Spiritual wellbeing of Iranian patients with acute coronary syndromes: a cross-sectional descriptive study

Abstract

Abstract:Spiritual well-being harmonizes several dimensions of human life and is essential for coping with diseases. Acute coronary syndromes (ACS) cause crisis in physical, psychological aspects and spiritual dimensions of patients' lives. The purpose of this study was to determine the level of spiritual well-being and its dimensions in patients with ACS. A crosssectional descriptive study was conducted. For data collection, Paloutzian and Ellison's Spiritual Well-being self-report questionnaire was filled in by 364 patients with ACS. Patients referred to cardiac wards of five teaching hospitals in Tehran between August 2011 and April 2012 were recruited using the convenient sampling method. The data were analyzed using descriptive and inferential statistics. The findings revealed that the majority of patients (97.9%) benefited from moderate spiritual well-being, although religious well-being was higher than existential well-being in the patients. It is concluded that nurses are required to improve their cultural and contextual knowledge of patients' spiritual well-being to meet patients' needs in nursing care. Spiritual beliefs can influence coping with diseases, help patients to find meaning and purpose in life to deal with problems resulting from physical and mental illnesses. These findings can be used to suggest the incorporation of religious aspects of spirituality into care programs designed to improve the quality of life of patients with ACS.http://mc.manuscriptcentral.com/jrn Journal of Research in Nursing The findings revealed that the majority of patients (97.9%) benefited from moderate spiritual well-being, although religious well-being was higher than existential well-being in the patients. It is concluded that nurses are required to improve their cultural and contextual knowledge of patients' spiritual well-being to meet patients' needs in nursing care. Spiritual beliefs can influence coping with diseases, help patients to find meaning and purpose in life to deal with problems resulting from physical and mental illnesses. These findings can be used to suggest the incorporation of religious aspects of spirituality into care programs designed to improve the quality of life of patients with ACS.Keywords: acute coronary syndrome, existential well-being, heart disease, religious well-being, spiritual well-being, spirituality. Key points• Tendency to spirituality increases with age;• Creating spiritual meaning in life plays an important role in coping with stressful situations caused by diseases;• It is required to incorporate religion and spirituality into nursing education curricula to prepare nurses to develop care plans designed to improve the quality of life of patients.• Future studies with a qualitative design are suggested to improve our understanding on how spirituality interventions can be incorporated into nurses' care planning from both nurses and patients' perspectives.

Spiritual Well-Being of Acute Coronary Syndrome Patients in The Cardiac Intensive Care Unit

“…As many as 86.9% of respondents were in the high category of religious well-being and 13.1% had moderate religious well-being, while only 71.4% of respondents had high existential well-being and 28.6% were in the moderate existential well-being category. The same thing was also found in research conducted by Jahani et al, (2014), that religious well-being is higher than existential well-being. Existential well-being is lower than religious well-being, which can be caused by a low score on some of the following existential well-being statements, namely "I feel my future is uncertain", "I feel that life is full of conflict and unhappiness", "I feel quite comfortable with the direction of my future."…”

“…This is also supported by the research of Yaghoobzadeh et al, (2018) which states that religious belief is a multivariate predictor of spiritual well-being. In addition, Livneh et al (2004) in Jahani et al, (2014) stated that in the United States religious beliefs also has an important role in overcoming stressful situations caused by illness. This is reinforced by a study conducted by Jaberi et al, (2017) that the relationship between transcendence and religious belief can increase a person's spiritual awareness, which will then improve spiritual health.…”

“…Spiritual well-being is a combination of perception, personality, and belief, which is a state in which a person feels connected to himself, others, superior powers, and the surrounding environment so that he has meaning and purpose for his life (Nuraeni, Mirwanti, Anna, & Nurhidayah, 2019). Patients who have good spiritual well-being will always feel joy, can forgive themselves and others, accept suffering or death, report an increase in quality of life, and have a positive understanding of physical and emotional well-being (Jahani et al, 2014;Potter & Perry, 2010). Spiritual well-being consists of two dimensions, namely the vertical and horizontal dimensions.…”

The Relationship Among Spirituality, Self-Efficacy, COVID-19 Anxiety, and Hopelessness During the COVID-19 Process in Turkey: A Path Analysis

“…Spirituality may relieve physical, psychological, and even social issues (Luquis et al, 2012 ). Spiritual well-being has helped individuals deal positively with stressful life events (Bekelman et al, 2009 ; Dalmida et al, 2011 ; Jahani et al, 2014 ; McNulty et al, 2004 ). Possessing the morale and motivation to hold fast in tough situations without losing hope is regarded among the constituents of spiritual well-being (Sayar & Dinç, 2008 ).…”

Examining the Relationship between Fear of COVID-19 and Spiritual Well-Being

“…In such times, spiritual well-being and spiritual practices are seen as important components in almost all cultures. Spiritual well-being helps individuals to cope with stressful life events (Bekelman et al, 2009;Dalmida et al 2011;Jahani et al, 2014;McNulty, Livneh, & Wilson, 2004;Uğurluoğlu & Erdem, 2019). Spiritual well-being is defined as a continuous and dynamic reflection on the individual's spiritual health and maturity; emphazises two dimensions: religious and existential (Ellison, 1983).…”