Influence of spirituality on quality of life in community-dwelling elderly: Integrative literature review

Aging brings with it some limitations that become more pronounced with advancing age, and psychological, physical, behavioral, and social changes can reduce the quality of life of the elderly, who seek spirituality. Spirituality is a tool for coping with difficulties and attributing meaning to life, providing hope, faith, and motivation. This study analyzed the health aspects associated with spirituality in community-dwelling elderly people. This is an integrative review that synthesized the scientific production with the guiding question: What scientific knowledge production on health-related aspects are associated with better levels of spirituality in community-dwelling elderly people in Brazil? Articles with the descriptors in Portuguese and English were selected: spirituality, aged, and quality of life with the following inclusion criteria: published in full, available electronically, in Portuguese, English, and/or Spanish, published between 2015 and 2020, in the SciELO, LILACS, PubMed, and Capes Periodical Portal databases. A total of 130 articles were identified, and 15 were selected that presented evidence on the influence of spirituality on the quality of life of the elderly. After reading the articles, two categories of analysis emerged: I – The experience of spirituality in situations of chronic diseases, and II – The relationship of spirituality with the well-being/quality of life of the elderly. Most of the studies showed positive effects of spirituality on health outcomes, with better physical health conditions, quality of life, longer survival, lower rates of depression and lower prevalence of chronic diseases. In addition, it demonstrated the ability to withstand limitations and protect against stress in the face of changes in aging. Finally, the results indicate a positive influence of spirituality on the quality of life of the elderly. The importance of spirituality for health practices and the need to value it and include it in professional health training are highlighted.