

21. Anderson JL, Adams CD, Antman EM, et al. American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. 2012 ACCF/AHA focused update incorporated into the ACCF/AHA 2007 guidelines for the management of patients with unstable angina/non-ST-elevation myocardial infarction: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. Circulation. 2013; 127:663–828.

22. Powers BJ, Trinh JV, Bosworth HB. Can this patient read and understand written health information? JAMA. 2010; 304:76–84. doi: 10.1001/jama.2010.896 20606152

23. Ware JEJ, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). 1. Conceptual framework and item selection. Medical Care. 1992; 30:473–483. 1593914

24. Spertus JA, Winder JA, Dewhurst TA, Deyo RA, Prodzinski J, McDonell M, Fihn SD. Development and evaluation of the Seattle Angina Questionnaire: a new functional status measure for coronary artery disease. JACC. 1995; 25:333–341. doi: 10.1016/0735-1097(94)00397-9 7829785

25. Cohen S, Williamson GM. Perceived Stress in a Probability Sample of the United States, in: Spacapan S., Oskamp S.(Eds.), The Social Psychology of Health. Newbury Park, CA: Sage, 1988, pp. 31–67.

26. Spitzer RL, Kroenke K, Williams JBW, Lowe B. A brief measure of assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006; 166:1092–1097. doi: 10.1001/archinte.166.10.1092 16717171

27. Kroenke K, Spitzer RL, Williams JBW. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001; 16:606–613. doi: 10.1046/j.1525-1497.2001.016009606.x 11556941

28. Hibbard JH, Mahoney ER, Stockard J, Tusler M. Development and testing of a short form of the patient activation measure. Health Serv Res. 2005;40:1918–1930. doi: 10.1111/j.1475-6773.2005.00438.x 16336556

29. Ferrucci L, Lungo DI, Guralnik JM, et al. Is the telephone interview for cognitive status a valid alternative in persons who cannot be evaluated by the Mini Mental State Examination? Aging Milan Italy. 1998; 10:332–338.

30. Manson JE, Greenland P, LaCroix AZ, et al. Walking compared with vigorous exercise for the prevention of cardiovascular events in women. N Engl J Med. 2002;347:716–725. doi: 10.1056/NEJMoa021067 12213942

31. Paxton AE, Stryker LA, Toobert DJ, Ammerman AS, Glasgow RE. Starting the Conversation: performance of a brief dietary assessment and intervention tool for health professionals. Am J Prev Med. 2011;40:67–71. doi: 10.1016/j.amepre.2010.10.009 21146770

32. Fox KAA, Dabbous OH, Goldberg RJ, et al. Prediction of risk of death and myocardial infarction in the six months after presentation with acute coronary syndrome: prospective multinational observational study (GRACE). BMJ. 2006; 333: 1091. doi: 10.1136/bmj.38985.646481.55 17032691

33. Walter S, Tiemeier H. Variable selection: current practice in epidemiological studies. Eur. J. Epidemiol. 2009; 24(12): 733. doi: 10.1007/s10654-009-9411-2 19967429

34. Ai AL, Bolling SF, Peterson C. The Use of Prayer by Coronary Artery Bypass Patients, The International Journal for the Psychology of Religion. 2000; 10(4): 205–220.

35. Ross LE, Hall IJ, Fairley TL, Taylor YT, Howard DL. Prayer and Self-Reported Health Among Cancer Survivors in the United States, National Health Interview Survey, 2002. The Journal of Complementary and Alternative Medicine. 2008; 14(8):931–938.

36. Pew Research Center. Religion and Public life. http://www.pewforum.org/2015/11/03/chapter-2-religious-practices-and-experiences/#private-devotions (Accessed August 2019)

37. Barnes PM, Powell-Griner E, McFann K, Nahin RL. Complementary and alternative medicine use among adults: United States, 2002. Adv Data. 2004;27:1–19.

38. Trevino KM, McConnell TR. Religiosity and Religious Coping in Patients with Cardiovascular Disease: Change over Time and Associations with Illness Adjustment. J Religion and Health. 2014; 53(6): 1907–1917.

39. Bearon LB, Koenig HG. Religious cognitions and use of prayer in health and illness. The Gerontologist. 1990; 30(2): 249–253. doi: 10.1093/geront/30.2.249 2347508

40. Debnam KJ, Holt CL, Clark EM, Roth DL, Foushee HR, Crowther M, Fouad M, Southward PL. Spiritual health locus of control and health behaviors in African Americans. Am J Health Behav. 2012;36(3):360–72. doi: 10.5993/AJHB.36.3.7 22370437

41. Abu HO, McManus DD, Kiefe CI, Goldberg R J. Religiosity and Patient Engagement in their Healthcare Among Hospital Survivors of an Acute Coronary Syndrome. Community Engagement and Research Symposia 2019. https://doi.org/10.13028/vb4f-cr19.

42. Oxman TE, Freeman DH, Manheimer ED. Lack of social participation or religious strength and comfort as risk factors for death after cardiac surgery in the elderly. Psychosomatic Medicine. 1995; 57: 5–15. doi: 10.1097/00006842-199501000-00002 7732159

43. Schnall E, Wassertheil-Smoller S, Swencionis C, et al. The relationship between religion and cardiovascular outcomes and all-cause mortality in the women's health initiative observational study. Psychology & Health. 2010; 25:249–63.

44. Fosarelli P. Outcomes of Intercessory Prayer for those who are Ill: Scientific and Pastoral Perspectives. Linacre Q. 2011;78(2):125–137. doi: 10.1179/002436311803888384 30082936

45. Andrade C, Radhakrishnan R. Prayer and healing: A medical and scientific perspective on randomized controlled trials. Indian J Psychiatry. 2009;51(4):247–53. doi: 10.4103/0019-5545.58288 20048448

46. Krucoff MW, Crater SW, Gallup DE, et al. “Music, imagery, touch, and prayer as adjuncts to interventional cardiac care: The Monitoring and Actualization of Noetic Trainings (MANTRA) II randomized study.” Lancet. 2005; 36: 211–17


Článok vyšiel v časopise

PLOS One


2019 Číslo 10
Najčítanejšie tento týždeň
Najčítanejšie v tomto čísle
Kurzy

Zvýšte si kvalifikáciu online z pohodlia domova

Aktuální možnosti diagnostiky a léčby litiáz
nový kurz
Autori: MUDr. Tomáš Ürge, PhD.

Všetky kurzy
Prihlásenie
Zabudnuté heslo

Zadajte e-mailovú adresu, s ktorou ste vytvárali účet. Budú Vám na ňu zasielané informácie k nastaveniu nového hesla.

Prihlásenie

Nemáte účet?  Registrujte sa

#ADS_BOTTOM_SCRIPTS#