Volume 4, Issue 2 (Summer 2017)                   J Educ Community Health 2017, 4(2): 28-34 | Back to browse issues page

XML Persian Abstract Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Ghanbari Afra L, Zaheri A. Relationship of Anxiety, Stress, and Depression with Spiritual Health in Patients with Acute Coronary Artery Disease. J Educ Community Health. 2017; 4 (2) :28-34
URL: http://jech.umsha.ac.ir/article-1-271-en.html
Relationship of Anxiety, Stress, and Depression with Spiritual Health in Patients with Acute Coronary Artery Disease
Leila Ghanbari Afra1, Azita Zaheri *2
1- Educational Supervisor, Kamkar-Arabnia Hospital, Qom University of Medical Sciences, Qom, Iran
2- Shahrekord University of Medical Sciences, Shaherkord, Iran. , zaheriazita69@gmail.com
Abstract:   (5201 Views)

Background and Objective: Anxiety, stress, and depression can cause chest pain. On the other hand, spiritual health plays an important role in acceptance of disease. In this study, we attempted to investigate the relationship of stress, anxiety, and depression with spiritual health in patients with acute coronary syndrome.
Materials and Methods: This descriptive-analytical study was performed on 294 patients with acute coronary syndrome during 10 months in teaching hospitals affiliated to Qom University of Medical Sciences. Data collection was performed by using demographic and clinical data, depression, anxiety, stress, and spiritual health questionnaires. To analyze the data, indices of the central tendency, independent t-test, Pearson correlation coefficient were used in SPSS, version 13.
Results: There were significant correlations between anxiety and stress and existential health (r=-0.196, P=0.001 and r=-0.171, P=0.003, respectively) and between depression and both existential and religious health dimensions (r=-0.294, P=0.001 and r=-0.244, P=0.001, respectively). In addition, the depression and stress levels were higher in more advanced ages, while existential health was lower. Depression, stress, and existential and religious health were higher in patients with a history of chronic diseases. In those with a history of taking cardiac medications, the levels of stress, anxiety, and existential and religious health were higher.
Conclusion: Based on the findings of this study, in patients with acute coronary syndrome, those who obtained higher spiritual health scores experienced less anxiety and depression. Thus, nurses are recommended to implement self-care training programs with the presence of religious counselors in hospitals and even after discharge to increase patients’ spiritual health and diminish their anxiety, stress, and depression. In this case, special attention must be paid to patients aged more than 50 years, with a history of chronic diseases and taking cardiac medications.

