Effect of Spiritual Care on Hope and Self-Transcendence of Mothers of Premature Neonates Hospitalized in the Neonatal Intensive Care Unit

Document Type : Original Article

Authors

1 School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran

2 Spiritual Health Research Center, Mental Health Department, School of Behavioral Sciences and Mental Health, Tehran Institute of Psychiatry, Iran University of Medical Sciences, Tehran, Iran

Abstract

Background: Premature birth and hospitalization in Neonatal Intensive Care Units (NICUs) is a critical issue for parents, especially mothers. The present study aimed to investigate the effect of spiritual care on hope and self-transcendence in mothers with premature newborns hospitalized in the NICUs.
Methods: This quasi-experimental, single-group study was conducted using time series analysis. The sample consisted of 30 mothers with premature neonates hospitalized in Shahid Beheshti Hospital, Maraqeh, Iran. The participants were selected through a convenience sampling method following the inclusion criteria. The data were collected using the demographic characteristic forms of mothers and the clinical status of infants, as well as the hope and self-transcendence scales of the mothers with premature neonates admitted to the NICU. The data were analyzed in SPSS software (version 19) through descriptive statistics (i.e., frequency distribution, mean and standard deviation) and repeated measures analysis of variance (ANOVA).
Results: The findings show a significant difference among the pre-test, post-test, and follow-up stages in terms of the mean scores of hope and self-transcendence using repeated measure ANOVA (P<0.001). Moreover, in examining the effect of spiritual care on hope and self-transcendence in mothers, the results of repeated measures ANOVA showed that there was a difference among the pre-test, post-test and follow-up stages in terms of the mean scores of mothers’ hope, (P<0.001, F=53.133, and Eta-squared=0.639). Moreover, a significant difference was observed among the pre-test, post-test, and follow-up phases regarding the mean scores of self-transcendence (P<0.001, F=131.239, and Eta-squared=0.814).
Conclusion: Since spirituality can lead to an increase in hope and self-transcendence of mothers with premature infants hospitalized in the NICUs, this approach can be used as an appropriate intervention method to help improve their adaptation and peace of mind. Therefore, barriers to providing these types of care and managing them must be identified so that nurses in the NICUs can use them.

