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Torabi M, Yousofvand V, Mohammadi R, Karbin F, Ranjbaran H. Effectiveness of Group Spiritual Care on Leukemia Patients' Hope and Anxiety in Iran: A Randomized Controlled Trial. JOURNAL OF RELIGION AND HEALTH 2024; 63:1413-1432. [PMID: 37432586 DOI: 10.1007/s10943-023-01866-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 06/21/2023] [Indexed: 07/12/2023]
Abstract
This study examined the effectiveness of a group spiritual care program on leukemia patients' hope and anxiety. This randomized controlled trial involved 94 leukemia patients hospitalized in the two oncology departments of Shahid Beheshti Hospital, Hamadan, Iran. This study was carried out from November 2022 to April 2023. The participants were selected based on the study inclusion criteria using the convenience sampling method then they were randomized to either the experimental (N = 46) or the control group (N = 48). The participants completed the written informed consent form, the demographic information form, and Beck's anxiety and Snyder's hope questionnaires. The spiritual care program was provided in six sessions (one 45-60 min per week), including a spiritual needs assessment, religious care, spiritual care, psychological-spiritual care, supportive-spiritual care, and evaluation. The participants then completed Beck's anxiety and Snyder's hope questionnaires immediately, one and two months after the intervention. At baseline, there was no significant between-group difference in leukemia patients' mean scores of hope (P = 0.313) and anxiety (P = 0.141); however, immediately, one and two months after the intervention, a significant between-group difference in the mean scores of hope and anxiety was observed (P < 0.001). Also, from baseline to two months after the intervention, a significant decrease and increase in anxiety and hope mean scores, respectively, were observed in the experimental group (within-group difference) (P < 0.001). However, in the control group, from baseline to two months after the intervention, a significant increase and decrease in mean scores of anxiety and hope, respectively, were observed (within-group difference) (P < 0.001). As a result, it is recommended that nurses should consider providing spiritual care to leukemia patients as a part of holistic care.
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Affiliation(s)
- Mohammad Torabi
- Chronic Diseases (Home Care) Research Centre, Malayer School of Nursing, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Vahid Yousofvand
- Student Research Committee, Hamadan University of Medical Sciences, Hamadan, Iran.
| | - Reza Mohammadi
- Student Research Committee, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Fatemeh Karbin
- Student Research Committee, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Hamid Ranjbaran
- Deputy of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
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Wennström B, Lindberg S, Svensson J, Larsson E, Stensby H, Larsson PA. Being Caught in a Vicious Circle: An Interview Study of Individuals Suffering From Grade II-IV Hiatal Hernia. Gastroenterol Nurs 2023; 46:489-496. [PMID: 37498778 PMCID: PMC10720819 DOI: 10.1097/sga.0000000000000771] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/15/2022] [Accepted: 06/15/2023] [Indexed: 07/29/2023] Open
Abstract
Large paraesophageal hernias are related to life-threatening complications that warrant immediate surgery. Whether the long-standing chronic symptoms related to the disease in individuals without hernia incarceration motivate surgical treatment is still a subject for discussion. The aim of this study was to explore how individuals suffering from Grade II-IV hiatal hernia describe their symptoms and health, as well as how the disease affects their life. Semistructured interviews were performed with 22 individuals planning to undergo surgery for a large paraesophageal hernia. The data were analyzed using qualitative content analysis and resulted in one main theme "Being caught in a vicious circle" and six subthemes "Distressing and uncertain times," "The symptoms have seized control over my health," "Loss of energy and strength," "Strategies for managing daily life," "Loss of social life," and "Moments of hope despite failing health." Central to the participants' descriptions is their commitment to strategies for managing the ever-present and unpredictable symptoms that have seized control over their health. They were trapped in a hopeless and isolated existence, that is, a vicious circle, from which they were unable to escape. Despite the low incidence of volvulus and incarceration, the symptom burden and effect on general health motivate treatment in these individuals.
