1MSc of Neonatal Intensive Care Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
2PhD of Counseling, Assistant Professor of Psychology Department, Islamic Azad University, Torbat-e-Jam Branch, Mashhad, Iran
3Instructor of Mashhad University of Medical Sciences, Mashhad, Iran
4Instructor of Nursing, Evidence-based Care Research Centre, Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
5Mashhad University of Medical Sciences, Nursing &amp; Midwifery School, Department of Pediatric Nursing
Background: Neonatal mortality, prematurity, and congenital disorders, known as crisis, are unexpected stressful events causing extreme maternal stress. According to the literature, about 28-70% of the mothers have a high degree of psychological stress. Among different treatments, praying as a complementary religious approach is the most common source that people use in difficult conditions. Regarding this, the aim of the present study was to determine the effect of praying on anxiety and stress in mothers with premature neonates admitted to the Neonatal Intensive Care Unit (NICU). Methods: This clinical trial was conducted on 60 mothers with premature neonates. The participants were randomly divided into the intervention and control groups. In the intervention group, praying was performed one day after the presence of the mother in the NICU for 7 days. The tools employed in this study included the demographic characteristics and subject selection forms, depression, anxiety, and stress scale, as well as Symptom Checklist-90-R and prayer questionnaires. The validity and reliability of these tools were approved using content validity and internal consistency, respectively. Data analysis was performed by independent and paired t-tests as well as ANOVA through SPSS version 11.5. Results: The two groups were matched in terms of all maternal demographic and neonatal characteristics, except neonatal birth weight (P=0.045). As the results demonstrated, there was a statistically significant difference between the intervention and control groups in terms of their anxiety scores (P=0.02); however, the difference was not significant after one month following the intervention (P=0.076). Nevertheless, no statistically significant difference was observed between the stress scores of the two groups. Conclusion: As the findings of the current study revealed, praying can be effective in reducing the maternal anxiety.
Valizadeh L, Akbarbeglou M, Asad EM. Stressors affecting mothers with hospitalized premature newborn in NICUs of three teaching hospitals in Tabriz. Med J Tabriz Univ Med Sci. 2009; 31(1):85-90 (Persian).
Jafari Mianaei S, Alaee Karahroudy F, Rassouli M, Zagheri Tafreshi M. The effect of creating opportunities for parent empowerment program on maternal stress, anxiety, and participation in NICU wards in Iran. Iran J Nurs Midwifery Res. 2014; 19(1):94-100.
10. Hojjati H, Taheri N, Akhoondzade G, Heydari B, Sharifnia S. Resorting to pray rate in hemodialysis patients of Golestan province. J Crit Care Nurs. 2010; 3(2):11-2 (Persian).
11. Moran MR. The study of association between uses of spirituality (religious attitude) with mental health in safe community. Proceedings Congress on the Safe Society Tehran City, Tehran, Iran; 2009. P. 265-76 (Persian).
12. Ebrahimi A, Neshat Dust H, Kalantari M, Nasiri H. The relationship between listed and pray with students' anxiety. J Res Behav Sci. 2005; 2:43-9 (Persian)..
13. Dunn KS, Horgas AL. The prevalence of prayer as a spiritual self-care modality in elders. J Holist Nurs. 2000; 18(4):337-51.
14. Sadighi Z, Jahangir A, Karbakhsh M, Maftoun F, Khodaei S, Harirchi I. Using prayer in clinical practice: a survey on Iranian physicians ‘views and practices. Daneshvar Med. 2009; 16(82):67-72 (Persian).
15. Hojjati H, Qorbani M, Nazari R, Sharifnia H, Akhoondzade G. On the relationship between prayer frequency and spiritual health in patients under hemodialysis-therapy. J Fundament Ment Health. 2010; 12(2):514-21 (Persian).
16. Anisi J, Akbari F, Majdian M, Atashkar M, Ghorbani Z. Standardization of mental disorders symptoms checklist 90 revised (SCL-90 -R) in army staffs. J Military Psychol. 2011; 2(5):29-37.
17. Majidi SA. Recitation effect of holy Quran on anxiety of patients before undergoing coronary artery angiography. J Guilan Univ Med Sci. 2004; 13(49):61-7.
18. Mohammadi MR, Akbari AA, Hatami N, Mokri A, Kaviani H, Salmanian M, et al. Effectiveness of grouped spiritual psychotherapy on patients with opium using disorder. Hakim. 2011; 14(3):144-50 (Persian).
19. Allameh T, Jabal Ameli M, Lorestani K, Akbari M. The efficacy of Quran sound on anxiety and pain of patients under cesarean section with regional anesthesia: a randomized case-controlled clinical trial. J Isfahan Med Sch. 2013; 31(235):601-10 (Persian).
21. Bolhari J, Naziri GH, Zamanian S. Effectiveness of spiritual group therapy in reducing depression, anxiety, and stress of women with breast cancer. J Women. 2012; 3(9):87-117 (Persian).
22. Ghahari SH, Fallah R, Bolhari J, Moosavi M, Razaghi Z, Akbari ME. Effectiveness of cognitive-behavioral and spiritual-religious interventions on reducing anxiety and depression of women with breast cancer. Know Res Appl Psychol. 2012; 13(4):33-40.
23. Farmahini Farahani M, Ghorbani M. Effect of Tavassol prayer on mental health of second year nursing students of School of Nursing. Complement Med J Facul Nurs Midwifery. 2012; 2(2):135-47 (Persian).
24. Melnyk BM, Crean HF, Feinstein NF, Fairbanks E. Maternal anxiety and depression after a premature infant's discharge from the neonatal intensive care unit: explanatory effects of the creating opportunities for parent empowerment program. Nurs Res. 2008; 57(6):383-94.
25. Ahn YM, Kim NH. Parental perception of neonates, parental stress and education for NICU parents. Asian Nurs Res. 2007; 1(3):199-210.