Keywords: Acute Coronary Syndrome, Anxiety, Depression, Spiritual Health, Stress
Persian Full-Text [PDF 722 kb]   (1439 Downloads)    
Type of Study: Research Article | Subject: Spiritual Health
Received: 2017/06/10 | Accepted: 2017/09/14
References
1. Estruch R, Ros E, Salas-Salvadó J, Covas MI, Corella D, Arós F, et al. Primary prevention of cardiovascular disease with a Mediterranean diet. N Engl J Med. 2013; 368(14):1279-90. [DOI]
2. Hasanpour Dehkordi A, Motaarefi H, Afzali SM. Stress level and coping with in patients suffering myocardial infarction. J Gorgan Bouyeh Facul Nurs Midwifery. 2007;4(1):15-20. [Persian]
3. Douglas P, Zipes M. Braunwald's heart disease. 6th ed. New York: Mc-Graw-Hill; 2005. P. 2244-58.
4. Taherian A, Mohammadi F, Hosseini MA, Rahgozar M, Fallahi KM. The effectiveness of patient education and home-based follow up on knowledge and health behaviors in the patients with myocardial infarction. Iran J Nurs Res. 2007;2(4-5):7-13. [Persian]
5. Khadibi M. The effect of aromatherapy on sleep quality in patients with ischemic heart disease in cardiac intensive care unit of the University Hospitals in 2009. [Master Thesis]. Isfahan, Iran: School of Nursing and Midwifery, Isfahan University of Medical Sciences; 2009. [Persian]
6. Follath F. Depression, stress and coronary heart disease--epidemiology, prognosis and therapeutic sequelae. Ther Umsch. 2003; 60(11):697-701. [DOI] [PubMed]
7. Januzzi JL Jr, Stern TA, Pasternak RC, DeSanctis RW. The influence of anxiety and depression on outcomes of patients with coronary artery disease. Arch Intern Med. 2000;160(13):1913-21. [PubMed]
8. Maleki H, Mottaghipoor Y, Sadeghifar M. A study on depression and anxiety related factors in Hamedan Medical Sciences University students. Tehran Univ Med J. 1997;55(6):79-85. [Persian]
9. Frasure-Smith N, Lespérance F, Talajic M. Depression and 18-month prognosis after myocardial infarction. Circulation. 1995; 91(4):999-1005. [PubMed]
10. Majidi SA. Recitation effect of holy Quran on anxiety of patients before undergoing coronary artery angiography. J Guilan Univ Med Sci. 2004;13(49):61-7. [Persian]
11. Reily BB, Perna R, Tate DG. Type of spiritual well-being among person with chronic illness: their relationship to various forms of quality of life. Arch Phys Med Rehabil. 1998;79(3):258-64. [DOI]
12. Kennedy JE, Abbott RA, Rosenberg BS. Changes in spirituality and well-being in a retreat program for cardiac patients. Altern Ther Health Med. 2002;8(4):64-6. [PubMed]
13. Rippentrop EA, Altmaier EM, Chen JJ, Found EM, Keffala VJ. The relationship between religion /spirituality and physical health, mental health, and pain in a chronic pain population. Pain. 2005;116(3):311-21. [DOI] [PubMed]
14. Abedi H, Asgari M, Kazemi Z, Saffari F, Nasiri M. Religious care patients and the barriers. J Teb Tazkieh. 2005;4(53):16-23. [Persian]
15. Ebadi A, Moradian ST, Feyzi F, Asiabi M. Comparison of the hospital anxiety and depression among patients with coronary artery disease based on proposed treatment. Iran J Crit Care Nurs. 2011;4(2):97-102.
16. Imam SS, Karim NH, Jusoh NR, Mamad NE. Malay version of spiritual well-being scale: Is Malay spiritual wellbeing scale psychometrically sound instrument? Int J Behav Sci. 2009;4(1):59-69.
17. Seyed FN, Rezaei M, Givari A, Hosseini F. Prayer and spiritual well-being in cancer patients. Payesh. 2006;5(4):295-303. [Persian]
18. Afzali A, Delavar A, Borjali A, Mirzamani M. Psychometric properties of DASS-42 as assessed in a sample of Kermanshah high school students. J Res Behav Sci. 2007;5(2):81-92.
19. Worth H. Transcultural and spiritual issues. In: Worth H, editor. Psychiatric nursing care plan. 4th ed. London: Mosby; 2004. P. 329-58.
20. Allahbakhshian M, Jaffarpour M, Parvizy S, Haghani H. A survey on relationship between spiritual wellbeing and quality of life in multiple sclerosis patients. Zahedan J Res Med Sci. 2010; 12(3):29-33. [Persian]
21. Rezaei MA, Seyedfatemi N, Hosseini F. Spiritual well-being in cancer patients who undergo chemotherapy. Hayat. 2008;14(3-4):33-40. [Persian]
22. McCoubrie RC, Davies AN. Is there a correlation between spirituality and anxiety and depression in patients with advanced cancer? Support Care Cancer. 2006;14(4):379-85. [DOI] [PubMed]
23. Nelson CJ, Rosenfeld B, Breitbart W, Galietta M. Spirituality, religion, and depression in the terminally ill. Psychosomatics. 2002;43(3):213-20. [DOI] [PubMed]
24. Leung KK, Chiu TY, Chen CY. The influence of awareness of terminal condition on spiritual well-being in terminal cancer patients. J Pain Symptom Manage. 2006;31(5):449-56. [DOI] [PubMed]
25. Villagomeza LR. Mending broken hearts: the role of spirituality in cardiac illness: a research synthesis, 1991-2004. Holist Nurs Pract. 2006;20(4):169-86. [PubMed]
26. Wilkins VM. Religion, spirituality, and psychological distress in cardiovascular disease. [Master Thesis]. Pennsylvania, PA: Drexel University; 2004.
27. Johonson CP. Assessment tools: are they an effective approach to implementing spiritual healthcare within the NHS? Accid Emerg Nurs. 2001;9(3):177-86. [DOI] [PubMed]
28. Mayo KR. Support from neurobiology for spiritual techniques for anxiety: a brief review. J Health Care Chaplain. 2009;16(1-2):53-7. [DOI] [PubMed]
29. Litwinczuk KM, Groh CJ. The relationship between spirituality purpose in life and well-being in HIV positive persons. J Assoc Nurses AIDS Care. 2007;18(3):13-22. [DOI] [PubMed]
30. Romero C, Friedman LC, Kalidas M, Elledge R, Chang J, Liscum KR. Self-forgiveness, spirituality, and psychological adjustment in women with breast cancer. J Behav Med. 2006;29(1):29-36. [DOI] [PubMed]
31. Blumenthal JA, Babyak MA, Ironson G, Thoresen C, Powell L, Czajkowski S, et al. Spirituality, religion, and clinical outcomes in patients recovering from an acute myocardial infarction. Psychosom Med. 2007;69(6):501-8. [DOI] [PubMed]
32. Moeini M, Ghasemi TM, Yousefi H, Abedi H. The effect of spiritual care on spiritual health of patients with cardiac ischemia. Iran J Nurs Midwifery Res. 2012;17(3):195-9. [PubMed]
Add your comments about this article : Your username or Email:
CAPTCHA code
Send email to the article author

© 2019 All Rights Reserved | J Educ Community Health

Designed & Developed by : Yektaweb