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Affiliation(s)
- Berith Wennström
- Berith Wennström, PhD, RNA, is at Departments of Anaesthesia, Surgery, and Research, Education, Development and Innovation, Skaraborg Hospital, Skövde, Sweden; and School of Health Sciences, University of Skövde, Skövde, Sweden
- Susan Lindberg, PhD, RNA, is at Departments of Anaesthesia and Research, Education, Development and Innovation, Skaraborg Hospital, Skövde, Sweden; and School of Health Sciences, University of Skövde, Skövde, Sweden
- Johanna Svensson, MD, is at Department of Surgery, Skaraborg Hospital, Skövde, Sweden
- Elin Larsson, RN, is at Department of Research, Education, Development and Innovation, Skaraborg Hospital, Skövde, Sweden
- Helen Stensby, CNOR, is at Departments of Anaesthesia and Surgery, Skaraborg Hospital, Skövde, Sweden; and School of Health Sciences, University of Skövde, Skövde, Sweden
- Per-Anders Larsson, PhD, MD, is at Departments of Surgery and Research, Education, Development and Innovation, Skaraborg Hospital, Skövde, Sweden
| | - Susan Lindberg
- Berith Wennström, PhD, RNA, is at Departments of Anaesthesia, Surgery, and Research, Education, Development and Innovation, Skaraborg Hospital, Skövde, Sweden; and School of Health Sciences, University of Skövde, Skövde, Sweden
- Susan Lindberg, PhD, RNA, is at Departments of Anaesthesia and Research, Education, Development and Innovation, Skaraborg Hospital, Skövde, Sweden; and School of Health Sciences, University of Skövde, Skövde, Sweden
- Johanna Svensson, MD, is at Department of Surgery, Skaraborg Hospital, Skövde, Sweden
- Elin Larsson, RN, is at Department of Research, Education, Development and Innovation, Skaraborg Hospital, Skövde, Sweden
- Helen Stensby, CNOR, is at Departments of Anaesthesia and Surgery, Skaraborg Hospital, Skövde, Sweden; and School of Health Sciences, University of Skövde, Skövde, Sweden
- Per-Anders Larsson, PhD, MD, is at Departments of Surgery and Research, Education, Development and Innovation, Skaraborg Hospital, Skövde, Sweden
| | - Johanna Svensson
- Berith Wennström, PhD, RNA, is at Departments of Anaesthesia, Surgery, and Research, Education, Development and Innovation, Skaraborg Hospital, Skövde, Sweden; and School of Health Sciences, University of Skövde, Skövde, Sweden
- Susan Lindberg, PhD, RNA, is at Departments of Anaesthesia and Research, Education, Development and Innovation, Skaraborg Hospital, Skövde, Sweden; and School of Health Sciences, University of Skövde, Skövde, Sweden
- Johanna Svensson, MD, is at Department of Surgery, Skaraborg Hospital, Skövde, Sweden
- Elin Larsson, RN, is at Department of Research, Education, Development and Innovation, Skaraborg Hospital, Skövde, Sweden
- Helen Stensby, CNOR, is at Departments of Anaesthesia and Surgery, Skaraborg Hospital, Skövde, Sweden; and School of Health Sciences, University of Skövde, Skövde, Sweden
- Per-Anders Larsson, PhD, MD, is at Departments of Surgery and Research, Education, Development and Innovation, Skaraborg Hospital, Skövde, Sweden
| | - Elin Larsson
- Berith Wennström, PhD, RNA, is at Departments of Anaesthesia, Surgery, and Research, Education, Development and Innovation, Skaraborg Hospital, Skövde, Sweden; and School of Health Sciences, University of Skövde, Skövde, Sweden
- Susan Lindberg, PhD, RNA, is at Departments of Anaesthesia and Research, Education, Development and Innovation, Skaraborg Hospital, Skövde, Sweden; and School of Health Sciences, University of Skövde, Skövde, Sweden
- Johanna Svensson, MD, is at Department of Surgery, Skaraborg Hospital, Skövde, Sweden
- Elin Larsson, RN, is at Department of Research, Education, Development and Innovation, Skaraborg Hospital, Skövde, Sweden
- Helen Stensby, CNOR, is at Departments of Anaesthesia and Surgery, Skaraborg Hospital, Skövde, Sweden; and School of Health Sciences, University of Skövde, Skövde, Sweden
- Per-Anders Larsson, PhD, MD, is at Departments of Surgery and Research, Education, Development and Innovation, Skaraborg Hospital, Skövde, Sweden
| | - Helen Stensby
- Berith Wennström, PhD, RNA, is at Departments of Anaesthesia, Surgery, and Research, Education, Development and Innovation, Skaraborg Hospital, Skövde, Sweden; and School of Health Sciences, University of Skövde, Skövde, Sweden
- Susan Lindberg, PhD, RNA, is at Departments of Anaesthesia and Research, Education, Development and Innovation, Skaraborg Hospital, Skövde, Sweden; and School of Health Sciences, University of Skövde, Skövde, Sweden
