Department of Intensive Care, Hospital Augusto de Oliveira Camargo - HAOC, Indaiatuba, São Paulo, Brazil.
Department of Nursing, Universidade do Oeste Paulista - UNOESTE, Presidente Prudente, São Paulo, Brazil.
Braz J Cardiovasc Surg. 2023 Jul 4;28(4):e20220230. doi: 10.21470/1678-9741-2022-0230.
Given the incipience of domestic studies on hope and spirituality in cardiology, this study evaluated adult cardiac patients' hope in the preoperative period of cardiac surgery and its potential association with spirituality.
This is a cross-sectional study carried out at a university hospital in the State of São Paulo (Brazil). A total of 70 patients answered the Herth Hope Scale and a sociodemographic questionnaire before undergoing surgical procedure between January and October 2018. Descriptive and inferential analyses were performed using the Spearman's rank correlation coefficient and the Mann-Whitney U test. The R-3.4.1 software and SAS System for Windows 9.2 were also used. P-value < 0.05 was considered statistically significant.
Patients had a high prevalence of modifiable risk factors. Having a religion (37.53±4.57) and practicing it (38.79±4.25), regardless of its denomination and time dedicated to that religion, was associated with hope (P<0.01) in the immediate preoperative period of cardiac surgery. However, hope did not exhibit a significant correlation with factors such as age (P=0.09) and time dedicated to religious practice (P=0.07).
Regardless of the religious strand and time dedicated to religious practices as an expression of spirituality, hope was associated with the participants' religion and religiosity. Considering the importance of this construct on the processes of health and disease, the whole health team should consider in their praxis a setting of conditions to make the patient's spirituality process feasible during hospitalization.
鉴于国内在心脏病学领域对希望和灵性的研究刚刚起步，本研究评估了成年心脏病患者在心脏手术前的希望，并探讨了其与灵性的潜在关联。
这是一项在巴西圣保罗州一所大学医院进行的横断面研究。共有 70 名患者在 2018 年 1 月至 10 月期间接受手术前，回答了 Herth 希望量表和一份社会人口学问卷。采用 Spearman 秩相关系数和 Mann-Whitney U 检验进行描述性和推断性分析。使用 R-3.4.1 软件和 SAS System for Windows 9.2。P 值<0.05 被认为具有统计学意义。
患者具有较高的可改变风险因素。无论宗教信仰和从事宗教活动的时间如何（37.53±4.57 和 38.79±4.25），拥有宗教信仰（P<0.01）与心脏手术前的希望呈正相关。然而，希望与年龄（P=0.09）和从事宗教活动的时间（P=0.07）等因素无显著相关性。
无论宗教信仰的背景和从事宗教活动的时间如何，都与参与者的宗教信仰和宗教虔诚度相关。鉴于这一概念在健康和疾病过程中的重要性，整个医疗团队在实践中应考虑为患者创造条件，使其在住院期间的灵性体验成为可能。
