Does spiritual care program affect levels of depression in patients with Leukemia? A randomized clinical trial

Amir Musarezaie · Mahin Moeini · Fariba Taleghani · Tayebeh Mehrabi

27 citations0/0 files storedJournal of Education and Health Promotion

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Religion, Spirituality, and Psychology Cancer survivorship and care Palliative and Oncologic Care

Abstract

BACKGROUND: Although 25-33% of patients with non-hematological malignancies suffer from depression disorder, some studies have reported the rate among patients with leukemia as high as 50%. Furthermore, based on studies chronic disease such as leukemia increases the patients' spiritual needs and may accelerate the patient problems. Therefore, spirituality has a significant role in adapting to leukemia and coping with its consequent mental disorders such as depression. Owing to the spirituality aspect importance and contradictory results of previous research, this study was hence performed to determine the effects of a spiritual care program on depression of patients with leukemia. MATERIALS AND METHODS: This randomized clinical trial was conducted in specialized cancer treatment center affiliated to Isfahan University of Medical Sciences (Isfahan, Iran). A total of 64 adult patients with leukemia were randomly divided into experiment and control groups. The spiritual care program including supportive presence and support for religious rituals was implemented for 3 days. Depression sub-scale of 42-item depression, anxiety and stress scale-42 was completed before and after the intervention for both groups. Data was analyzed using ANCOVA, Mann-Whitney U-test, Chi-square, in SPSS statistical software (version 18, SPSS Inc., Chicago, IL). RESULTS: After the intervention, mean score of depression was significantly lower in the experiment group than in the control group (P < 0.01). Comparison the mean score of depression in two groups, revealed the decrees in mean score of depression 11.09 (8.47) after spiritual care program that it was significant (P < 0.001). CONCLUSION: Our spiritual care program could successfully decrease depression level in patients with leukemia and nurses have to apply a holistic care approach with emphasis on spiritual care to decrease depression, so paid attention to spiritual aspect of patients accompanying with physical aspects in therapy process is recommended.

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2001Religious Involvement, Spirituality, and Medicine: Implications for Clinical Practice 2010A multifaith spiritually based intervention for generalized anxiety disorder: a pilot randomized trial 2002Changes in spirituality and well-being in a retreat program for cardiac patients.2002The Effectiveness of a Spiritually-Based Intervention to Alleviate Subsyndromal Anxiety and Minor Depression Among Older Adults 2010The Influence of a Spirituality-Based Intervention on Quality of Life, Depression, and Anxiety in Community-Dwelling Adults With Cardiovascular Disease 2012The effect of spiritual care on spiritual health of patients with cardiac ischemia.2009Spiritual Well-being in Cancer Patients who Undergo Chemotherapy 2008Blessings

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