Department of Nursing, Faculty of Nursing and Midwifery, Kermanshah University of Medical Science, Kermanshah, Islamic Republic of Iran.
Nursing and Midwifery School, Students Research Committee, Kermanshah University of Medical Sciences, Kermanshah, Islamic Republic of Iran.
J Relig Health. 2019 Dec;58(6):1961-1969. doi: 10.1007/s10943-018-0689-9.
Heart failure (HF) has been emerging as a general health problem over recent decades. Spiritual care is a type of support service provided to patients suffering from HF. Spiritual care intervention in nursing is a unique aspect of care, which cannot be replaced by psychosocial care. Considering the importance of anxiety for caregivers of patients with HF, the present study aimed to examine the effect of spiritual intervention on anxiety in caregivers of patients with HF in Ilam, Iran. This research is a semi-experimental study, 71 caregivers of patients with HF were randomly assigned to experimental group (n = 34) and control (n = 37) group. Beck Anxiety Inventory, which consisted of 21 items and scored based on a 4-point Likert scale ranging from zero to three, was employed to collect data. The scores range from zero to 63 with the higher scores indicating the higher level of anxiety. The experimental group received spiritual intervention over six 45-minute sessions in a period of 2 weeks (14 days; three times a week; every other day). Data were analyzed using descriptive and inferential statistics run in the SPSS software version 16. The result showed a difference between the level of anxiety in two groups after the intervention (P = 0.001). Anxiety level in the experimental group three weeks after intervention (27.88 ± 7.10) was significant in comparison with before intervention (45.06 ± 5.79) (P = 0.001). According to the results, the spiritual intervention reduced the anxiety level in the caregivers of patients with HF. Nurses are recommended to provide such necessary training to caregivers in order to provide the grounds for reducing their anxiety.
心力衰竭（HF）在最近几十年已成为一个普遍的健康问题。精神关怀是为 HF 患者提供的一种支持服务。护理中的精神关怀干预是一种独特的护理方式，不能被心理社会关怀所取代。鉴于焦虑对 HF 患者照顾者的重要性，本研究旨在探讨精神干预对伊朗伊拉姆 HF 患者照顾者焦虑的影响。这是一项半实验性研究，71 名 HF 患者的照顾者被随机分为实验组（n=34）和对照组（n=37）。采用贝克焦虑量表（Beck Anxiety Inventory），该量表由 21 个条目组成，采用 4 点 Likert 量表评分，范围从 0 到 3，用于收集数据。得分范围为 0 到 63，得分越高表示焦虑程度越高。实验组在两周内（14 天；每周 3 次；每隔一天）接受了六次 45 分钟的精神干预。使用 SPSS 软件版本 16 进行描述性和推论性统计分析。结果显示，干预后两组焦虑水平存在差异（P=0.001）。干预后三周，实验组焦虑水平（27.88±7.10）明显低于干预前（45.06±5.79）（P=0.001）。根据结果，精神干预降低了 HF 患者照顾者的焦虑水平。建议护士为照顾者提供此类必要的培训，为降低他们的焦虑提供依据。
