ارتباط تجارب معنوی با امید به زندگی و اضطراب مرگ در بیماران مبتلا به سوختگی

نوع مقاله : مقاله های پژوهشی

نویسندگان

1 واحد توسعه‌ی تحقیقات بالینی، بیمارستان پورسینا، دانشگاه علوم پزشکی گیلان، رشت، ایران

2 استادیار، مرکز تحقیقات ترومای جاده‌ای و گروه جراحی عمومی، دانشکده‌ی پزشکی، دانشگاه علوم پزشکی گیلان، رشت، ایران

3 مربی، گروه آموزش بهداشت و ارتقای سلامت، دانشکده‌ی بهداشت، دانشگاه علوم پزشکی گیلان، رشت، ایران

چکیده

مقدمه: تجارب معنوی افراد می‌تواند نقش برجسته‌ای در سلامت آن‌ها داشته باشد. هدف از انجام پژوهش حاضر، بررسی ارتباط تجارب معنوی با امید به زندگی و اضطراب مرگ در بیماران مبتلا به سوختگی بود.روش‌ها: در این مطالعه‌ی توصیفی- تحلیلی- مقطعی، بیماران مبتلا به سوختگی با سن بیشتر از ۱۶ سال و کمتر از 80 سال مراجعه‌کننده به بیمارستان ولایت شهر رشت که دچار سوختگی بیش از 20 درصد از کل بدن و یا سوختگی بیش از 10 درصد در نواحی سر و صورت شده بودند، به روش نمونه‌گیری در دسترس انتخاب شدند. ابزار جمع‌آوری داده‌ها، چهار پرسش‌نامه‌ شامل مشخصات دموگرافیک، پرسش‌نامه‌ی امید به زندگی Snyder، مقیاس اضطراب مرگ (Death Anxiety Scale یا DAS) Templer و مقیاس تجارب معنوی روزانه (Daily Spiritual Experience Scale یا DSES) بود. داده‌ها به صورت مصاحبه‌ی حضوری محقق با بیماران دچار سوختگی جمع‌آوری شد.یافته‌ها: بین تجارب معنوی و امید به زندگی، ارتباط معنی‌دار و مثبتی مشاهده شد؛ به نحوی که بیماران با تجارب معنوی قوی‌تر، امید به زندگی بالاتری را نشان دادند. همچنین، بین وسعت سوختگی و اضطراب مرگ، رابطه‌ی معکوس معنی‌داری وجود داشت. با کنترل متغیرهای دموگرافیک، ارتباط بین تجارب معنوی با اضطراب مرگ و امید به زندگی معنی‌دار بود.نتیجه‌گیری: نتایج به دست آمده ارتباط مثبت و معنی‌دار بین امید به زندگی و تجارب معنوی روزانه‌ی بیماران را نشان داد. به نظر می‌رسد برای تقویت تأثیرات مثبت امید به زندگی در برنامه‌های مراقبت از بیماران مبتلا به سوختگی، مواردی همچون حمایت، تسهیل و توجه به تمایلات و نیازهای معنوی بیماران باید مورد توجه قرار گیرد

کلیدواژه‌ها

عنوان مقاله [English]

The Relationship between Spiritual Experiences with Hope to be Alive and Death Anxiety in Burned Patients

نویسندگان [English]

  • Zeynab Haghdoost 1
  • Mohammadreza Mobayen 2
  • Saeed Omidi 3
1 Community Health Nursing, Clinical Research Development Unit, Poursina Hospital, Guilan University of Medical Sciences, Rasht, Iran
2 Assistant Professor, Department of General Surgery, Guilan Road Trauma Research Center, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran
3 Instructor, Department of Health Training and Enhancement, School of Health, Guilan University of Medical Sciences, Rasht, Iran
چکیده [English]

