Volume 27, Issue 1 (3-2019)                   Avicenna J Nurs Midwifery care 2019, 27(1): 1-10 | Back to browse issues page


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Azimian J, Soleimany M A, Pahlevan Sharif S, Banihashemi H. The Effect of Spiritual Care Program on Death Anxiety of Cardiac Patients: A Randomized Clinical Trial. Avicenna J Nurs Midwifery care. 2019; 27 (1) :1-10
URL: http://nmj.umsha.ac.ir/article-1-1691-en.html
1- Associate Professor, Faculty of Nursing and Midwifery, Qazvin University of Medical Sciences, Qazvin, Iran
2- Associate Professor, Social Determinants of Health Research Center, Qazvin University of Medical Sciences, Qazvin, Iran
3- Taylor’s Business School, Taylor’s University, Selangor, Malaysia
4- Student Research Committee, Qazvin University of Medical Sciences, Qazvin, Iran , hbanihashemi84@gmail.com
Abstract:   (2107 Views)

Introduction: Cardiovascular disease is considered to be one of the most common chronic diseases in Iran and the World. Studies show that death anxiety is common among cardiac patients. There are several studies related to the effect of pharmacological and non-pharmacological methods in reducing the psychological outcomes in cardiac patients. Spiritual care program can be mentioned as one of the non-pharmacological and less known methods in present era. The present study aimed to identify the effect of spiritual care program on death anxiety of cardiac patients. 
Methods:This study was a Randomized clinical Trial. 100 cardiac patients hospitalized in cardiac intensive care unit of Shahid Modarres Hospital in Tehran were chosen to attend this study using the available sampling method, from Dec 2015 to Apr 2016. The patients were randomly assigned to control group (receiving routine care) and intervention group (receiving spiritual care). The 15th item of Templer Death Anxiety Scale was completed for the patients by the researcher before and after the intervention. The spiritual care was done during 3 sequential days (from 17 till 21) for patients of intervention group according to the written program (supportive presence, ritual support and using supportive system) and patient’s desire and needs. Finally, the data was analyzed by descriptive and analytical statistics (independent t-test, chi square and ANOVA), using SPSS 23.
Results: The results of present study showed that there was no significant difference between the distribution of variables in control and intervention group before the intervention. No significant change was observed in the rate of death anxiety of control group before (38.56±6.998) and after the intervention (38.96±5.838) (P=0.498) and either in intervention group before (39.96±5.715) and after the intervention (39.90±5.613) (P=0.898).
Conclusion: The results of this study indicated that although the death anxiety of cardiac patients was reduced after the implementation of spiritual care, this reduction was not statistically significant.

 

Full-Text [PDF 369 kb]   (104 Downloads)    
Type of Study: Applicable | Subject: Nursing
Received: 2017/03/9 | Accepted: 2017/05/8 | Published: 2017/07/17

