The effects of spiritual care intervention on spiritual well-being, loneliness, hope and life satisfaction of intensive care unit patients


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Yılmaz Bulut T., Çekiç Y., Altay B.

INTENSIVE AND CRITICAL CARE NURSING, cilt.77, 2023 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 77
  • Basım Tarihi: 2023
  • Doi Numarası: 10.1016/j.iccn.2023.103438
  • Dergi Adı: INTENSIVE AND CRITICAL CARE NURSING
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, ASSIA, CINAHL, EMBASE, MEDLINE, Psycinfo
  • Anahtar Kelimeler: Hope, Intensive care, Life satisfaction, Loneliness, Spiritual care, Spiritual well-being, QUALITY-OF-LIFE, GROUP-THERAPY, T.R.U.S.T., MODEL
  • Ondokuz Mayıs Üniversitesi Adresli: Evet

Özet

Background: The intensive care unit is a place where patients try to cope with pain and question the meaning and purpose of life and spiritual needs emerge.Objective: The present study was conducted to examine the effects of spiritual care interventions on the spiritual well-being, loneliness, hope, and life satisfaction of patients treated in intensive care. Research methodology: The study was conducted in an intensive care unit as an interventional study with a randomized pre-test, post-test, and control group between September and December 2021. A total of 64 patients, 32 in the intervention group and 32 in the control group, were included in the sample. The patients in the intervention group received eight sessions (twice a week) of spiritual nursing interventions according to the Traditions-Reconciliation-Understandings-Searching-Teachers model in the intensive care unit, while the control group received routine nursing care.Results: The mean age of the participants was 63.53 +/- 4.10 years in the intervention group and 63.37 +/- 3.18 years in the control group. Most of the participants in both the intervention (59.4 %) and control (68.7 %) groups were female. Following the intervention, the findings showed that the intervention had positive effects on patients' spiritual well-being (t = -10.382), loneliness (t = 13.635), hope (t = -10.440), and life satisfaction (t = -10.480) levels (p < 0.001). Conclusions: It was found that the spiritual care provided in the intensive care unit positively affected patients' spiritual well-being, hope, loneliness, and life satisfaction levels. It can be recommended that nurses working in intensive care develop a spiritually supportive environment by addressing the spiritual issues of patients and their relatives and using existing spiritual care services. Implications for clinical practice: Intensive care nurses should provide an environment and nursing care that meet their patients' spiritual needs. Spiritual care can be given to improve spiritual well-being, hope, and life satisfaction levels and to alleviate loneliness in intensive care patients.