Background: Past studies have shown that people's spiritual experiences can play a prominent role in their health. The aim of this study was to investigate the relationship between spiritual experiences with life expectancy and death anxiety in burned patients.Methods: In a cross-sectional study, burned patients aged 16-80 years referred to Velayat hospital in Rasht, Iran, who suffered burns more than 20% of whole body surface or/and burns more than 10% of head and face surface were included using available sampling method. Data collection tools were 4 questionnaires including demographic characteristics, Snyder's Hope Life Questionnaire, Templer Death Anxiety Scale (DAS) and Daily Spiritual Experiences Scale (DSES). Data were collected through face-to-face interviews with burn patients.Findings: There was a statistically significant positive relationship between spiritual experiences and life expectancy; so that patients with stronger spiritual experiences had higher life expectancy. There was also a significant inverse relationship between burn extent and death anxiety. By controlling demographic variables, a statistically significant relationship was observed between spiritual experiences with death anxiety and life expectancy.Conclusion: The results of this study showed a positive and significant relationship between life expectancy and patients' daily spiritual experiences. It seems that in order to enhance the positive effects of life expectancy in care programs for burned patients, things such as support, facilitation, and attention to the spiritual desires and needs of patients should be considered.

کلیدواژه‌ها [English]

  • Hope
  • Survival Rate
  • Spirituality
  • Death
  • Anxiety
  • Burns

مراجع

  1. Procter F. Rehabilitation of the burn patient. Indian J Plast Surg 2010; 43(Suppl): S101-S113.
  2. Soltani F, Hosseini F, Arab M. Relationship of daily spiritual experiences with life expectancy and death anxiety in patients undergoing coronary artery bypass surgery. Iranian Journal of Cardiovascular Nursing 2016; 5(2): 6-13. [In Persian].
  3. Ebrahimi A, Aarabi S, Khaluei MM. Comparing the mental health and some positive psychologic factors including happiness, hope and spirituality among students of medicine in Isfahan University of Medical Sciences, Iran, during years of education. J Isfahan Med Sch 2013; 31(261): 1885-96. [In Persian].
  4. Rahmanian M, Moein Samadani M, Alibazi H. Effect of group spirituality therapy on hope of life and life style improvement of breath cancer patients. Applied Counseling 2017; 7(1): 101-14. [In Persian].
  5. Frankl V. Mans search for meaning. New York, NY: Washington Square Prees; 1963.
  6. Hamid N, Talebian L, Mehrabizadeh Honarmand M, Yavari A. The effects of logotherapy on depression, anxiety and quality of life of cancer patients in Ahvaz Big Oil Haspital. Journal of Psychological Achievements 2011; 18(2): 199-224. [In Persian].
  7. Imanifar HR, Bostan G, Dodman F, Raeasi Ro. Confronting death from Quranic and psychological viewpoints. Interdisciplinary Quranic Studies 2011; 2(4): 17-27. [In Persian].
  8. Naderi F, Shokouhi M. The relationships of the optimism, humor, social maturity and death anxiety among Ahvaz Golestan Hospital nurses. Journal of Social Psychology (New Findings in Psychology) 2009; 4(10): 85-94. [In Persian].
  9. Berk LE. Development through the lifespan. Hoboken, NJ: Pearson Education; 2016.
  10. Ghasempour A, Sooreh J, Seid Tazeh Kand MT. Predicting death anxiety on the basis of emotion cognitive regulation strategies. Knowledge and Research in Applied Psychology 2012; 13(2): 65-72. [In Persian].
  11. Ghamari M, Mir A. The effectiveness of teaching tolerance on anxiety of death and life expectancy of aged women residing in nursing homes. Aging Psychology 2018; 3(4): 253-62. [In Persian].
