Effect of Spiritual Care Based on Sound-Heart Consulting Model (SHCM) on Spiritual Health of Hemodialysis Patients

Abstract

Objectives: Anxiety and worry about the future, depression and grief caused by loss of health, along with: physical problems, de-creasedefficacyandself-confidence,andsocialisolationdamagethespiritualhealthof hemodialysispatients. Theaimof thisstudy was to investigate the effect of spiritual care based on sound-heart consulting model on the spiritual well being of hemodialysis patients. Methods: In a semi-experimental study, in the dialysis department of Baqiyatallah hospital in Tehran, 38 patients under hemodialysis were selected according to the inclusion criteria. Regarding outpatient care, spiritual care was carried out in the form of spiritual counseling based on the sound-heart consulting model. During the 8 volunteering counseling sessions, spiritual skills were taught to improve the four-dimensional relationship (relationship with God, self, others, and the universe of nature) with an edu-cational booklet. The spiritual health of patients with Alison’s questionnaire was examined before intervention, immediately after counseling and 3 months later. Data were analyzed with descriptive statistics (mean, standard deviation) and inferential statistics (Chi-square, t-test, Fisher exact test, Friedman). The SPSS24 software was used. Results: At the beginning of the study, the level of spiritual well-being of patients was moderate (overall score of 59/93), however, after the implementation of spiritual care and 3 months after the completion of counseling, there was a significant increase in the existential health and total score of spiritual well-being (P < 0.001). Conclusions: Performing spiritual counseling based on the Sound Heart model, by training religious-based spiritual skills, is a good way to improve the level of spiritual well-being of patients and can be used as a community-based approach in a nursing educational-supportive system.