{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,20]],"date-time":"2025-09-20T21:17:26Z","timestamp":1758403046492,"version":"3.40.5"},"reference-count":0,"publisher":"National Library of Serbia","issue":"1","license":[{"start":{"date-parts":[[2017,1,1]],"date-time":"2017-01-01T00:00:00Z","timestamp":1483228800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["VSP","VOJNOSANIT PREGL","VOJNOSANITETSKI PREG"],"published-print":{"date-parts":[[2017]]},"abstract":"<jats:p>Introduction. Religious needs of patients are consistently being neglected in\n   the clinical medicine. Pastoral care is a religious support which a religious\n   patient receives from priests, chaplains, imams, rabbis or other religious\n   authorities. Religious support, in terms of clinical medicine, is a spiritual\n   support which religious patients obtain from religious and trained medical\n   workers. The aim of this report was to present the effects of pastoral care\n   and religious support in hospital treatment of a 73-year-old patient with the\n   severe form of osteoarthritis. Case report. The 73- year-old, highly\n   religious patient with severe form of osteoarthritis was admitted at the\n   Clinic for Physical Medicine and Rehabilitation, Military Medical Academy in\n   Belgrade, due to heterogeneous problems in the activities of daily living.\n   The patient walked with difficulty using a stick, suffered pain, and was\n   anxious and depressive. In order to objectively demonstrate effects of both\n   pastoral care and religious support in this patient we performed multiple\n   treatment with reversal design, in which the basic treatment consisting of\n   hospital care, pharmacotherapy and physical therapy (the treatment A) was\n   alternatively changed with the treatment that included combination of the\n   basic treatment and religious support provided by religious physiatrist and\n   physiotherapist (the treatment B) or combination of the basic treatment and\n   pastoral care provided by military priest (the treatment C). The treatment A\n   was applied three times and lasted two weeks, every time. Treatments B and C\n   were applied once and lasted three weeks, each. The order of the treatments\n   was: A?B?A?C?A. During the whole treatment period the patient?s condition was\n   assessed by several measuring scale: the level of depression by The Hamilton\n   Rang Scale for Depression and The Zung Self Rating Depression Scale; the\n   level of anxiety by The Zung Self Rating Anxiety Scale; the functional\n   capability of patient by The Barthel Index and The Functional Independent\n   Measure. Measuring was carried out on a daily basis. In statistical analysis\n   two nonparametric statistic were used: the percentage of non-overlapping data\n   (PND) and the percentage of data points exceeding the median (PEM). PND and\n   PEM values below 0.7 reflect questionable effectiveness of the treatment. The\n   values between 0.7 and 0.9 reflect moderate effects. The values above 0.9 are\n   considered as a highly effective treatment. The anxiety of the patient was\n   moderately to significantly reduced after introducing religious support\n   (treatment B: mean and mean deviation = 50.1 ? 10.89; variability = 4.598653;\n   mean shift = 0.219626; PND = 0.6; PEM = 0.9) and pastoral care (treatment C:\n   mean and mean deviation = 53.5 ? 5.90; variability = 9.062591; mean shift =\n   0.207407; PND = 0.9; PEM = 0.9). The patient?s depression was reduced after\n   introducing pastoral care (treatment C: mean and mean deviation = 51.3 ?\n   4.66; variability = 10.99005; mean shift = 0.08881; PND = 0; PEM = 0.9). On\n   the contrary, the patient?s functional capability was not significantly\n   improved. Conclusion. In the highly religious patient with severe\n   osteoarthritis pastoral care and religious support, applied along with the\n   standard medical treatment of this condition, produced some beneficial\n   effects on anxiety and depressive mood, but with no significant effect on\n   patient?s functional capability.<\/jats:p>","DOI":"10.2298\/vsp1508025059d","type":"journal-article","created":{"date-parts":[[2016,4,28]],"date-time":"2016-04-28T07:56:06Z","timestamp":1461830166000},"page":"69-77","source":"Crossref","is-referenced-by-count":3,"title":["Pastoral care and religious support as a part of treatment of religious patient with the severe form of osteoarthritis"],"prefix":"10.2298","volume":"74","author":[{"given":"Aleksandar","family":"Djurovic","sequence":"first","affiliation":[{"name":"Military Medical Academy, Clinic for Physical Medicine and Rehabilitation, Belgrade + University of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sasa","family":"Sovilj","sequence":"additional","affiliation":[{"name":"Military Medical Academy, A Military Priest of the St Luca\u2019s Paraklis, Belgrade"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ivana","family":"Djokic","sequence":"additional","affiliation":[{"name":"Institute of Nuclear Sciences Vin\u010da, Centre for Multidisciplinary Research, Belgrade"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zorica","family":"Brdareski","sequence":"additional","affiliation":[{"name":"Military Medical Academy, Clinic for Physical Medicine and Rehabilitation, Belgrade + University of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aleksandra","family":"Vukomanovic","sequence":"additional","affiliation":[{"name":"Military Medical Academy, Clinic for Physical Medicine and Rehabilitation, Belgrade + University of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6738-7033","authenticated-orcid":false,"given":"Natasa","family":"Ilic","sequence":"additional","affiliation":[{"name":"Military Medical Academy, Clinic for Physical Medicine and Rehabilitation, Belgrade"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Merica","family":"Milavic-Vujkovic","sequence":"additional","affiliation":[{"name":"Military Medical Academy, Institute for Mental Health, Belgrade"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1078","container-title":["Vojnosanitetski pregled","Military Medical and Pharmaceutical Journal of Serbia"],"original-title":[],"language":"en","deposited":{"date-parts":[[2023,5,29]],"date-time":"2023-05-29T11:16:54Z","timestamp":1685359014000},"score":1,"resource":{"primary":{"URL":"https:\/\/doiserbia.nb.rs\/Article.aspx?ID=0042-84501600059D"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017]]},"references-count":0,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2017]]}},"URL":"https:\/\/doi.org\/10.2298\/vsp1508025059d","relation":{},"ISSN":["0042-8450","2406-0720"],"issn-type":[{"type":"print","value":"0042-8450"},{"type":"electronic","value":"2406-0720"}],"subject":[],"published":{"date-parts":[[2017]]}}}