بررسی تاثیر مراقبت معنوی مبتنی برمدل قلب سلیم در کاهش اضطراب بیماران کاندیدعمل پیوند عروق کرونر

Aims : Anxious is very common among patients undergoing Coronary Artery Bypass Graft (CABG) surgery and it has significant effect on recovery process and following up treatment. The most important factor regarding treatment of anxiety is faith and religious affiliations. This study is conducted to assess the impact of spiritual care based on a Ghalb-e Salim (good heart) model in reducing anxiety of patient’s candidate for CABG. Methods: In this clinical trial study, ۶۰ patients candidate for CABG were selected in Baqiyatallah (AJ) hospital in Tehran in ۲۰۱۳. These patients had moderate and sever anxiety score and they were divided into two experimental and control groups. Spiritual care based on Ghalb-e Salim model was done through educational booklet and direct education during hospitalization in experimental group . Beck Anxiety questionnaire was completed by the patients in three stages during hospitalization, before surgery and before discharge information was analyzed by using SPSS۲۰ software and descriptive and inferential statistical tests. Results: The preoperative anxiety in the experimental group was significantly reduced (۹.۸±۳.۵) it is while preoperative anxiety of patients had a significant increase in the control group (۳۷.۷±۱۱.۷۱). totally, based on independent t statistical test, anxiety was reduced after intervention (p=۰.۰۰۰) The Mann-Whitney test showed that there was no significant difference between the two groups in terms of anxiety levels on admission, but preoperative anxiety levels in the experimental group and the control group were respectively in the moderate (۴۰ % ) and severe ( ۸۰ % ) level ( p=۰/۰۰۱) Conclusions: Spiritual care based on Ghalb-e Salim model was taken from Islamic statements and they are effective for organizing spiritual cares in nursing and reducing anxiety of the patient’s candidates for cardiac surgery.