References
1. Aghajani M, Raisi M, Heidari F. The relationship between Quran and religious believes with death anxiety in heart patients. In-Supplement of 3th Provincial Congress on Quran and Health 2013 .3(1): 1-8.
2. Yalfani A, Nazem F, Safiarian R, Jargeh M. The Effects of Exercise Cardiac Rehabilitation on Anxiety, Depression and Quality of Life in Coronary Artery Bypass Grafting Patients. Health and scentific journal of hamadan university of medical sciences. 2012;19(1):39-44.
3. Jahani A, Rejeh N, Heravi-Karimooi M, Hadavi A, Zayeri F, Khatoon A. The relationship between spiritual well-being and quality of life in patients with coronary artery disease. Islamic Lifestyle Centered on Health 2012;1(2):17-21. [DOI:10.5812/ilch.8575]
4. Asadi M, Asad zandi M, ebadi A. The effect of spiritual care based on «GHALBE SALIM» model on spiritual experiences of pa-tients undergoing coronary artery bypass surgery. Cardiovascular Nursing Journal. 2013;2(2):30-9.
5. Varaei S, Cheraghi M, Seyedfatemi N, Talebi M, Bahrani N, Dehghani A, et al. Effect of peer education on anxiety in patients candidated for coronary artery bypass graft surgery: a randomized control trial. 2 Journal of Nursing Education. 2013;2(3):28-37.
6. Khademvatani K, Aghakhani N, Esm-Hoseini Gh, Hazrati A, Alinezhad V, Nazari H, et al. Study of relationship between spiritual health, anxiety and depression in acute myocardial infarction patients hospitalized in Seyyedoshohada hospital in Urmia. Urmia Medical Journal. 2015;25(12):1092-101.
7. Momeni Ghale-Ghasemi T, Musarezaie A, Moeini M, Naji Esfahani H. The effect of spiritual care program on ischemic heart disease patients' anxiety, hospitalized in CCU : a clinical trial. Journal of research in behavioural sciences. 2013;10(6).
8. Ghaem-magham Farahani Z, Rahimian Boogar I, Najafi M, Forooeddin Adl A, S D. The comparison of group behavioral activa-tion with and without familial support effectiveness on anxiety reduction in coronary heart disease. behavioral science re-search. 2012;10(2):79-89.
9. Ghaleiha A, Emami F, Naghsh Tabrizi B, R AH. A Survey on the frequency of Depression and anxiety in the patients with acute coronary syndrome , Ekbatan Hospital of Hamadan City. Scientific Journal of Hamadan University of Medical Science. 2011;17(4):43-9.
10. Babaei M, Mohammad Khan Kermanshahi S, F A. Influence of discharge planning on anxiety levels in patients with Myocardial Infarction Journal of Semnan University of medical sciences ( Koomesh ). 2011;12(3):272-8.
11. Arab M, Ranjbar H, Hoseyn Rezaii H, H K. Assessment of the depression and anxiety in patients with acute coronary artery dis-eases. Iranian Journal of Critical Care Nursing. 2012;4(4):197-202.
12. Moeini M, Momeni Ghale Ghasemi T, Yousefi H, H A. The effect of spiritual care on spiritual health of patients with cardiac is-chemia. Iranian journal of nursing and midwifery research. 2012;17(3):195-9.
13. Taghizadeh Karati K, Asadzandi M, Tadrisi D, A E. Effects of prayer on severity of patients illness in intensive care units. Iranian Journal of Critical Care Nursing. 2011;4(1):1-6.
14. Valikhani A, Yarmohammadi Vasel M. The relationship between attachment styles and death anxiety among cardiovascular patients. Journal of Kerman University of Medical Sciences. 2014;21(4).
15. Salajegheh S, Raghibi M. The Effect of Combined Therapy of Spiritual-Cognitive Group Therapy on Death Anxiety in Patients with Cancer. The Journal of Shahid Sadoughi University of Medical Sciences. 2014;22(2):1130-9.
16. Sadeghi H, Saeedi M, Rahzani K, Esfandiary A. The relationship between social support and death anxiety in hemodialysis pa-tients. Journal of Nursing Education. 2015;2(4):36-48.
17. Jani S, Molaee M, Jangi-Gojebiglou S, Pouresmali A. Effectiveness of cognitive therapy based on religious believes on death anx-iety , social adjustment and subjective well-being in the cancer patients. Journal of Ilam university of medical sciences. 2014;22(5).
18. Ghorbanalipour M, Esmaeili A. Determination of the effectiveness of Logotherapy on the death anxiety in the elderly. SID. 1391.
19. Aghajani M, Raisi M, F H. The relationship between Quran and religious believes with death anxiety in heart patients. 3th provin-cial congress on Quran and health. 2013:1-8.
20. Valikhani A, M Y-V. The relationship between attachment style and death anxiety among cardiovascular patients Journal of Kerman university of medical sciences 2013;21(4):355-67.
21. Bahrami N, Moradi M, Soleimani M, Kalantari Z, Hosseini F. Death Anxiety and its Relationship with quality of life in Women with Cancer. Iran Journal of Nursing. 2013;26(82):51-61.
