Volume 31, Issue 4 (9-2021)                   J Holist Nurs Midwifery 2021, 31(4): 245-253 | Back to browse issues page


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Akbari A, Sadeghian E, Oshvandi K, Kamyari N, Shadi D. Effect of Spiritual Care on Death Anxiety and Self-esteem in Patients With Multiple Sclerosis. J Holist Nurs Midwifery. 2021; 31 (4) :245-253
URL: http://hnmj.gums.ac.ir/article-1-1740-en.html
1- Nursing (MSN), Student Research Center, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran.
2- Associate Professor, Chronic Diseases (Home Care) Research Center, Hamadan University of Medical Sciences, Hamadan, Iran. , sadeghianefat@gmail.com
3- Professor, Department of Medical Surgical Nursing, Maternal and Child Care Research Center, Faculty of Nursing & Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran.
4- Biostatistics (MSN), Department of Biostatistics, School of Nursing and Midwifery, Abadan University of Medical Sciences, Abadan, Iran.
Abstract:   (139 Views)
Introduction: Death anxiety and low self-esteem are major problems in patients with Multiple Sclerosis (MS). Spiritual interventions, along with other nursing interventions, can restore the balance between body and soul.
Objective: This study aimed to determine the effect of the spiritual care program on death anxiety and self-esteem in MS patients. 
Materials and Methods: In this clinical trial, 60 patients with MS were randomly assigned into the intervention (n=30) and control (n=30) groups. The intervention group received spiritual care program in four sessions. Templer death anxiety and Rosenberg self-esteem scale were completed by samples before and after the intervention. Data analysis was performed using the independent t test, Chi-square, and Fisher exact tests. The significance level is considered less than 0.05.
Results: The Mean±SD ages of the intervention and control group samples were 32.8±6.39 and
35.1±8.35 years, respectively. The Mean±SD scores of death anxiety in the control group 12.27±0.85 and the intervention group 11.8±0.88 before the intervention were not significantly different. After the intervention, the difference between the Mean±SD scores of the control group 12.10±0.61 and the interventional group 8.13±0.71 was statistically significant (P=0.001). The Mean±SD scores of self-esteem in the control group 14.63±1.51 and the interventional group 15.5±1.5 before the intervention were not significantly different. The difference between the Mean±SD scores of self-esteem in the control group 14.67±1.9 and the interventional group 18.03±1.85 was significant after the intervention (P=0.001). The results of ANCOVA demonstrated a significant difference between the control and intervention groups in terms of death anxiety (F=6.41, P=0.014, partial Eta2=0.101) and self-esteem (F=13.079, P=0.001, partial Eta2=0.187) of MS patients.
Conclusion: Since spiritual care intervention in patients with MS reduced their death anxiety and increased their self-esteem, this simple and low-cost care program can be recommended for those suffering from this disease.
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Article Type : Applicable | Subject: Special
Received: 2021/09/13 | Accepted: 2021/07/31 | Published: 2021/01/10

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