Effect of Spiritual Care on Post-traumatic Stress Disorder in Women With Acute Myocardial Infarction

Zohreh Ababaie; Fatemeh Ganjeh; Mitra Jaras; Mohammad-Mehdi Ahmadi-Faraz; Azam Moslemi; Korosh Rezaei

doi:10.34172/cjmb.2023.44

E-ISSN : 2148-9696

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Original Article
Effect of Spiritual Care on Post-traumatic Stress Disorder in Women With Acute Myocardial Infarction
Zohreh Ababaie¹, Fatemeh Ganjeh², Mitra Jaras², Mohammad-Mehdi Ahmadi-Faraz³, Azam Moslemi⁴, Korosh Rezaei²
¹School of Nursing, Arak University of Medical Sciences, Arak, Iran ²Department of Medical-Surgical Nursing, School of Nursing, Arak University of Medical Sciences, Arak, Iran ³Department of Islamic Jurisprudence, Faculty of Law and Theology, Shahid Ashrafi Esfahani University, Isfahan, Iran ⁴Department of Biostatistics, Faculty of Medical Sciences, Arak University of Medical Sciences, Arak, Iran
DOI: 10.34172/cjmb.2023.44 Viewed : 533 times Downloaded : 837 times. Keywords : Acute myocardial infarction, Coronary care unit, Post traumatic stress disorder, Spiritual care
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Abstract

Objectives: Patients with acute myocardial infarction (AMI) are at risk for post-traumatic stress disorder (PTSD). The prevalence and severity of PTSD in women is higher than in men. This study aimed to investigate the effect of spiritual care on PTSD in women with AMI. Materials and Methods: This was a clinical trial with the control group, in which 80 female patients who were admitted to the CCU due to AMI were enrolled using purposive sampling, and were randomly assigned to intervention (n = 40, spiritual care) and control (n = 40, routine care) groups by blocking methods. Spiritual care was provided to the patients during the first three days of admission. Data collection was conducted by a demographic questionnaire (at the beginning of the study) and a PTSD checklist (PCL, one month after AMI). Results: Patients in the two groups were similar in terms of demographic and basic characteristics. The results showed that one month after admission, the mean PCL scores in the control (50.4 ± 7.1) group, were significantly more than the intervention (42.4 ± 6.6) group (P = 0.000). Also, the frequency of PTSD in the control group (26 or 65%) was remarkably higher than in the intervention (7 or 17.5%) group (P = 0.000). In other words, the incidence of PTSD (after a month) in the spiritual care group was notably lower than in the control group. Conclusions: Providing spiritual care by nurses in the CCU can reduce PTSD in patients with AMI.