Review Article
Volume 4 Issue 1 - 2022
The Spirituality in Health Care in the Primary Health
Luiz Augusto de Azevedo Pinheiro1*, Sandra Maria Barroso Werneck Vilagra2, Cristina Fidalgo Affonso Pinheiro3, Eduardo Herrera Rodrigues de Almeida Júnior4 and Maria Cristina Almeida de Souza5
1Médico Residente em Medicina de Família e Comunidade, Hospital Universitário de Vassouras, Vassouras, RJ, Brasil
2Coordenadora da Residência Médica do Hospital Universitário de Vassouras, Vassouras, RJ, Brasil
3Preceptora da Residência em Medicina de Família e Comunidade do Hospital Universitário de Vassouras, Vassouras, RJ, Brasil
4Docente do Curso de Medicina da Universidade de Vassouras. Supervisor da Residência em Medicina de Família e Comunidade do Hospital Universitário de Vassouras. Vassou- ras, RJ, Brasil
5Docente do Curso de Medicina e do Mestrado em Ciências Aplicadas em Saúde da Universidade de Vassouras, RJ, Brasil
*Corresponding Author: Luiz Augusto de Azevedo Pinheiro, Médico Residente em Medicina de Família e Comunidade, Hospital Universitário de Vassouras, Vassouras, RJ, Brasil.
Received: February 21, 2021; Published: December 31, 2021


Introduction: Attention has been given to spirituality as a strategy for coping with illnesses, as it has a protective role against psychological morbidity, given its impact on the way people deal with pathology.

Methodology: Through the literature review, we approach spirituality in the clinical evaluation of patients by health professionals, whose knowledge of the patient’s spiritual dimension is able to contribute to the relief of suffering and coping with the disease. Results: 11 publications were found that met the inclusion criteria, 7 articles, 3 books, 1 dissertation. Discussion: the Family Health Strategy, democratized access to health services at the primary level of Health Care. Primary Health Care Units, generalist professionals, who are responsible for providing care capable of solving approximately 80% of the demands, whose spiritual component must be considered. It is essential to include spirituality in the clinical evaluation of users of Primary Health Care Units, assuming that the recommended doctor-patient bond can optimize qualified listening, the professional’s understanding of the meaning of falling ill for the patient, as well as the establishment of a therapeutic plan. Able to consider the patient’s spiritual and religious specificities, favoring the prognosis and coping with the adversities resulting from the illness. Final considerations: considering that the spiritual dimension has a systemic nature, its use by Primary Health Care professionals is fundamental. There is a need for a paradigm shift in health care, moving away from the technical Cartesian biomedical view to the view of spirituality and health.

Keywords: Spirituality; Religion; Medicine; Physician-Patient Relations


  1. Batista SSP. “Spirituality in the practice of care user of the family health program, with emphasis on popular health education”. APS 1 (2007): 74-80.
  2. Lucchetti G., et al. “Spirituality in clinical practice: what should the clinician know?” Revista da Sociedade Brasileira de Clínica Médica2 (2010): 154-148.
  3. Panzini GR. “Religious-spiritual coping scale (CRE Scale): translation, adaptation and validation of the RCOPE scale, addressing relationships with health and quality of life”. Dissertation Master in Psychology UFRGS (2004).
  4. Balboni TA., et al. “Religiousness and spiritual support among advanced cancer patients and associations with end-of-life treatment preferences and quality of life”. Journal of Clinical Oncology 5 (2007): 555-560.
  5. Travado L., et al. “Do spirituality and faith make a difference? Report from the Southern European Psycho-Oncology Study Group”. Palliative Supportive Care4 (2010): 405-413.
  6. Mesquita AC., et al. “The use of religious/spiritual coping by cancer patients undergoing chemotherapy”. The Latin American Journal of Nursing2 (2013): 539-545.
  7. Constitution of the Brazilian Federative Republic (1988).
  8. Koenig GH. “Medicine, religion and health. The meeting of science and spirituality”. Porto Alegre: LPM (2012).
  9. Barros Júnior J., et al. “Health and Spirituality: professional narratives in the family health strategy”. Journal of Psychology26 (2015).
  10. Koenig GH. “Spirituality in patient care. Because, like, when and what”. São Paulo: Associação Medico Espírita de São Paulo (2018).
  11. Gusso G., et al. “Treatise on family and community medicine. Principles, training and practice”. Porto Alegre: Artmed Publishing House (2019).
  12. Barbosa DJ., et al. “Religiosity and spirituality as a support tool for the treatment of psychoactive drug users”. Pro-univer SUS Magazine 2 (2018): 17-23.
Citation: Luiz Augusto de Azevedo Pinheiro., et al. “The Spirituality in Health Care in the Primary Health”. EC Nursing and Healthcare 4.1 (2022): 33-38.

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