مجله دانشکده پزشکی اصفهان

مجله دانشکده پزشکی اصفهان

ارتباط بین سلامت معنوی با اضطراب مرگ در بیماران پایان حیات مراجعه‌کننده به بیمارستان رازی رشت

نوع مقاله : Original Article(s)

نویسندگان
زهرا احمدنیا 1
کیوان حداد زحمتکش 2
کورش دل پسند 3
1 دانشجوی دکتری پژوهشی اپیدمیولوژی، مرکز تحقیقات بیماری‌های گوارش و کبد، دانشگاه علوم پزشکی گیلان، رشت، ایران
2 دانشجوی دکتری پزشکی، دانشکده‌ی پزشکی، دانشگاه علوم پزشکی گیلان، رﺷﺖ، اﻳﺮان
3 گروه اخلاق پزشکی، دانشکده‌ی پزشکی، دانشگاه علوم پزشکی گیلان، رﺷﺖ، اﻳﺮان
10.48305/jims.v42.i775.0605
چکیده
مقاله پژوهشی




مقدمه: سلامت معنوی، یکی از ابعاد مهم سلامت در انسان است و به طورکلی، ارتباط هماهنگ و یکپارچه‌ای را بین نیروهای درونی انسان فراهم می‌کند. بنابراین، هدف از پژوهش حاضر، ارتباط بین سلامت معنوی با اضطراب مرگ در بیماران پایان حیات می‌باشد.
روش‌ها: این مطالعه‌ی توصیفی- تحلیلی در سال 1402 انجام یافته است. 140 نفر از بیماران پایان حیات وارد مطالعه شدند. ابزار مورد استفاده در پژوهش، پرسش‌نامه‌ی چند قسمتی حاوی چک‌لیست اطلاعات دموگرافیک، پرسش‌نامه‌ی مقیاس اضطراب مرگ Templer، پرسش‌نامه‌ی سلامت معنوی Poltzin و Ellison استفاده شد. لازم به ذکر است که داده‌ها با استفاده از آزمون Mann-Whitney، Kruskal-Wallis تحلیل شدند.
یافته‌ها: در این مطالعه میانگین سنی بیماران 12/74 ± 56/54 سال و میانگین نمره‌ی اضطراب مرگ 3/383 ± 8/19 و میانگین نمره‌ی سلامت معنوی 18/30 ± 79/94 بود. نتایج ضریب همبستگی دو متغییر سلامت معنوی و میزان اضطراب مرگ نشان داد که هرچه میزان سلامت معنوی بالاتر باشد میزان اضطراب مرگ کمتر مشاهده شده است.
نتیجه‌گیری: اضطراب مرگ در بیماران پایان حیات، بالاست و پیشنهاد می‌شود که جلسات مشاوره برای کاهش این چالش ضروری به نظر می‌آید.

تازه های تحقیق

زهرا احمدنیا: Google Scholar, PubMed

کورش دل پسند: Google Scholar, PubMed

کلیدواژه‌ها
معنویت
مرگ
بیماران

موضوعات

عنوان مقاله English

The Relationship between Mental Health and Death Anxiety in End-of-Life Patients Referred to Razi Hospital in Rasht

نویسندگان English

Zahra Ahmadnia 1
Keyvan Hadad Zahmatkesh 2
Kourosh Delpasand 3
1 PhD by Research Student in Epidmiology, Gastrointestinal and Liver Diseases Research Center, Guilan University of Medical Sciences, Rasht, Iran
2 Doctor of Medicine Student, Guilan University of Medical Sciences, Rasht, Iran
3 Associate Professor of Medical Ethics, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran
چکیده English

Background: Spiritual health is one of the influential aspects of human health and generally provides a harmonious and integrated connection between human internal forces. Therefore, the purpose of this research is the relationship between mental health and death anxiety in end-of-life patients.
Methods: This descriptive and analytical study was conducted in 2023. A total of 140 end-of-life patients were included in the study. The tools used in the research were a multi-part questionnaire containing a checklist of demographic information, Templer's Death Anxiety Scale Questionnaire, and Poltzin and Ellison's Spiritual Health Questionnaire. The data were analyzed using the Mann-Whitney and the Kruskal-Wallis test.
Findings: In this study, the average age of the patients was 56.54 ± 12.74 years, the average death anxiety score was 8.19 ± 3.383, and the average spiritual health score was 79.94 ± 18.30. The results of the correlation coefficient of the two variables of spiritual health and death anxiety showed that the higher the spiritual health, the less death anxiety was observed.
Conclusion: Death anxiety is high in end-of-life patients. It is suggested that counseling sessions are necessary to reduce this challenge.

