Department of Emergency Medicine, Medical University of Gdansk, Gdansk, Poland.
J Relig Health. 2013 Mar;52(1):276-84. doi: 10.1007/s10943-011-9454-z.
The quality of life in patients with chronic pancreatitis (CP) is reduced due to their suffering of high levels of pain. It has been presented that quality of life can also be linked to religiosity and/or spirituality. The aim of this study is to assess the influence of religious practices on the quality of life and on the subjective level of pain in CP patients. Ninety-two patients (37 women and 55 men) with chronic pancreatitis were treated invasively for pain with neurolytic celiac plexus block (NCPB). The religiosity of the patients was recorded and served as a dichotomizer. Group 1 was for patients who claimed to have no contact with the church or to have very sporadic contact (N = 35 patients). Group 2 was for patients who claimed to have deep faith and were regular participants at church activities (N = 57 patients). Visual analogue scale was used to assess pain, while the quality of life was measured by using QLQ C-30 questionnaire adapted for chronic pancreatitis patients in Polish population. The patients were assessed prior to the pain-relieving intervention and subsequently 2 and 8 weeks after it. The intensity of pain was reduced in both groups significantly after performing the NCPB. Patients who declared a deep faith reported higher level of pain on the VAS scale prior to intervention than non-religious patients. Quality of life in both groups of patients significantly improved after NCPB. Following NCPB, global quality of life in patients who declared higher religiosity/church attendance was significantly higher (79.88) than for those patients who have no contact or sporadic contact with the church (44.21, P < 0.05). NCPB resulted in significant reduction of pain and increase in quality of life in both groups of patients with CP. Nevertheless, in the group declaring higher religiosity/church attendance, reported pain was higher, but, despite that, quality of life better. It may be concluded that religious practices might serve as an additional factor improving quality of life and coping in patients suffering from chronic pancreatitis.
慢性胰腺炎（CP）患者由于疼痛水平较高而降低了生活质量。已经表明，生活质量也可以与宗教信仰和/或精神信仰相关联。本研究旨在评估宗教实践对 CP 患者生活质量和主观疼痛水平的影响。92 例（37 名女性和 55 名男性）慢性胰腺炎患者因疼痛接受了腹腔神经丛阻滞（NCPB）的侵袭性治疗。记录了患者的宗教信仰，并将其作为二分法。第 1 组为声称与教会没有联系或联系非常偶然的患者（N = 35 例）。第 2 组为声称有深厚信仰并定期参加教会活动的患者（N = 57 例）。使用视觉模拟评分法评估疼痛，使用 QLQ C-30 问卷评估生活质量，该问卷经改编适用于波兰人群中的慢性胰腺炎患者。患者在缓解疼痛干预之前以及干预后 2 周和 8 周进行评估。两组患者在进行 NCPB 后疼痛强度均显著降低。在干预前，声称有深厚信仰的患者在 VAS 量表上报告的疼痛程度高于非宗教患者。两组患者的生活质量在 NCPB 后均显著改善。在 NCPB 后，宣称更高宗教信仰/参加教会的患者的总体生活质量（79.88）明显高于与教会没有联系或偶尔联系的患者（44.21，P <0.05）。NCPB 可显著减轻两组 CP 患者的疼痛并提高生活质量。尽管如此，在宣称更高宗教信仰/参加教会的患者中，报告的疼痛更高，但生活质量更好。可以得出结论，宗教实践可能是改善慢性胰腺炎患者生活质量和应对能力的附加因素。
