Santo Amaro University, São Paulo, Brazil.
Universidade Federal de São Paulo, São Paulo, Brazil.
J Relig Health. 2022 Feb;61(1):467-478. doi: 10.1007/s10943-020-01115-3. Epub 2020 Nov 23.
Cardiovascular diseases are the main cause of mortality in the world, generating important socioeconomic and cultural impacts. Spirituality has been associated with the main risk factors for acute myocardial infarction, influencing lifestyle, and drug treatment compliance. Estimate the level of spiritual well-being and its association with coronary artery disease. We conducted a case-control study with 88 adults (42 cases and 46 controls) individually interviewed. Using a spiritual well-being scale and collecting socioeconomic and demographic information. We compared groups by Chi-square and Mann-Whitney tests. Friedman's analysis of variance was used to evaluate the differences between the values assigned to the scale items in each group. Statistically, there was no significant difference between categories and levels of spiritual well-being in any of the groups. Both had high rates, driven by the high level of religious well-being. There was no difference between the rates attributed to the items on the subscale of religious well-being, in the case or control groups (p = 0.959 and p = 0.817). However, the existential well-being subscale revealed variability between the scores attributed to each item in both groups (p < 0.001). The results revealed a high level of spiritual well-being in the analyzed sample. There was no correlation between the levels of spiritual, religious, and existential well-being with coronary artery disease, possibly due to the reduced ability of the religious well-being subscale to discriminate between groups.
心血管疾病是世界上主要的死亡原因，产生了重要的社会经济和文化影响。灵性与急性心肌梗死的主要危险因素有关，影响生活方式和药物治疗的依从性。评估精神幸福感的水平及其与冠状动脉疾病的关系。我们进行了一项病例对照研究，共纳入 88 名成年人（42 例病例和 46 例对照）进行个体访谈。使用精神幸福感量表收集社会经济和人口统计学信息。我们通过卡方检验和曼-惠特尼检验比较了两组间的差异。采用弗里德曼方差分析评估每组对量表项目赋值的差异。统计上，在任何一组中，精神幸福感的类别和水平之间均无显著差异。两组的宗教幸福感水平都很高。病例组和对照组的宗教幸福感量表各项目的评分差异无统计学意义（p=0.959 和 p=0.817）。然而，存在幸福感量表的子量表显示出两组之间各项目评分的差异（p<0.001）。研究结果显示，分析样本的精神幸福感水平较高。精神、宗教和存在幸福感水平与冠状动脉疾病之间无相关性，这可能是由于宗教幸福感量表区分能力较弱。
