Spiritual practices and experiences integrated into the coping and self-care of informal caregivers of older adults

Authors

Abstract

Introduction: Informal caregiving for older adults involves physical, emotional, social, and relational demands that can affect the well-being of the caregiver. Spirituality and religiosity can provide meaning to this experience, facilitate coping, and form part of self-care.

Objective: To analyze the integration of spiritual practices and experiences into the coping and self-care strategies of informal caregivers of older adults.

Method: A qualitative phenomenological study was conducted with 33 informal caregivers from Biobío and Atacama, Chile, selected through purposive sampling. Semi-structured in-person interviews were conducted, and thematic analysis of the transcripts was performed from May to September 2023.

Results: The findings were organized into four thematic cores: spiritual practices and experiences and their influence on the caregiver role; spirituality and religiosity in the exercise of caregiving; spiritual strategies for coping with challenges; and self-care practices for health and well-being. Religious, personal spiritual, and community practices were identified, as were ways of attributing meaning to the role, problem-focused coping, emotional balance, and the search for support, in addition to prayer, meditation, community participation, gratitude, and petition. The demands of caregiving also limited personal and spiritual activities.

Conclusions: Spirituality and religiosity are integrated in diverse ways into the caregiving experience and can contribute to meaning-making, emotional regulation, the search for support, and spiritual self-care. Their expression depends on the conditions under which the caregiver role is exercised.

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References

1.Organización de Naciones Unidas. No dejar a nadie atrás en un mundo que envejece. Informe social mundial 2023. Nueva York: ONU; 2023 [citado 20/08/2026]. Disponible en: https://iberoamericamayores.org/2023/02/18/onu-informe-social-mundial-2023-no-dejar-a-nadie-atras-en-un-mundo-que-envejece/

2.Comisión Económica para América Latina y el Caribe. Avanzando hacia sociedades del cuidado: desafíos de la región para garantizar el bienestar de las personas mayores y el respeto de sus derechos. Evento paralelo de la Quinta Reunión de la Conferencia Regional sobre Desarrollo Social de América Latina y el Caribe. Santiago de Chile: CEPAL. 2023[citado 20/08/2026]. Disponible en: https://crds.cepal.org/5/sites/crds5/files/pages/files/propuesta_evento_paralelo_personasmayores_rev-corea.pdf

3.Organización Panamericana de la Salud, Comisión Económica para América Latina y el Caribe. Perspectivas demográficas del envejecimiento poblacional en la Región de las Américas. Washington DC: OPS/CEPAL. 2023 [citado: 20/08/2026]. Disponible en: https://repositorio.cepal.org/server/api/core/bitstreams/89efbcf7-95eb-4ad3-bd5306316ed59b48/content

4.De Cerqueira Castro JL, Fernandes de Araújo L, de Medeiros ED, da Silva Pedroso J. Representaciones sociales del envejecimiento y calidad de vida en la vejez ribereña. Rev Psicol (PUCP). 2021[citado 20/08/2026];39(1):85-113. Disponible en: https://www.scielo.org.pe/pdf/psico/v39n1/0254-9247-psico-39-01-85.pdf

5.Servicio Nacional del Adulto Mayor. Yo me cuido y te cuido: Manual para el cuidador de personas mayores en situación de dependencia. Santiago: SENAMA; 2019 [citado 20/08/2026]. Disponible en:https://www.siempreaprendiendo.cl/repositorio/manual-curso-proteccion-social-pdf/

6.Fernández M. Beatriz, Herrera M. Soledad. El efecto del cuidado informal en la salud de los cuidadores familiares de personas mayores dependientes en Chile. Rev. méd. Chile.2020 [citado 15/08/2026];148(1):30-6. Disponible en: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020000100030&lng=es

7.Chan C, De Roza J, Ding G, Koh H, Lee E. Psychosocial factors and caregiver burden among primary family caregivers of frail older adults with multimorbidity. BMC Prim Care. 2023[citado 15/08/2026];24(1):36 [citado: 20/08/2026]. Disponible en: https://bmcprimcare.biomedcentral.com/articles/10.1186/s12875-023-01985-y

