TY - JOUR
T1 - The Effect of a Preoperative Spiritual/Religious Intervention on Anxiety in Shia Muslim Patients Undergoing Coronary Artery Bypass Graft Surgery
T2 - A Randomized Controlled Trial
AU - Hosseini, Mohammadali
AU - Salehi, Alireza
AU - Fallahi Khoshknab, Masoud
AU - Rokofian, Asghar
AU - Davidson, Patricia Mary
PY - 2013/9
Y1 - 2013/9
N2 - Background: Coronary artery bypass grafting (CABG) is associated with anxiety. Preoperative anxiety is considered a predictor for a range of suboptimal postsurgical outcomes. Objective: To evaluate the effect of a spiritual/religious training intervention on anxiety in Shia Muslim individuals scheduled for CABG. Methods: A randomized controlled trial of a preoperative spiritual/religious training intervention, congruent with Islamic supplication (Zikr), was administered in five sessions of 45 minutes duration to test the impact on anxiety in comparison with standard care. Seventy participants were selected based on inclusion criteria and randomly allocated to treatment and control groups. Baseline levels of anxiety and the impact of the intervention were assessed using the Persian version of the Hamilton Anxiety Scale. Results: Baseline characteristics were comparable between the intervention and control groups. Following the intervention, there was a statistically significant difference in anxiety mean scores between intervention (19.48 ± 2.03) and control groups (43.27 ± 5.49), p <.001. Conclusions: This study demonstrates that preoperative spiritual/religious training can reduce anxiety in Muslim patients undergoing CABG. Further evaluation of this intervention in other population groups is warranted and the study underscores the importance of culturally appropriate and interventions.
AB - Background: Coronary artery bypass grafting (CABG) is associated with anxiety. Preoperative anxiety is considered a predictor for a range of suboptimal postsurgical outcomes. Objective: To evaluate the effect of a spiritual/religious training intervention on anxiety in Shia Muslim individuals scheduled for CABG. Methods: A randomized controlled trial of a preoperative spiritual/religious training intervention, congruent with Islamic supplication (Zikr), was administered in five sessions of 45 minutes duration to test the impact on anxiety in comparison with standard care. Seventy participants were selected based on inclusion criteria and randomly allocated to treatment and control groups. Baseline levels of anxiety and the impact of the intervention were assessed using the Persian version of the Hamilton Anxiety Scale. Results: Baseline characteristics were comparable between the intervention and control groups. Following the intervention, there was a statistically significant difference in anxiety mean scores between intervention (19.48 ± 2.03) and control groups (43.27 ± 5.49), p <.001. Conclusions: This study demonstrates that preoperative spiritual/religious training can reduce anxiety in Muslim patients undergoing CABG. Further evaluation of this intervention in other population groups is warranted and the study underscores the importance of culturally appropriate and interventions.
KW - anxiety
KW - coronary artery bypass grafting, CABG
KW - religious
KW - spiritual
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U2 - 10.1177/0898010113488242
DO - 10.1177/0898010113488242
M3 - Article
C2 - 23942577
AN - SCOPUS:84884163145
SN - 0898-0101
VL - 31
SP - 164
EP - 172
JO - Journal of Holistic Nursing
JF - Journal of Holistic Nursing
IS - 3
ER -