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精神性:心力衰竭患者的万灵药。

Spirituality: A Panacea for Patients Coping with Heart Failure.

作者信息

Mangolian Shahrbabaki Parvin, Nouhi Esmat, Kazemi Majid, Ahmadi Fazlollah

机构信息

Nursing Research Center, Department of Medical Surgical, School of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran.

Department of Medical Surgical, School of Nursing and Midwifery, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.

出版信息

Int J Community Based Nurs Midwifery. 2017 Jan;5(1):38-48.

Abstract

BACKGROUND

Many patients with heart failure grapple with related problems that threaten their feeling of well-being and quality of life. Patients look for ways to cope with the new situation. The present study aimed to explore religious coping from the perspective of patients with heart failure.

METHODS

This qualitative study used the content analysis of the semi-structured interviews. The data were collected from 18 participants referring to training hospitals in Kerman University of Medical Sciences in southeastern Iran. The data were analyzed using Lundman and Graneheim qualitative content analysis.

RESULTS

The main theme of "Spiritual coping, a dominant strategy" was extracted with two categories: 1- "religious belief" having the sub-categories of "inner faith" and "search of meaning" 2- "connection to God as the supreme power" with sub-categories of "seeking healing through supplication and rituals", "worship as a barrier to the flood of problems", and "submission to and trust in God".

CONCLUSION

The findings suggest that a spiritual strategy helps the patients effectively to cope with heart failure. Patients learn to use religious beliefs and faith to accept the reality of the disease and its stages and to manage their condition with patience, tolerance, and hope calmly and confidently for a bright future.

摘要

背景

许多心力衰竭患者都在应对相关问题,这些问题威胁着他们的幸福感和生活质量。患者们在寻找应对新情况的方法。本研究旨在从心力衰竭患者的角度探讨宗教应对方式。

方法

这项定性研究采用了半结构化访谈的内容分析法。数据收集自伊朗东南部克尔曼医科大学教学医院的18名参与者。数据采用伦德曼和格拉内海姆的定性内容分析法进行分析。

结果

提取出“精神应对,一种主导策略”这一主要主题,分为两类:1 - “宗教信仰”,其亚类包括“内心信仰”和“意义探寻”;2 - “与作为至高力量的上帝的联系”,其亚类包括“通过祈祷和仪式寻求治愈”、“崇拜作为抵御问题洪流的屏障”以及“顺从并信任上帝”。

结论

研究结果表明,精神策略有助于患者有效应对心力衰竭。患者学会运用宗教信仰和信念来接受疾病的现实及其阶段,并以耐心、宽容和希望平静而自信地应对自身状况,憧憬美好的未来。

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