- Johanna Svensson, MD, is at Department of Surgery, Skaraborg Hospital, Skövde, Sweden
- Elin Larsson, RN, is at Department of Research, Education, Development and Innovation, Skaraborg Hospital, Skövde, Sweden
- Helen Stensby, CNOR, is at Departments of Anaesthesia and Surgery, Skaraborg Hospital, Skövde, Sweden; and School of Health Sciences, University of Skövde, Skövde, Sweden
- Per-Anders Larsson, PhD, MD, is at Departments of Surgery and Research, Education, Development and Innovation, Skaraborg Hospital, Skövde, Sweden
| | - Per-Anders Larsson
- Correspondence to: Per-Anders Larsson, PhD, MD, Departments of Surgery and Research, Education, Development and Innovation, Skaraborg Hospital, 541 85 Skövde, Sweden ()
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Antunes M, Laranjeira C, Querido A, Charepe Z. "What Do We Know about Hope in Nursing Care?": A Synthesis of Concept Analysis Studies. Healthcare (Basel) 2023; 11:2739. [PMID: 37893813 PMCID: PMC10606526 DOI: 10.3390/healthcare11202739] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2023] [Revised: 10/03/2023] [Accepted: 10/11/2023] [Indexed: 10/29/2023] Open
Abstract
Hope is a central concept within the nursing literature, which is crucial towards the development of nursing knowledge. Nursing teams play a crucial role in exploring the meaning of hope and promoting hope among patients and their families. This study aims to synthesize concept analysis studies of hope in the context of nursing care and to propose an evidence-based update of the definition of hope in the International Classification for Nursing Practice (ICNP®). Method: This is a literature review, involving the synthesis of studies concerning the concept analysis of hope in nursing practice. Peer-reviewed articles with fully accessible Portuguese or English text were considered. As we aimed to include a historical perspective of the concept, no restriction upon the time of publication was set. Articles were selected in March 2022 and updated in July 2023 using the Medline, CINAHL, and Scopus databases. The search terms used were "hope" AND "concept" AND "analysis" AND "nurs*". Only articles written in English or Portuguese were included. Two reviewers conducted the research synthesis and report independently to minimize the risk of bias in the included studies. This paper adheres to the PRISMA checklist. To clarify the concept of hope as perceived by patients and develop hope as an evidence-based nursing concept, 13 studies were reviewed. The concept of hope, its attributes, antecedents, and consequences, as well as similar concepts, were studied by nurses and synthesized into a definition. The identified antecedents include pivotal life events, stressful stimuli, and experiencing satisfaction with life. The analysis of its attributes, antecedents, and consequences has contributed to understanding its relevance in nursing care and provided a proposed update of hope in the ICNP®. This review provides conceptual clarity on how hope is defined and used in nursing practice and the potential factors that may impact the promotion of hope to provide opportunities for future nursing research.
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Affiliation(s)
- Mónica Antunes
- Institute of Health Sciences, Universidade Católica Portuguesa, 1649-023 Lisbon, Portugal;
- Center for Interdisciplinary Research in Health (CIIS), Palma de Cima, 1649-023 Lisbon, Portugal
| | - Carlos Laranjeira
- School of Health Sciences, Polytechnic of Leiria, Campus 2, Morro do Lena, Alto do Vieiro, Apartado 4137, 2411-901 Leiria, Portugal; (C.L.); (A.Q.)
- Centre for Innovative Care and Health Technology (ciTechCare), Campus 5, Polytechnic of Leiria, Rua de Santo André-66-68, 2410-541 Leiria, Portugal
- Comprehensive Health Research Centre (CHRC), University of Évora, 7000-801 Évora, Portugal
| | - Ana Querido
- School of Health Sciences, Polytechnic of Leiria, Campus 2, Morro do Lena, Alto do Vieiro, Apartado 4137, 2411-901 Leiria, Portugal; (C.L.); (A.Q.)
- Centre for Innovative Care and Health Technology (ciTechCare), Campus 5, Polytechnic of Leiria, Rua de Santo André-66-68, 2410-541 Leiria, Portugal
- Center for Health Technology and Services Research (CINTESIS), University of Porto, 4200-450 Porto, Portugal
| | - Zaida Charepe
- Institute of Health Sciences, Universidade Católica Portuguesa, 1649-023 Lisbon, Portugal;
- Center for Interdisciplinary Research in Health (CIIS), Palma de Cima, 1649-023 Lisbon, Portugal
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