基于灵性的姑息治疗教育对心力衰竭患者生活质量、死亡焦虑和恢复力的影响：随机对照临床试验

Q2 Nursing

International Journal of Africa Nursing Sciences Pub Date : 2025-01-01 DOI:10.1016/j.ijans.2025.100818

Roghayeh Balaghi Inaloo , Mostafa Bijani , Leila Nikrouz , Azizallah Dehghan , Abdulhakim Alkamel , Ali Taghinezhad , Zahra Khiyali

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引用次数: 0

摘要

心衰是慢性心脏病中最严重和最普遍的一种，严重影响患者的生活质量。科学证据表明，姑息治疗是治疗心力衰竭患者的关键组成部分。然而，有限的研究已经检验了基于灵性的姑息治疗教育如何影响这些患者的生活质量、死亡焦虑和恢复力。目的：本研究探讨以灵性为基础的姑息治疗教育对伊朗南部心力衰竭患者的生活质量、死亡焦虑和恢复力的影响。方法采用随机对照临床试验设计，无盲法，分为实验组和对照组。80例患者随机分为干预组和对照组（每组40例）。参与者是从2022年6月至10月在伊朗南部一家教学医院接受治疗的患者中招募的。干预组的参与者通过六个一小时的课程接受了以灵性为基础的姑息治疗教育。使用三种经过验证的仪器收集数据；明尼苏达州心力衰竭患者问卷（MLHFQ）、Templer死亡焦虑量表和Connor-Davidson恢复力量表。两组均在基线、干预后立即和三个月随访时完成这些评估。数据分析采用SPSS version 20，采用描述性统计、卡方检验、独立样本t检验和重复测量方差分析。P <有统计学意义；0.05.结果干预组平均年龄为63.11±12.2岁，对照组平均年龄为62.14±13.1岁。在干预组中，50%的参与者已婚，而对照组的这一比例为30%。大多数患者完成高中教育（干预组为50%，对照组为60%）。干预组在干预后立即和三个月随访时的生活质量、死亡焦虑和恢复力评分均有显著改善(p <；0.05)。对照组未见明显变化。结论以灵性为基础的姑息治疗教育能有效降低心衰患者的死亡焦虑，提高患者的生活质量和适应能力。我们建议医疗保健管理人员在心力衰竭患者的护理中实施这种新颖的教育方法。

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Spirituality-based palliative care education on quality of life, death anxiety, and resilience of heart failure patients: Randomized controlled clinical trial

Background

Heart failure represents the most severe and prevalent form of chronic cardiac disease, significantly impacting patients’ quality of life. Scientific evidence has established palliative care as a crucial component in the treatment of heart failure patients. However, limited research has examined how spirituality-based palliative care education affects these patients’ quality of life, death anxiety, and resilience.

Objectives

This study investigated the effects of spirituality-based palliative care education on quality of life, death anxiety, and resilience among heart failure patients in southern Iran.

Methods

This investigation employed a randomized controlled clinical trial design without blinding, incorporating both experimental and control groups. 80 patients who were randomly assigned to intervention and control groups (40 patients per group). Participants were recruited from patients receiving treatment at a teaching hospital in southern Iran between June and October 2022. Participants in the intervention group received spirituality-based palliative care education through six one-hour sessions. Data were collected using three validated instruments; the Minnesota Living with Heart Failure Questionnaire (MLHFQ), the Templer Death Anxiety Scale, and the Connor-Davidson Resilience Scale. Both groups completed these assessments at baseline, immediately post-intervention, and at a three-month follow-up. Data analysis was performed using SPSS version 20, employing descriptive statistics, Chi-square tests, Indipendent sample t test, and Repeated measures ANOVA. Statistical significance was set at P < 0.05.

Results

The mean age of participants was 63.11 ± 12.2 years in the intervention group and 62.14 ± 13.1 years in the control group. In the intervention group, 50 % of participants were married, compared to 30 % in the control group. The majority of patients had completed high school education (50 % in the intervention group and 60 % in the control group). The intervention group showed significant improvements in quality of life, death anxiety, and resilience scores both immediately after the intervention and at the three-month follow-up (p < 0.05). No significant changes were observed in the control group.

Conclusion

The findings demonstrate that spirituality-based palliative care education effectively reduces death anxiety while enhancing quality of life and resilience among heart failure patients. We recommend that healthcare administrators implement this novel educational approach in the care of heart failure patients.

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来源期刊

International Journal of Africa Nursing Sciences Nursing-Nursing (all)

CiteScore

2.40

自引率

0.00%

发文量

114

审稿时长

21 weeks

期刊介绍： International Journal of Africa Nursing Sciences (IJANS) is an international scientific journal published by Elsevier. The broad-based journal was founded on two key tenets, i.e. to publish the most exciting research with respect to the subjects of Nursing and Midwifery in Africa, and secondly, to advance the international understanding and development of nursing and midwifery in Africa, both as a profession and as an academic discipline. The fully refereed journal provides a forum for all aspects of nursing and midwifery sciences, especially new trends and advances. The journal call for original research papers, systematic and scholarly review articles, and critical papers which will stimulate debate on research, policy, theory or philosophy of nursing as related to nursing and midwifery in Africa, technical reports, and short communications, and which will meet the journal''s high academic and ethical standards. Manuscripts of nursing practice, education, management, and research are encouraged. The journal values critical scholarly debate on issues that have strategic significance for educators, practitioners, leaders and policy-makers of nursing and midwifery in Africa. The journal publishes the highest quality scholarly contributions reflecting the diversity of nursing, and is also inviting international scholars who are engaged with nursing and midwifery in Africa to contribute to the journal. We will only publish work that demonstrates the use of rigorous methodology as well as by publishing papers that highlight the theoretical underpinnings of nursing and midwifery as it relates to the Africa context.