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The effects of spiritual care intervention on spiritual well-being,loneliness, hope and life satisfaction of intensive care unit patients
Affiliation:1. Kocaeli University, Faculty of Health Sciences, Kocaeli, Turkey;2. Ankara University, Faculty of Nursing, Ankara, Turkey;3. Ondokuz Mayıs University, Faculty of Health Sciences, Samsun, Turkey;1. Department of Speech Pathology, Division of Allied Health, Austin Health, Melbourne, Australia;2. Audiology and Speech Pathology, The University of Melbourne, Melbourne, Australia;3. Centre for Neuroscience of Speech, The University of Melbourne, Melbourne, Australia;4. Institute of Breathing and Sleep, Austin Health, Melbourne, Australia;5. Department of Intensive Care, Austin Health, Melbourne, Australia;6. Department of Critical Care, University of Melbourne, Melbourne, Australia;7. Australian and New Zealand Intensive Care Research Centre, Monash University, Melbourne, Australia;8. Department of Intensive Care, Royal Melbourne Hospital, Melbourne, Australia;9. Department of Physiotherapy, Division of Allied Health, Austin Health, Melbourne, Australia;10. Physiotherapy, The University of Melbourne, Melbourne, Australia;11. Department of Neurodegeneration, Hertie Institute for Clinical Brain Research, Tübingen, Germany;12. Redenlab, Melbourne, Australia;1. Federal University of Acre, Rio Branco, Acre, Brazil;2. Department of General and Specialized Nursing, University of São Paulo at Ribeirão Preto College of Nursing, Ribeirão Preto, São Paulo, Brazil;3. Department of Health and Nursing Sciences, University of Agder, Kristiansand, Norway;1. Lovisenberg Diaconal University College, Lovisenberggata 15B, 0456 Oslo, Norway;2. Department of Cardiothoracic Surgery, Oslo University Hospital, Oslo, Norway;3. Faculty of Health Studies, VID Specialized University, Oslo, Norway;4. Department of Anaesthesiology and Surgery, University Hospital of North Norway, Tromsø, Norway;1. Faculty of Health, Education, Medicine and Social Care, Anglia Ruskin University, Cambridge, United Kingdom;2. Department of Internal Medicine and Pediatrics, Faculty of Medicine and Health Sciences, Ghent University, Belgium;3. Neonatal Intensive Care Unit, Ghent University Hospital, Ghent, Belgium;4. Data Science Institute, Ghent University Hospital, Ghent, Belgium;5. UQ Centre for Clinical Research, The University of Queensland, Brisbane, Australia;1. Swedish Red Cross University College, SE-141 21 Huddinge, Sweden;2. Karlstad University, Department of Health Science, Faculty of Health, Science, and Technology, Sweden;3. Centre for Clinical Research, County Council of Värmland, Karlstad, Sweden;4. Lulea University of Technology, Department of Health, Education and Technology, Division of Nursing and Medical Technology, SE-97187 Luleå, Sweden;1. Post-Baccalaureate Program in Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan;2. Department of Nursing, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan;3. School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan;4. Research Center in Nursing Clinical Practice, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan;5. Department of Nursing, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan
Abstract:BackgroundThe 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.ObjectiveThe 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 methodologyThe 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.ResultsThe 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).ConclusionsIt 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 practiceIntensive 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.
Keywords:Hope  Intensive care  Life satisfaction  Loneliness  Spiritual care  Spiritual well-being
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