| Titre : | The effect of spiritual beliefs on outcome from illness. (1999) |
| Auteurs : | M. KING ; P. SPECK ; A. Thomas ; Department of Psychiatry and Behavioural Sciences. Royal Free and University College Medical School. Royal Free Campus. Rowland Hill Street. London. GBR |
| Type de document : | Article |
| Dans : | Social science and medicine (vol. 48, n° 9, 1999) |
| Pagination : | 1291-1299 |
| Langues: | Anglais |
| Mots-clés : | Pathologie ; Entrée ; Etat santé ; Religion ; Pronostic ; Homme ; Royaume Uni ; Europe ; Etude prospective ; Santé physique |
| Résumé : | [BDSP. Notice produite par INIST B9P3R0xa. Diffusion soumise à autorisation]. We aimed to assess the role of spiritual belief in clinical outcome of patients nine months after hospital admission. Two hundred and fifty patients admitted to a London teaching hospital were recruited and followed up for nine months. Outcome measures were clinical status as recorded in the outpatient records and patients'self reported health status and beliefs. A hundred and ninety-seven (79%) patients professed some form of spiritual belief, whether or not they engaged in a religious activity. Strength of belief was lower in patients who were in a more serious clinical state on admission (F=3.099. d.f.=2 and 192, p=0.05). Case note information was available nine months later for 234 patients (94%) and contained useful information for judging clinical outcome in 189 (76%). Patients with stronger spiritual beliefs were 2.3 times more likely (CI=1.1-5.1, p=0.033) to remain the same or deteriorate clinically nine months later. Other predictors of poor outcome were male gender and sleep disturbance at time of admission to hospital. We conclude that a stronger spiritual belief is an independent predictor of poor outcome at nine months in patients admitted to two acute services of a London hospital. It is more predictive of outcome than physical state assessed by clinicians, or self-reported psychological state, at admission. |
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