Volume 6, Issue 2 (June 2019)                   Health Spiritual Med Ethics 2019, 6(2): 10-16 | Back to browse issues page


XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Ramezani T, Taheri karameh Z, Karimi Z. Exploring Spiritual Needs and Its Relation with Anxiety and Depression in the Elderly Patients with Chronic Diseases. Health Spiritual Med Ethics 2019; 6 (2) :10-16
URL: http://jhsme.muq.ac.ir/article-1-256-en.html
1- 1 Educational Development Center, Qom University of Medical Sciences, Qom, Iran
2- Students Research committee, Hamadan University of Medical Sciences, Hamadan, Iran , ztaheri@umsha.ac.ir
3- Departement of Health Education, Faculty of Health, Qom University of Medical Sciences, Qom, Iran
Abstract:   (5578 Views)
Background and Objectives: The evaluation and accurate recognition of all the needs and problems of patients, including spiritual needs, are inevitable to increase the quality of nursing care. This study aimed to evaluate the spiritual needs and their association with anxiety and depression in the elderly with chronic diseases.
Methods: This cross-sectional analytical study was conducted on 100 patients with chronic diseases above 60 years of age. The subjects were selected through convenience sampling in the two hospitals of Qom, Iran, in 2017. Data collection tools were demographic characteristics questionnaire, as well as the questionnaire of spiritual needs and hospital anxiety and depression scale.
Results: In this study, the mean age of the subjects was 65.4±5.2 years. All the patients were reported with at least a spiritual need. The highest score related to the item of "requesting help from God" was 2.31±0.76, whereas the lowest score related to the item of "talking with others about the life after death" was 0.66±0.98. The results of regression analysis demonstrated that among the variables entered into the univariate model, the two variables of depression and disease duration had a significant relation with spiritual needs.
Conclusion: Unmet spiritual needs were reported high in the elderly with chronic diseases, and depression, as well as disease duration, were the effective factors in the spiritual needs of the elderly with chronic diseases. Therefore, the spiritual needs of patients with chronic diseases should be considered in clinical care in order to identify potential therapeutic ways to support and stabilize their emotional state.

 
Full-Text [PDF 672 kb]   (1463 Downloads) |   |   Full-Text (HTML)  (1027 Views)  
Type of Study: Original Article | Subject: Special
Received: 2018/10/17 | Accepted: 2019/04/6 | Published: 2019/06/10