Keywords

References

1. Ghasemi M, Dehdari T, Mohagheghi P, Gohari M, Zargrzadeh Z. Mothers’ performance on caring for their premature infants: a pilot study. Iran J Nurs. 2012; 25(79):24-33.
2. Dadipoor S, Alavi A, Pormehr-Yabandeh A, Golnam M, Safari-Moradabadi A. Investigation on some maternal factors affecting the birth of preterm infants: a case–control study. Feyz J. 2017; 20(6):551-6.
3. Linhares MB, Carvalho AE, Padovani FH, Bordin MB, Martins IM, Martinez FE. A compreensão do fator de risco da prematuridade sob a ótica desenvolvimental. Vulnerabilidade e proteção: indicadores na trajetória de desenvolvimento do escolar. São Paulo: Casa do Psicólogo; 2004. P. 11-38.
4. Karekla M, Constantinou M. Religious coping and cancer: proposing an acceptance and commitment therapy approach. Cogn Behav Pract. 2010; 17(4):371-81.
5. Mazaheri M, Fallahi MK, Maddah S, Rahgozar M. Nurses' attitudes to spirituality and spiritual care. Payesh. 2008; 8(1):31-7.
6. Livneh H, Antonak RF. Psychosocial adaptation to chronic illness and disability: a primer for counselors. J Counsel Dev. 2005; 83(1):12-20.
7. Moreira-Almeida A, Lotufo Neto F, Koenig HG. Religiousness and mental health: a review. Braz J Psychiatry. 2006; 28(3):242-50.
8. Koenig HG, George LK, Titus P. Religion, spirituality, and health in medically ill hospitalized older patients. J Am Geriatr Soc. 2004; 52(4):554-62.
9. Nemati S, Rassouli M, Ilkhani M, Baghestani AR. Perceptions of family caregivers of cancer patients about the challenges of caregiving: a qualitative study. Scand J Caring Sci. 2018; 32(1):309-16.
10. Vafaei Fooladi A, Rassouli M, Yaghmaie F, Shakeri N. Assessing correlation between spiritual wellbeing and stress of mothers of hospitalized newborns in neonatal intensive care units. Iran J Nurs. 2015; 28(95):54-62.
11. Plaas KM. Waiting for the other shoe to drop: the lived experience of hope for mothers of premature infants in the neonatal intensive care unit. Knoxville: University of Tennessee; 2007.
12. Carvalho AE, Linhares MB, Padovani FH, Martinez FE. Anxiety and depression in mothers of preterm infants and psychological intervention during hospitalization in neonatal ICU. Span J Psychol. 2009; 12(1):161-70.
13. Lee SY, Kimble LP. Impaired sleep and well-being in mothers with low-birth-weight infants. J Obstet Gynecol Neonatal Nurs. 2009; 38(6):676-85.
14. Reihani T, Sekhavat Poor Z, Heidarzadeh M, Mosavi SM, Mazlom SR. The effect of spiritual self-care training on feeling of comfort in mothers of hospitalized preterm infants. J Midwifery Reprod Health. 2014; 2(2):112-9.
15. Pirbodaghi M, Rasouli M, Ilkhani M, Alavi MH. An investigation of factors associated adaptation of mothers to disease of child with cancer based on 
roy model testing. Qom Univ Med Sci J 2016; 9(11):41-50.
16. Nikseresht F, Rassouli M, Torabi F, Farzinfard F, Mansouri S, Ilkhani M. The effect of spiritual care on mental health in mothers of children with cancer. Holist Nurs Pract. 2016; 30(6):330-7.
17. Penjvini S, Valizadeh S, Rassouli M, Abadi AN, Mansoori M. Psychometric properties of hope scale in mothers with premature infants admitted to the neonatal intensive care unit. Res J Pharm Biol Chem Sci. 2015; 6(1):800-4.
18. Farahani AS, Rassouli M, Yaghmaie F, Majd HA, Sajjadi M. Psychometric properties of the Persian version of self-transcendence scale: adolescent version. Int J Community Based Nurs Midwifery. 2016; 4(2):157-67.
19. Gumus AB, Cam O. Effects of emotional support-focused nursing interventions on the psychosocial adjustment of breast cancer patients. Asian Pac J Cancer Prev. 2008; 9(4):691-7.
20. Fallah R, Golzari M, Dastani M, Akbari ME. Integrating spirituality into a group psychotherapy program for women surviving from breast cancer. Iran J Cancer Prev. 2011; 4(3):141.
21. McSherry W. Making sense of spirituality in nursing and health care practice: an interactive approach. London: Jessica Kingsley Publishers; 2006.
22. Memaryan N, Rassouli M, Mehrabi M. Spirituality concept by health professionals in Iran: a qualitative study. Evid Based Complement Alternat Med. 2016; 2016:8913870.
23. Tanyi RA. Spirituality and family nursing: spiritual assessment and interventions for families. J Adv Nurs. 2006; 53(3):287-94.
24. Surbone A, Baider L. The spiritual dimension of cancer care. Crit Rev Oncol Hematol. 2010; 73(3):228-35.
25. Zeynivand Z, Aminijavid L, Karami J. The effectiveness of spiritual education with islamic approach in reducing existential anxiety. J Psychol Religion. 2015; 8(4):93-106.
26. Conway J. Integrating spiritual care as part of comprehensive cancer treatment. Oncol Nurse Adv. 2010; 1:24-7.
27. Moeini M, Ghasemi TM, Yousefi H, Abedi H. The effect of spiritual care on spiritual health of patients with cardiac ischemia. Iran J Nurs Midwifery Res. 2012; 17(3):195.
28. Ghulam A, Beshlideh K. Effectiveness of spirituality therapy on mental health of divorced women. Fam Counsel Psychother. 2011; 1(3):331-48.
29. Morasei F, Aghajani M. The effect of counseling with spirituality approach on hope in patients with chronic renal failure. Complement Med J. 2014;
4(2):776-86.
30. Tang ST. Concordance of quality-of-life assessments between terminally ill cancer patients and their primary family caregivers in Taiwan. Cancer Nurs. 2006; 29(1):49-57.
31. Zafarian Moghaddam E, BehnamVashani HR, Reihani T, Namazi Zadegan S. The effect of spiritual education on depression, anxiety and stress of caregivers of children with leukemia. J Torbat Heydariyeh Univ Med Sci. 2016; 4(1):1-7.
32. Lotfi Kashani F, Vaziri S, Gheysar S, Mosavi M, Hashemiye M. Effectiveness of spiritual intervention to improve the quality of life of mothers of children with cancer. Med Ethics. 2012; 11(12):125-49.
33. Lark RE. The relationship of mood and spirituality to state hope and dispositional forgiveness. Hattiesburg: The University of Southern Mississippi; 2007.
34. Küçük Alemdar D, Kardaş Özdemir F, Güdücü Tüfekci F. The effect of spiritual care on stress levels of mothers in NICU. Western J Nurs Res. 2018; 40(7):997-1011.
35. Green J. Living in hope and desperate for a miracle: NICU nurses perceptions of parental anguish. J Religion Health. 2015; 54(2):731-44.
36. Lohne V, Miaskowski C, Rustøen T. The relationship between hope and caregiver strain in family caregivers of patients with advanced cancer. Cancer Nurs. 2012; 35(2):99-105.
37. Ramer L, Johnson D, Chan L, Barrett MT. The effect of HIV/AIDS disease progression on spirituality and self-transcendence in a multicultural population. J Transcult Nurs. 2006; 17(3):280-9.
38. Starks SH, Hughey AW. African American women at midlife: the relationship between spirituality and life satisfaction. Affilia. 2003; 18(2):133-47.
39. Heidarzadeh M, Rassouli M, Brant JM, Mohammadi-Shahbolaghi F, Alavi-Majd H. Dimensions of posttraumatic growth in patients with cancer: a mixed method study. Cancer Nurs. 2018; 41(6):441-9.
40. Jafari N, Loghmani A, Puchalski CM. Spirituality and health care in Iran: time to reconsider. J Religion Health. 2014; 53(6):1918-22.
41. Rassouli M, Sajjadi M. Palliative care in Iran: moving toward the development of palliative care for cancer. Am J Hospice Palliative Med. 2016; 33(3):240-4.
42. Catlin EA, Guillemin JH, Thiel MM, Hammond S, Wang ML, O'Donnell J. Spiritual and religious components of patient care in the neonatal intensive care unit: sacred themes in a secular setting. J Perinatol. 2001; 21(7):426-30.
Iranian Journal of Neonatology
Volume 11, Issue 4
October 2020
Pages 106-113

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