The Relationship Between Spirituality and Compliance in Patients With Heart Failure

Black, Gladys; Davis, Barbara; Heathcotte, Kim; Mitchell, Nikki; Sanderson, Charlotte

doi:10.1111/j.0889-7204.2006.04804.x

Cited by 20 publications

(40 citation statements)

References 17 publications

(33 reference statements)

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“…The participants in this study emphasised the positive aspects of their illness experience as it enhanced their spirituality and religious behaviours as well as heightened their awareness of healthy living. In the current study and in previous studies (66, 67), prayer was one of the common religious practices practised by the participants which provided them with comfort and facilitated coping can be regarded as a health behaviour (3, 6).…”

Section: Discussionmentioning

confidence: 73%

Spirituality, illness and personal responsibility: the experience of Jordanian Muslim men with coronary artery disease

Nabolsi

Carson

2011

Scandinavian Caring Sciences

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Spiritual care is an aspect of nursing in many parts of the world; however, there is very little evidence of this in an Arab Muslim country. This qualitative study explores the meaning of spirituality as experienced by Jordanian Muslim men living with coronary artery disease. A hermeneutical phenomenological orientation was used to explore the experience of spirituality as lived by Arab Muslim men with coronary artery disease. A purposive sample of 19 men was selected from the Coronary care Unit (CCU) in a teaching hospital in Jordan. Data were collected using semi-structured interviews. Data were analyzed using Colaizzi's steps of phenomenological analysis. Four themes emerged from the data. The participants explained that faith facilitated their acceptance of illness and enhanced their coping strategies, that seeking medical treatment did not conflict with their belief in fate, that spirituality enhanced their inner strength, hope and acceptance of self-responsibility and it helped to them to find meaning and purpose in their life. In this study, Parse's theory of human becoming served as the foundation for understanding the paradoxical rhythmical pattern of the human experience of spirituality in illness. The findings suggest that patients' faith plays a central role in the choices they make either healthy or unhealthy, or accepting or rejecting their personal responsibility in promoting their future health and well-being. In addition, it provide nurses with the basis for providing spiritual care and developing a culturally sensitive healthcare plans in this population.

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Section: Discussionmentioning

confidence: 73%

Spirituality, illness and personal responsibility: the experience of Jordanian Muslim men with coronary artery disease

Nabolsi

Carson

2011

Scandinavian Caring Sciences

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“…Eleven of the articles were rated as good quality, fifteen as fair quality (the articles are numbered according to quality score in Tables 2 and 4; studies numbered 1-11 are rated as good quality [18][19][20][21][22][23][24][25][26][27][28], and those numbered 12-26 are rated as fair quality [29][30][31][32][33][34][35][36][37][38][39][40][41][42][43]). Four articles were excluded due to a low quality score [44][45][46][47].…”

Section: Resultsmentioning

confidence: 99%

“…Results (Table 2) on HF self-care (composite) scores were reported in thirteen articles. Although some studies used the term ''self-care'' [26,27,33,40,43], other studies used other terms, including ''self-management'' [18,32,39], ''adherence'' [35], ''compliance'' [20,29,36] and ''self-care specific behaviours'' [21]. In addition, eight articles reported results on self-care management [22,25,30,31,33,38,41,42] and ten on self-care maintenance [22,25,30,31,33,34,37,38,41,42].…”

Section: Resultsmentioning

confidence: 99%

“…These include self-care (composite scores) (although age [18,26,27,29,32,33,36], gender [18,26,27,29,39] (strong evidence) and time since diagnosis [32,39] (moderate evidence) were found to be unrelated to self-care); HF dietary behavior [21,22,36]; fluid intake restriction [20,23,28]; alcohol restriction [21,23,36] (although it was found that patients' age was unrelated to their alcohol intake restriction [22,36] (moderate evidence)), PA [20,23,28,36] (although age was found unrelated to PA level [23,36] (moderate evidence)), monitoring signs and symptoms [18,20,23,24,28] and smoking cessation [23,36]. Therefore, for these behaviors no consistent evidence for relationships with potential determinants was found.…”