کلیدواژه‌ها English

Spirituality
Death
Patients
  1. Dadgari F, Rouhi M, Farsi Z. Death anxiety in nurses working in critical care units of AJA hospitals [in Persian]. Military Caring Sciences Journal 2015; 2(3): 150-7.
  2. Shakeri B, Abdi K, Bagi M, Dalvand S, Shahriari H, Sadeghi S, et al. A systematic review and meta-analysis of death anxiety among Iranian patients with cancer. Omega (Westport) 2024; 89(1): 247-58.
  3. Soleimani MA, Tabiban S, Bakhshande H, Asghary M. Effect of illness perception intervention on death anxiety in hemodialysis patients: a randomized clinical trial [in Persian]. J Mazandaran Univ Med Sci 2018; 28(162): 12-24.
  4. Daradkeh F, Moselhy HF. Death anxiety (Thanatophobia) among drug dependents in an Arabic psychiatric hospital. Am J Drug Alcohol Abuse 2011; 37(3): 184-8.
  5. Imanzadeh A. Lived experiences of cancer patients from death anxiety based on jaspers borderline situations [in Persian]. Iranian Journal of Psychiatric Nursing 2019; 6(6): 35-47.
  6. Jani S, Molaee M, JANGI GS, Pouresmali A. Effectiveness of cognitive therapy based on religious believes on death anxiety, social adjustment and subjective well-being in the cancer patients [in Persian]. J Ilam Uni Med Sci 2014; 22(5): 94-103.
  7. Sharifizad A, Askarizadeh G, Bagheri M. The relationship between spiritual health, positive thinking, type d personality, and health promoting lifestyle with death anxiety. J Vessel Circ 2022; 3(3): 125-32.
  8. Tehrani MAH, Yadollahpour MH, Sadeghi MV, Hamidia A. The relationship between spiritual health with the levels of anxiety and depression among cancer patients. 2021.
  9. Breitbart W, Rosenfeld B, Pessin H, Applebaum A, Kulikowski J, Lichtenthal WG. Meaning-centered group psychotherapy: an effective intervention for improving psychological well-being in patients with advanced cancer. J Clin Oncol 2015; 33(7): 749-54.
  10. Aghakhani N, Akbari M, Abbasi M, Naderi J, Cheraghi R, Ayremloo M, et al. Evaluation of the spiritual health of cancer patients and their nurses in Iran. J Nurs Midwifery Sci 2016; 3(3): 34-9.
  11. Nam I, Yoon H, Kim Y, Lim Y-O, Lee H, Choi K. The mediating role of optimism and pessimism on the relationship between spirituality and depression among elderly cancer patients. Korean J Health Promot 2016; 16(2): 127-33.
  12. Khaki S, Khesali Z, Farajzadeh M, Dalvand S, Moslemi B, Ghanei Gheshlagh R. The relationship of depression and death anxiety to the quality of life among the elderly population [in Persian]. Hayat 2017; 23(2): 152-61.
  13. Jong J. Death anxiety and religion. Curr Opin Psychol 2021; 40: 40-4.
  14. Rajabi GR, Bohrani M. Item factor analysis of the death anxiety scale [in Persian]. Journal of Psychology 2002; 5(4): 331-44.
  15. Templer DI. The construction and validation of a death anxiety scale. J Gen Psychol 1970; 82(2): 165-77.
  16. Karimnejad F, Maktabi G, Vatankhah M, Firoozy A, Rahimi H. Comparison between agreeableness trait of personality and spiritual health of the addicts living in community treatment centers (TC) and under methadone treatment addicts in Ahvaz, Iran [in Persian]. Hormozgan Medical Journal 2014; 18(1): 75-83.
  17. Hedayatizadeh-Omran A, Janbabaei G, Faraji Emafti M, Noroozi A, Kolagari S, Modanloo M. Relationship between spirituality and death anxiety in patients with cancer undergoing chemotherapy [in Persian]. J Mazandaran Univ Med Sci 2018; 27(156): 98-108.
  18. Bahrami N, Moradi M, Soleiman M, Kalantari Z, Hosseini F. Death anxiety and its relationship with quality of life in women with cancer [in Persian]. Iranian Nursing Journal 2013; 26(82): 51-62.
  19. Kurtulan MH, Karaırmak Ö. Examination of the relationship among death anxiety, spirituality, religious orientation and existential anxiety. Spiritual Psychology and Counseling 2016; 1(2): 176-217.
  20. Momeni Ghaleh Ghasemi T, Musarezaie A, Moeni M, Naji Esfahani H. The effect of spiritual care program on ischemic heart disease patients' anxiety, hospitalized in CCU: a clinical trial [in Persian]. Journal of Research in Behavioural Sciences 2013; 10(6): 554-64.
  21. Otoom S, Al-Jishi A, Montgomery A, Ghwanmeh M, Atoum A. Death anxiety in patients with epilepsy. Seizure 2007; 16(2): 142-6.
  22. Tong E, Deckert A, Gani N, Nissim R, Rydall A, Hales S, et al. The meaning of self-reported death anxiety in advanced cancer. Palliat Med 2016; 30(8): 772-9.
  23. Asgari S, Roohani M, Amini K, Faghihzadeh S. Investigating death anxiety and its relationship with some demographic variables in patients with heart failure in Zanjan 2018. Preventive Care in Nursing & Midwifery Journal 2018; 8(2): 34-41.
  24. Rezaei M, Borzou SR, Solgi S, Hojjatoleslami S. Spiritual health and death anxiety in nursing students during COVID-19 pandemic: A cross-sectional study. J Nurs Adv Clin Sci 2024; 1(1): 16-23.
  25. Soleimani MA, Bahrami N, Zarabadi-Pour S, Motalebi SA, Parker A, Chan YH. Predictors of death anxiety among patients with heart disease. Death Stud 2020; 44(3): 160-7.
  26. Soltani F, hosseini F, arab M. Relationship of daily spiritual experiences with life expectancy and death anxiety in patients undergoing coronary artery bypass surgery [in Persian]. Iranian Journal of Cardiovascular Nursing 2016; 5(2): 6-13.
  27. Lo C, Hales S, Jung J, Chiu A, Panday T, Rydall A, et al. Managing Cancer And Living Meaningfully (CALM): phase 2 trial of a brief individual psychotherapy for patients with advanced cancer. Palliat Med 2014; 28(3): 234-42.
مجله دانشکده پزشکی اصفهان
دوره 42، شماره 775
هفته 3، شهریور
مرداد و شهریور 1403
صفحه 605-610

  • تاریخ دریافت 10 تیر 1403
  • تاریخ پذیرش 01 مهر 1403