  12. Anvar M, Javadpour A. Assessing death anxiety and its correlates among severe medically ill in- patients. Shiraz E-Med J 2012; 13(3): 122-7.
  13. Winsett RP, Hathaway DK. Predictors of QoL in renal transplant recipients: bridging the gap between research and clinical practice. Posttransplant Quality of Life Intervention Study Group. ANNA J 1999; 26(2): 235-40.
  14. Pirasteh Motlagh AA, Nikmanesh Z. The role of spirituality in quality of life patients with AIDS/HIV. J Shahid Sadoughi Univ Med Sci 2012; 20(5): 571-80. [In Persian].
  15. Koenig HG, McCullough APPR, McCullough ME, Larson DB. Handbook of Religion and Health. Oxford, UK: Oxford University Press; 2001.
  16. Beery TA, Baas LS, Fowler C, Allen G. Spirituality in persons with heart failure. J Holist Nurs 2002; 20(1): 5-25.
  17. McClain-Jacobson C, Rosenfeld B, Kosinski A, Pessin H, Cimino JE, Breitbart W. Belief in an afterlife, spiritual well-being and end-of-life despair in patients with advanced cancer. Gen Hosp Psychiatry 2004; 26(6): 484-6.
  18. Snyder CR, Irving L, Anderson JR. Hope and health: Measuring the will and ways. In: Snyder CR, Forsyth DR, editors. Handbook of social and clinical psychology: The health perspective. New York, NY: Pergamon Press; 1991. p. 285-305
  19. Baljani E, Khashabi J, Amanpour E, Azimi N. Relationship between spiritual well-being, Religion, and hope among patients with cancer . Hayat 2011; 17(3): 27-37. [In Persian].
  20. Templer DI. The construction and validation of a Death Anxiety Scale. J Gen Psychol 1970; 82(2d Half): 165-77.
  21. Sharif Nia H, Pahlevan Sharif S, Goudarzian AH, Haghdoost AA, Ebadi A, Soleimani MA. An evaluation of psychometric properties of the Templer's Death Anxiety Scale-Extended among a sample of Iranian chemical warfare veterans. Hayat 2016; 22(3): 229-44. [In Persian].
  22. Underwood LG, Teresi JA. The daily spiritual experience scale: Development, theoretical description, reliability, exploratory factor analysis, and preliminary construct validity using health-related data. Ann Behav Med 2002; 24(1): 22-33.
  23. Mahboubi M, Ghahramani F, Shamohammadi Z, Parazdeh SH. Relationship between daily spiritual experiences and fear of death in hemodialysis patients. J Biol Today's World 2014; 3(1): 7-11.
  24. Choobdari M, Dastgerdi R, Sharifzadeh GH. The impact of self-care education on life expectancy in acute coronary syndrome patients. J Birjand Univ Med Sc s. 2015; 22(1): 19-26. [In Persian].
  25. Shiekhy S, Issazadegan A, Basharpour S, Maroei Millan F. The relationship between death obsession and death anxiety, with hope among the nursing students of urmia medical sciences university. Nurs Midwifery J 2013; 11 (6); 410-8. [In Persian]
  26. Valikhani A, Firouzabadi A. Examining death anxiety within the framework of attachment styles in cancer patients: A comparative study. Health PsycholOGY 2016; 5(18): 119-40. [In Persian].
  27. Seyedoshohadaee M, Bozorgi Matin M, Haghani H. Association of death anxiety and quality of life in the caregivers of patients with multiple sclerosis. Iran J Nurs 2019; 32(120): 1-14. [In Persian].
  28. McCoubrie RC, Davies AN. Is there a correlation between spirituality and anxiety and depression in patients with advanced cancer? Support Care Cancer 2006; 14(4): 379-85.
  29. Cohen AB, Pierce J, Chambers J, Meade R., Gorvine, BJ, Koenig HG. Intrinsic and extrinsic religiosity, belief in the afterlife, death anxiety, and life satisfaction in young Catholics and Protestants. J Res Pers 2005; 39(3), 307–24
  30. Nelson CJ, Rosenfeld B, Breitbart W, Galietta M. Spirituality, religion, and depression in the terminally ill. Psychosomatics 2002; 43(3): 213-20.

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سابقه مقاله

  • تاریخ دریافت: 25 تیر 1399
  • تاریخ بازنگری: 11 آبان 1403
  • تاریخ پذیرش: 17 فروردین 1401

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