Section: Resultsmentioning

confidence: 99%

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Determinants of heart failure self-care: a systematic literature review

et al. 2011

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Self-care is an important aspect of heart failure (HF) management. Information on the determinants of self-care is necessary for the development of self-care promotion interventions. HF self-care includes self-care management, self-care maintenance, sodium, fluid and alcohol intake restriction, physical activity, smoking cessation, monitoring signs and symptoms and keeping follow-up appointments. To assess the evidence regarding presumed determinants of HF self-care and make recommendations for interventions to promote self-care behavior among HF patients, a systematic literature review was conducted. Based on inclusion and exclusion criteria and a quality assessment, twenty-six articles were included. A best evidence synthesis was used. Results showed that the length of time since patients' diagnosis with HF is positively related to their performance of self-care maintenance. Moreover, it was found that HF patients' perceived benefits and barriers are related to their restriction of sodium intake, and that patients with type-D personality are less likely to consult medical professionals. There was also evidence for a few non-significant relationships. All other evidence was inconsistent, mainly due to insufficient evidence. Interventions that aim to increase the performance of self-care maintenance can teach newly diagnosed patients the skills that are usually attained with experience acquired as a result of living with HF for a longer time. Perceived benefits and barriers of restricting sodium intake could be targeted in interventions for sodium intake reduction among HF patients. Finally, interventions for the promotion of adequate consulting of medical professionals can specifically target HF patients with a type-D personality.

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“…Specifically, spiritual well-being has been shown to be related to uncertainty and self-care behaviors; 37 however, there was no correlation between levels of spirituality and the degree of compliance with the heart failure regimen (diet, exercise, medications) among patients with heart failure. 38 Additional studies exploring the relationship between spirituality, self care, and compliance are warranted.…”

Section: Spirituality In Heart Failurementioning

confidence: 99%

Spirituality and suffering of patients with heart failure

Westlake

Dyo²,

Vollman³

et al. 2008

Progress in Palliative Care

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2008) Spirituality and suffering of patients with heart failure, Progress in Palliative Care, 16:5-6, 257-265 To link to this article: http://dx.Heart failure is the terminal stage of cardiac disease and, as such, potentially involves spiritual issues and suffering. Spirituality has been shown to be related to adaptation, life satisfaction, and depression. Further, as depression is an independent predictor of mortality in patients with heart failure, spirituality is important for clinicians to consider. Patients with heart failure are disadvantaged compared to patients with other terminal diseases. The heart failure illness trajectory is unpredictable and the potential for sudden, unanticipated death exists. The management of end-stage heart failure is often associated with distressing symptoms, multiple hospitalizations and the potential for suffering. Patients are often less likely to understand their illness, have access to supportive care and have the opportunity to plan for death and dying. Unmet spiritual needs and suffering may go under diagnosed and treated. This suggests the need for a more palliative approach emphasizing the optimization of multidimensional life satisfaction and the relief of suffering. The purpose of this article is to focus primarily on spirituality and suffering, spiritual needs, and related interventions for patients living (and potentially suffering) with heart failure. Traditionally, care has been focused on meeting the physical suffering needs of patients, such as breathlessness, pain and fatigue, and to prolong life. Current thinking needs to shift to include the assessment of the psychological, social and spiritual needs and to improve life satisfaction. Interventions that have been developed for other chronic, terminally ill patients are described and new, potentially helpful interventions are proposed.

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The Relationship Between Spirituality and Compliance in Patients With Heart Failure

Cited by 20 publications

References 17 publications

Spirituality, illness and personal responsibility: the experience of Jordanian Muslim men with coronary artery disease

Spirituality, illness and personal responsibility: the experience of Jordanian Muslim men with coronary artery disease

Determinants of heart failure self-care: a systematic literature review

Spirituality and suffering of patients with heart failure

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