<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2312-3893</journal-id>
<journal-title><![CDATA[Revista Virtual de la Sociedad Paraguaya de Medicina Interna]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. virtual Soc. Parag. Med. Int.]]></abbrev-journal-title>
<issn>2312-3893</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Paraguaya de Medicina Interna]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2312-38932022000200012</article-id>
<article-id pub-id-type="doi">10.18004/rvspmi/2312-3893/2022.09.02.12</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Bienestar espiritual en pacientes de servicios de oncología y hemodiálisis de dos centros de referencia]]></article-title>
<article-title xml:lang="en"><![CDATA[Spiritual well-being in patients of oncology and hemodialysis services of two reference centers]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Abente]]></surname>
<given-names><![CDATA[Silvia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García]]></surname>
<given-names><![CDATA[Héctor]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Riveros]]></surname>
<given-names><![CDATA[Miriam]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cabrera]]></surname>
<given-names><![CDATA[Walter]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Asunción Facultad de Ciencias Médicas Cátedra de Fisiopatología]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Nacional de Asunción Facultad de Ciencias Médicas Cátedra de Bioética y Ética Médica]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2022</year>
</pub-date>
<volume>9</volume>
<numero>2</numero>
<fpage>12</fpage>
<lpage>24</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2312-38932022000200012&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2312-38932022000200012&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2312-38932022000200012&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  la espiritualidad es un concepto muy amplio para la humanidad, su consenso para los diversos grupos se encuentra en estudio permanente. La importancia de introducir su abordaje en la salud integral del paciente es cada vez más significativa en la práctica médica.  Objetivos:  validar la escala MLQ de Steger de bienestar espiritual en idioma guaraní y evaluar el bienestar espiritual en pacientes de los servicios de oncología y hemodiálisis de dos centros de referencia.  Métodos:  la población enfocada fueron los pacientes en tratamiento oncológico y en diálisis de los servicios de oncología del Hospital de Clínicas (San Lorenzo) y de hemodiálisis del Sanatorio Español-NefroServ (Asunción) durante los meses de mayo, junio y julio de 2021. Se utilizó como instrumento la escala MLQ de Steger. El cuestionario evalúa dos dimensiones del significado de la vida utilizando 10 elementos clasificados en una escala de siete puntos. Se respetaron los aspectos éticos de la investigación en humanos.  Resultados:  se realizaron 107 cuestionarios, siendo 54 mujeres y 53 varones, 64 fueron tomados en el servicio de hemodiálisis y 41 en el servicio de oncología, 42 fueron realizados en guaraní y 65 en español, según preferencia del encuestado. El promedio de edad de la muestra fue 54,6 ± 14 años. De los encuestados, 11,2% (12) tenían formación primaria incompleta, 25,2% (27) primaria completa, 14,01% (15) secundaria incompleta, 13,08% (14) secundaria, 25,2% (27) terciario y 11,2% (12) no respondieron a esta pregunta. En relación con la religión, 99 manifestaron profesar la religión católica (92,5%). Se utilizó la medición de confiabilidad alfa de Cronbach para medir el grado de fiabilidad de la escala realizada en idioma guaraní, arrojando un valor de 0,87 (alta confiabilidad).  Conclusión:  se ha logrado probar la validez del instrumento en el idioma guaraní para la comunidad paraguaya guaraní-parlante. Además, se han observado las tendencias en términos de medición del bienestar espiritual entre las muestras estudiadas y sus diferentes perfiles, lo que permite un abordaje más integral en el tratamiento, con las repercusiones que este bienestar pueda generar también en el aspecto físico, más allá de la medicina tradicional.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: 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.  Objectives:  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.  Methods:  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.  Results:  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).  Conclusion:  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.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[espiritualidad]]></kwd>
<kwd lng="es"><![CDATA[medicina paliativa]]></kwd>
<kwd lng="es"><![CDATA[paciente crónico]]></kwd>
<kwd lng="es"><![CDATA[servicio de oncología en hospital]]></kwd>
<kwd lng="es"><![CDATA[nefrología]]></kwd>
<kwd lng="en"><![CDATA[spirituality]]></kwd>
<kwd lng="en"><![CDATA[palliative medicine]]></kwd>
<kwd lng="en"><![CDATA[chronic patient]]></kwd>
<kwd lng="en"><![CDATA[hospital oncology service]]></kwd>
<kwd lng="en"><![CDATA[nephrology]]></kwd>
</kwd-group>
</article-meta>
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<ref id="B19">
<label>19</label><nlm-citation citation-type="book">
<collab>United States Department of State</collab>
<collab>Office of International Religious Freedom</collab>
<source><![CDATA[2017 Report on International Religious Freedom]]></source>
<year>2017</year>
<publisher-loc><![CDATA[United States ]]></publisher-loc>
<publisher-name><![CDATA[Office of International Religious Freedom]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B20">
<label>20</label><nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Romero]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<source><![CDATA[Religion affiliation in Paraguay as of 2020, by type]]></source>
<year>2022</year>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
