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.
Mots-clés Pascal : Maladie, Admission hôpital, Santé, Religion, Pronostic, Corrélation, Homme, Royaume Uni, Europe, Prospective, Santé physique
Mots-clés Pascal anglais : Disease, Hospital admission, Health, Religion, Prognosis, Correlation, Human, United Kingdom, Europe, Prospective
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0207630
Code Inist : 002B30A11. Création : 16/11/1999.