References
1. WHO. World report on ageing and health: World Health Organization; 2015. Link
2. Moti-Haghshenas N. Sociological aspects of aging populations and active aging challenges in Iran. Iran Sociological Stud. 2012;2(1):133-47. Link
3. Lee DT. Quality long‐term care for older people: a commentary. J Adv Nurs. 2005;52(6):618-9. Link [DOI:10.1111/j.1365-2648.2005.03629.x]
4. Tinetti ME, McAvay G, Chang SS, Ning Y, Newman AB, Fitzpatrick A, et al. Effect of Chronic Disease-Related Symptoms and Impairments on Universal Health Outcomes in Older Adults. J Am Geriatr Soc. 2011;59(9):1618-27. Link [DOI:10.1111/j.1532-5415.2011.03576.x]
5. Taheri-Kharameh Z, Zamanian H, Montazeri A, Asgarian A, Esbiri R. Negative Religious Coping, Positive Religious Coping, and Quality of Life Among Hemodialysis Patients. Nephrourol Mon. 2016;8(6):e38009.Link [DOI:10.5812/numonthly.38009]
6. McSherry W, Ross L. Heed the evidence on place of spiritual needs in health care. Nurs Stand. 2015;29(38):33. Link [DOI:10.7748/ns.29.38.33.s38]
7. 7 . Hodge DR. A template for spiritual assessment: A review of the JCAHO requirements and guidelines for implementation. Soc Work. 2006;51(4):317-26. Link [DOI:10.1093/sw/51.4.317]
8. Timmins F, Caldeira S. Assessing the spiritual needs of patients. Nurs Stand. 2017;31(29):47-53. Link [DOI:10.7748/ns.2017.e10312]
9. Höcker A, Krüll A, Koch U, Mehnert A. Exploring spiritual needs and their associated factors in an urban sample of early and advanced cancer patients. Eur J Cancer Care (Engl). 2014;23(6):786-94. Link [DOI:10.1111/ecc.12200]
10. Büssing A, Balzat H, Heusser P. Spiritual needs of patients with chronic pain diseases and cancer-validation of the spiritual needs questionnaire. Eur J Med Res. 2010;15(6):266-73. Link. [DOI:10.1186/2047-783X-15-6-266]
11. Büssing A, Pilchowska I, Surzykiewicz J. Spiritual needs of Polish patients with chronic diseases. J Relig Health. 2015;54(5):1524-42. Link [DOI:10.1007/s10943-014-9863-x]
12. Bussing A, Balzat HJ, Heusser P. Spiritual needs of patients with chronic pain diseases and cancer - validation of the spiritual needs questionnaire. Eur J Med Res. 2010;15(6):266-73. Link [DOI:10.1186/2047-783X-15-6-266]
13. Moeini B, Zamanian H, Taheri-Kharameh Z, Ramezani T, Saati-Asr M, Hajrahimian M, et al. Translation and Psychometric Testing of the Persian Version of the Spiritual Needs Questionnaire Among Elders With Chronic Diseases. J Pain Symptom Manage. 2018;55(1):94-100. Link [DOI:10.1016/j.jpainsymman.2017.08.024]
14. Montazeri A, Vahdaninia M, Ebrahimi M, Jarvandi S. The Hospital Anxiety and Depression Scale (HADS): translation and validation study of the Iranian version. Health Qual Life Outcomes. 2003;1:14. Link [DOI:10.1186/1477-7525-1-14]
15. Motamedi A. Qualitative Study of Relationship With God in Old Age. Iran J Ageing. 2017;12(1):68-77. Link [DOI:10.21859/sija-120166]
16. 16 . Kim SS, Reed PG, Hayward RD, Kang Y, Koenig HG. Spirituality and psychological well-being: testing a theory of family interdependence among family caregivers and their elders. Res Nurs Health. 2011;34(2):103-15. Link [DOI:10.1002/nur.20425]
17. 17 . Kim SS, Hayward RD, Reed PG. Self-transcendence, spiritual perspective, and sense of purpose in family caregiving relationships: a mediated model of depression symptoms in Korean older adults. Aging Ment Health. 2014;18(7):905-13. Link [DOI:10.1080/13607863.2014.899968]
18. Ghahramanian A, Markani AK, Davoodi A, Bahrami A. Spiritual Needs of Patients with Cancer Referred to Alinasab and Shahid Ghazi Tabatabaie Hospitals of Tabriz, Iran. Asian Pac J Cancer Prev. 2016;17(7):3105-9. Link
19. 19 . Erichsen N-B, Büssing A. Spiritual needs of elderly living in residential/nursing homes. Evid Based Complement Alternat Med. 2013;2013:913247. Link [DOI:10.1155/2013/913247]
20. Dedeli O, Yildiz E, Yuksel S. Assessing the spiritual needs and practices of oncology patients in Turkey. Holist Nurs Pract. 2015;29(2):103-13. Link [DOI:10.1097/HNP.0000000000000070]
21. Haussmann A, Schaffeler N, Hautzinger M, Weyel B, Eigentler T, Zipfel S, et al. [Religious/Spiritual Needs and Psychosocial Burden of Melanoma Patients]. Psychother Psychosom Med Psychol. 2017;67(9-10):413-9. Link [DOI:10.1055/s-0043-101373]
22. Vilalta A, Valls J, Porta J, Vinas J. Evaluation of spiritual needs of patients with advanced cancer in a palliative care unit. J Palliat Med. 2014;17(5):592-600. Link [DOI:10.1089/jpm.2013.0569]
23. 23 . Palmer JA, Howard EP, Bryan M, Mitchell SL. Physiological and psychosocial factors in spiritual needs attainment for community-dwelling older adults. Arch Gerontol Geriatr. 2018;76:1-5. Link [DOI:10.1016/j.archger.2018.01.007]
24. Kao CC, Lin YH. [Spiritual Care of Patients With Depression]. Hu Li Za Zhi. 2018;65(3):17-21. Link
25. 25 . Offenbächer M, Kohls N, Toussaint L, Sigl C, Winkelmann A, Hieblinger R, et al. Spiritual needs in patients suffering from fibromyalgia. Evid Based Complement Alternat Med. 2013;2013:178547. Link [DOI:10.1155/2013/178547]

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2025 CC BY-NC 4.0 | Health, Spirituality and Medical Ethics

Designed & Developed by : Yektaweb