8.Marinho J, Batista I, Nobre R, Guimarães M, Dos Santos-Orlandi A, Brito T, et al. Burden, satisfaction caregiving, and family relations in informal caregivers of older adults. Front Med (Lausanne). 2022[citado 15/08/2026];9:1059467.Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC9813492/

9.Barker RJ, Wilson P, Butler C. How can the priorities of older, frail patients and their carers be used to inform policy and practice at the end of life? Insights from qualitative research across multiple settings. BMJ Open. 2023[citado 15/08/2026];13(3):e068751 Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC10032383/

10.Noell Boix R, Ochandorena M, Reig García G, Moreno-Casbas M, Casas Baroy J. Identificación de necesidades de los cuidadores informales: estudio exploratorio. Enferm Glob. 2022[citado 15/08/2026];21(68):71-99 [citado 20/08/2026]. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1695-61412022000400003&lng=es

11.Wong A, Ng NP, Hui VCC, Montayre J. Effect of a telecare-based intervention on stress levels in informal caregivers of older adults: protocol for a randomized controlled trial. Front Psychiatry. 2023[citado: 20/08/2026];14:1167479. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC10292626/

12.Cothran F, Paun O, Strayhorn S, Barnes L. “Walk a mile in my shoes:” African American caregiver perceptions of caregiving and self-care. Ethn Health. 2022[citado 20/08/2026];27(2):435-52 [citado 20/08/2026]. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC9137429/

13.Cabrera V, Docal M, Acuña L, Campos X, Varela M, Riveros F. Validación colombiana de la escala de funcionamiento familiar en situaciones de crisis (F-COPES). Rev Psicol. 2023 [citado 20/08/2026];41(2):1205-32. Disponible https://www.scielo.org.pe/pdf/psico/v41n2/0254-9247-psico-41-02-1205.pdf

14.Saldías F, Moyano E. Influencia de la espiritualidad y religiosidad sobre la felicidad en adultos mayores. Psykhe. 2023 [citado 20/08/2026];32(2):1-18. Disponible en: https://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-22282023000200109

15.Arenas Massa Á, Nocetti de la Barra A, Fraile Ducviq CG. ESPIRITUALIDAD EN EL CONTEXTO DE CUIDADOS PALIATIVOS ONCOLÓGICOS DIRIGIDOS A PERSONAS MAYORES. pers.bioét. 2020 [citado 16/02/2026];24(2):136-50. Disponible en: http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S012331222020000200136&lng=en.

16.López-Tarrida A, Ruiz-Romero V, González-Martín T. Cuidando con sentido: la atención de lo espiritual en la práctica clínica desde la perspectiva del profesional. Rev Esp Salud Publica. 2020 [citado 20/08/2026];94:e202001002 Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S113557272020000100083&lng=es&tlng=es

17.Lazarus R., Folkman S. Stress, Appraisal, and Coping. En: Gellman MD, Turner JR. Editor. Encyclopedia of Behavioral Medicine. 1era ed. New York: Scientific Research Publishing; 2013[citado 20/08/2026]:1913-15. Disponible en: https://link.springer.com/rwe/10.1007/978-1-4419-1005-9_215#citeas

18.Bautista P. Proceso de la Investigación Cualitativa. Epistemología, Metodología y Aplicaciones/ Qualitative Research Process. Epistemology, Methodology and Applications. Bogotá, Colombia: Manual Moderno. Revista Investigaciones en Educación. 2013[citado 20/08/2026];13(2)195-01. Disponible en: https://rie.ufro.cl/index.php/educacion/article/view/1083

Published

2026-09-23

How to Cite

1.
Carrasco Dajer CM, Bustos Salas J, Vera Calzaretta AR, Fraile Duvicq CG, Álvarez Mabán EM. Spiritual practices and experiences integrated into the coping and self-care of informal caregivers of older adults. MEDISAN.Revista médica Santiago [Internet]. 2026 Sep. 23 [cited 2026 Oct. 23];30:e5738. Available from: https://medisan.sld.cu/index.php/san/article/view/5738

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Original Articles