22. Sussman JC, Liu WM. Perceptions of two therapeutic approaches for palliative care patients experiencing death anxiety. Pallia-tive & supportive care. 2014;12(4):251-60. [DOI:10.1017/S1478951513000199] [PMID]
23. Yaakobi E. Desire to work as a death anxiety buffer mechanism. Experimental psychology. 2015;62(2):110-22. [DOI:10.1027/1618-3169/a000278] [PMID]
24. Tang PL, Chen WL, Cheng SF. [Using logotherapy to relieve death anxiety in a patient with recurrent cancer: a nursing experi-ence. Hu li za zhi The journal of nursing. 2013;60(4):105-10.
25. Jo KH, Song BS. Effect of family cohesion, subjective happiness and other factors on death anxiety in Korean elders. Journal of Korean Academy of Nursing. 2012;42(5):680-8. [DOI:10.4040/jkan.2012.42.5.680] [PMID]
26. Rahnama M, Fallahi Khoshkenab M, Maddah B, F A. Designing a model for spiritual care in rehabilitation of cancer patients. Medical and Surgical Nursing Journal 2014;3(2):61-70.
27. Baird P. Oxford textbook of palliative nursing Oxford; 2015.
28. Bamdad M, Fallahi Khoshkenab M, Dalvandi A, MR KA. Impact of spiritual care on spiritual health of hospitalized amphetamin dependents. Iranian Journal of Psychiatric Nursing. 2013;1(3):1-18.
29. Moeini M, Taleghani F, Mehrabi T, Musarezaie A. Effect of a spiritual care program on levels of anxiety in patients with leuke-mia. Iranian journal of nursing and midwifery research. 2014;19(1):88-93.
30. Mahbobi M, Etemadi M, Khorasani E, Ghiasi M. The Relationship between Spiritual Health and Social Anxiety in Chemical Vet-erans]. Journal of Military Medicine. 2012;14(3):186-91.
31. Momennasab M, Moattari M, Abbaszade A, B S. Spiritual experience of heart attack patients : A Qualitative study. Journal of qualitative research in health sciences. 2013;1(4):284-97.
32. Aghajani M, Valiee S, Tol A. "Death anxiety" amongst nurses in critical care and general wards. Iran Journal of nursing. 2010;23(67):59-68.
33. Sharif nia H, Ebadi A, Lehto RH, Mousavi B, Peyrovi H, Chan Y H. Reliability and validity of the persian version of Templer death anxiety scale-extended in veterans of Iran-Iraq warfare. Iran journal of psychiatry behaviour science. 2014;8(4):29-37.
34. Rajabi Gh.R, Bohrani M. Item factor analysis of the death anxiety scale. Journal of psychology. 2002;5(4):331-44.
35. Tomas-Sabado J, Gomez-Benito J. Psychometric properties of the spanish form of templer death anxiety scale. psychological report. 2002;91(3):1116-20. [DOI:10.2466/pr0.2002.91.3f.1116]
36. Mohammadzadeh A, Asgharnejad F A A. factor structure, reliability and validity of death obsession scale. institute of cognitive science studies. 1388;11(1):1-7.
37. Momeni Ghale Ghasemi T, Musarezaie A, Momeni M, H NE. The effect of spiritual care program on ischemic heart disease pa-tients' anxiety , hospitalized in CCU : A clinical trial. Journal of research behaviour science. 2013;10(6):554-64.
38. Lodhi M.K, Cheema U.L, Stifter J, Wilkie D.J, Keenan G, Yao Y, et al. Death anxiety in hospitalized end of life patients as cap-tured from a structured electronic health record. Research gerontological nursing. 2014;7(5):224-34. [DOI:10.3928/19404921-20140818-01] [PMID] [PMCID]
39. Wu L.F, Tseng Hui-Chen, Liao Yu-Chen. Nurse education and willingness to provide spiritual care. Nurse education today 2016;38:36-41. [DOI:10.1016/j.nedt.2016.01.001] [PMID]
40. Deffner JM, Bell SK. Nurses' death anxiety, comfort level during communication with patients and families regarding death, and exposure to communication education: a quantitative study. Journal for Nurses in Staff Development. 2005;21(1):19. [DOI:10.1097/00124645-200501000-00005]
41. Kisvetrova h. Intervention dying care and spiritual support in nursing care for patients suffering from death anxiety in the final phase of life. 13th world congress of the european association for palliative care; prague. 2012.
42. Ferrell B, Coyle N, J P. Oxford textbook of palliative nursing: oxford; 2015. [DOI:10.1093/med/9780199332342.001.0001]
43. Jani s, molaee m, jangi s, Pouresmali a. Effectiveness of Cognitive Therapy Based on Religious Believes on Death Anxiety, Social Adjustment and Subjective Well-being in the Cancer Patients. journal of ilam university of medical sciences. 2014;22(5):94-103.
44. Postash J, Hy Ho A, Chan F, Lu Wang X, C C. Can art therapy reduce death anxiety and burnout in end of life care workers? A quasi experimental study. The International Journal of Palliative Nursing. 2014;20(5):233-40. [DOI:10.12968/ijpn.2014.20.5.233] [PMID]

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