Objectives: To explore and assess the levels of stress and its manifestation and different stressors in women with pregnancy-induced hypertension and to identifying the coping strategies used by women with PIH in response to stress. Methods: The research approach for the first phase of study was corelational and the subjects were selected by convenience sampling technique and for the second phase qualitative using phenomenology to study the lived experiences. The study comprised of 65 women with PIH, in the Phase I and 6 women with PIH in the Phase II, who were admitted in antenatal wards of KLES Hospital and Medical Research Centre and District Hospital Belgaum. The data on coping strategies was collected using a standardized tool, the Jalowiec coping scale and data on quality of life of women with PIH was collected using another standardized tool-the World Health Organization Quality of Life scale (WHOQOL-BREF). The qualitative data was collected using a semistructured interview schedule and the audiotaping of the verbatum of lived experiences. Results: In the Phase I it was found that majority (64.61%) of women had moderate stress levels. The finding indicated that there was no correlation between levels of stress and use and effectiveness of coping strategies. (r 1 (65) = 0.1226, P > 0.05, r 2 (65) = 0.1805, P > 0.01). The association between levels of stress and quality of life of women with PIH showed that quality of life was independent of levels of stress. The chi-square value (λ2 effect =12.137) between age and effectiveness of coping strategies was significant which showed that effectiveness of coping strategies were dependent on the age of the women with PIH. In the Phase II based on the analysis of data four themes emerged from the women's perspective of the phenomenon under study. Theme 1: Impact of bed rest. Theme 2: Unaware of PIH and its effect on self and unborn child. Theme 3: Fear of outcome of pregnancy. Theme 4: Psychological impact of symptoms of PIH. Conclusion: All these four dimensions depict the importance of holistic and comprehensive care.

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Maintaining overall health and well-being in illness can be achieved through various combinations of physical, mental, social, environmental and spiritual well-being. In recent era spirituality has emerged as a central focus of in the field of health sciences. Researchers and clinicians now believe in the important connection of spirituality, health and wellness of an individual’s life. Patients living with chronic disease such as diabetes mellitus have life management challenges and difficulties that come with the disease process. The present study examined the spiritual well-being among diabetic patients. Spiritual Well-being Scale (SWBS) was administered to a sample of 50 Muslim diabetic patients (male = 23, and female = 27). Obtained data was analyzed by t-test. Results showed that there was no significant difference between male and female diabetic patients on both subscales of   spiritual well being i.e., the Religious Well-being Scale (t = .451, p > .05) and Existential Well-being Scale (t = 1.11, p > .05). This finding suggests that spiritual well- being among Muslim diabetic patients may create great encouraging results. Health documents describing the self- management procedures highlight spirituality as one of the important holistic styles that address the needs of whole person rather than isolated parts.