Department of Medical-Surgical Nursing, Student Research Committee, Hamadan University of Medical Sciences, Hamadan, Iran.
Chronic Diseases (Home Care) Research Centre, Malayer School of Nursing, Hamadan University of Medical Sciences, Hamadan, Iran.
Complement Ther Med. 2023 Oct;77:102981. doi: 10.1016/j.ctim.2023.102981. Epub 2023 Aug 26.
Stroke patients often experience poor sleep quality and spiritual health due to complications and limitations. In this situation, implementing spiritual care may reduce these problems. Therefore, this study aimed to examine the effect of a spiritual care program on sleep quality and spiritual health of Muslim stroke patients.
This was a two-group randomized clinical trial conducted in Hamadan, Iran, in 2021, with 117 stroke patients. The samples were selected by convenience sampling and assigned to experimental (N = 59) and control (N = 58) groups based on random permutation blocks. The data were collected using the demographic information form, the Pittsburgh Sleep Quality Index, the Paloutzian and Ellison Spiritual Well-Being Scale, and the Modified Rankin Scale before and one month after the intervention. The experimental group received five daily sessions of spiritual care for 45-60 min based on standard and local methods, including patient orientation and identification of spiritual needs, religious care, supportive spiritual care, and beneficial evaluations. Data were analyzed by chi-square test, Fisher's exact test, independent t-test, and paired t-test at 0.05 significance level in SPSS 21.
The socio-demographic characteristics were similar between the groups (p > 0.05). At baseline, there was no significant difference in sleep quality and spiritual health between the experimental and control groups (p > 0.05). However, after the intervention, the sleep quality and spiritual health of patients in the experimental group improved significantly compared with the control group (p < 0.05).
The spiritual care program improved sleep quality and spiritual health of stroke patients; therefore, nurses should consider these aspects to provide holistic care.
由于并发症和限制，中风患者的睡眠质量和精神健康往往较差。在这种情况下，实施精神关怀可能会减少这些问题。因此，本研究旨在探讨精神关怀方案对穆斯林中风患者睡眠质量和精神健康的影响。
这是 2021 年在伊朗哈马丹进行的一项两组长随机临床试验，共有 117 名中风患者。样本采用便利抽样法选取，根据随机排列块分为实验组（N=59）和对照组（N=58）。在干预前和干预后一个月，使用人口统计学信息表、匹兹堡睡眠质量指数、Paloutzian 和 Ellison 精神健康量表以及改良 Rankin 量表收集数据。实验组接受 5 次每日 45-60 分钟的标准和当地方法的精神关怀，包括患者定位和识别精神需求、宗教关怀、支持性精神关怀和有益评价。采用卡方检验、Fisher 确切检验、独立 t 检验和配对 t 检验，在 SPSS 21 中以 0.05 的显著水平进行数据分析。
两组的社会人口统计学特征相似（p>0.05）。在基线时，实验组和对照组的睡眠质量和精神健康没有显著差异（p>0.05）。然而，干预后，实验组患者的睡眠质量和精神健康明显优于对照组（p<0.05）。
精神关怀方案改善了中风患者的睡眠质量和精神健康；因此，护士应考虑这些方面提供整体护理。
