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Revista Virtual de la Sociedad Paraguaya de Medicina Interna

On-line version ISSN 2312-3893


ABENTE, Silvia; GARCIA, Héctor; RIVEROS, Miriam  and  CABRERA, Walter. Spiritual well-being in patients of oncology and hemodialysis services of two reference centers. Rev. virtual Soc. Parag. Med. Int. [online]. 2022, vol.9, n.2, pp.12-24. ISSN 2312-3893.


Spirituality is a very broad concept for humanity, its consensus for the various groups is under permanent study. The importance of introducing its approach in the comprehensive health of the patient is increasingly significant in medical practice.


To validate the Steger MLQ scale of spiritual well-being in the Guarani language and evaluate the spiritual well-being in patients of the oncology and hemodialysis services of two referral centers.


The target population was patients undergoing cancer treatment and dialysis from the oncology services of the Hospital de Clínicas (San Lorenzo) and the hemodialysis services of the Sanatorio Español-NefroServ (Asunción) during the months of May, June and July 2021. The Steger MLQ scale was used as the instrument. This questionnaire assesses two dimensions of meaning in life using ten items rated on a seven-point scale. The ethical aspects of human research were respected.


One hundred seven questionnaires were completed, 54 women and 53 men, 64 were taken in the hemodialysis service and 41 in the oncology service, 42 were done in Guarani and 65 in Spanish, according to the respondent's preference. The average age of the sample was 54.6 ± 14 years. Of those surveyed, 11.2% (12) had incomplete primary education, 25.2% (27) completed primary, 14.01% (15) incomplete secondary, 13.08% (14) secondary, 25.2% (27) tertiary and 11.2% (12) did not answer this question. In relation to religion, 99 stated that they profess the Catholic religion (92.5%). Cronbach's alpha reliability test was used to measure the degree of reliability of the scale carried out in the Guarani language, yielding a value of 0.87 (high reliability).


It was possible to test the validity of the instrument in the Guarani language for the Guarani-speaking Paraguayan community. In addition, trends have been observed in terms of measuring spiritual well-being in the samples studied and their different profiles, which allows a more comprehensive approach to treatment, with the repercussions that this well-being can also generate in the physical aspect, beyond traditional medicine.

Keywords : spirituality; palliative medicine; chronic patient; hospital oncology service; nephrology.

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