Sadeghi Amir, Karimian Payam, Yousofvand Vahid, Monjezi Amin, Sadeghi Behrad, Yadegari Sorour Vahid, Khazaei Salman, Habibi Edris
Department of Nursing, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran.
Student Research Committee, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran.
J Relig Health. 2025 Jul 19. doi: 10.1007/s10943-025-02393-5.
This study aimed to assess the impact of spiritual care education on post-traumatic growth and resilience among patients diagnosed with leukemia. This randomized controlled trial study was conducted at Shahid Beheshti Hospital in Hamadan, Iran, in 2023. A total of 75 participants were recruited through convenience sampling and randomly assigned to either the intervention (N = 38) or control (N = 37) groups. Data collection included demographic information, the Post-Traumatic Growth questionnaire, and the Connor-Davidson Resilience Scale administered before, one month, and two months after the intervention. Participants in the intervention group received six sessions of spiritual care education, each lasting 30-45 min, with sessions spaced one day apart. Prior to the intervention, no significant differences were found in the mean scores of post-traumatic growth (P = 0.645) and resilience (P = 0.802) between the groups. However, following the intervention, significant between-group differences were observed in the mean scores of post-traumatic growth and resilience. For post-traumatic growth, the differences were statistically significant one month after the intervention (P < 0.001, d = 0.814), two months after the intervention (P < 0.001, d = 1.294), and overall (P < 0.001, η = 0.203). Similarly, for resilience, significant between-group differences were found at one month (P < 0.001, d = 1.078), at two months (P < 0.001, d = 1.023), and in the overall comparison (P < 0.001, η = 0.158). Moreover, within-group comparisons demonstrated a significant increase in post-traumatic growth (P < 0.001, η = 0.244) and resilience (P < 0.001, η = 0.200) scores from baseline to the final measurement in the intervention group. In contrast, no significant changes were observed in the control group for either post-traumatic growth (P = 0.795) or resilience (P = 0.539). These findings suggest that spiritual care education provided by nurses can contribute to psychological growth and resilience enhancement among leukemia patients, thereby promoting comprehensive care.
本研究旨在评估精神关怀教育对白血病患者创伤后成长及心理韧性的影响。这项随机对照试验于2023年在伊朗哈马丹的沙希德·贝赫什提医院开展。通过便利抽样招募了75名参与者，并随机分为干预组（N = 38）和对照组（N = 37）。数据收集包括人口统计学信息、创伤后成长问卷，以及在干预前、干预后1个月和2个月时进行的康纳 - 戴维森心理韧性量表测评。干预组的参与者接受了6次精神关怀教育课程，每次课程持续30 - 45分钟，课程间隔为一天。干预前，两组之间在创伤后成长（P = 0.645）和心理韧性（P = 0.802）的平均得分上未发现显著差异。然而，干预后，两组在创伤后成长和心理韧性的平均得分上出现了显著的组间差异。对于创伤后成长，干预后1个月差异具有统计学意义（P < 0.001，d = 0.814），干预后2个月差异具有统计学意义（P < 0.001，d = 1.294），总体差异也具有统计学意义（P < 0.001，η = 0.203）。同样，对于心理韧性，在1个月时组间差异显著（P < 0.001，d = 1.078），2个月时差异显著（P < 0.001，d = 1.023），总体比较差异也显著（P < 0.001，η = 0.158）。此外，干预组内比较显示，从基线到最终测量，创伤后成长（P < 0.001，η = 0.244）和心理韧性（P < 0.001，η = 0.200）得分均显著增加。相比之下，对照组在创伤后成长（P = 0.795）或心理韧性（P = 0.539）方面均未观察到显著变化。这些研究结果表明，护士提供的精神关怀教育有助于白血病患者的心理成长和心理韧性增强，从而促进全面护理。
