Background. Depression, as the most common psychological problem in hemodialysis patients, can be alleviated by spiritual care and belief in God's mercy and power. Objectives. The aim of this study was "evaluation of the effect of spiritual care based on the Sound Heart Model on depression in hemodialysis patients". Material and methods. This clinical trial study was conducted in 2018 on hemodialysis patients at the Kamkar hospital in Qom. Sampling was done in an accessible form and according to inclusion criteria. Due to the patients' self-care ability, spiritual care was provided in the supportive-educational system by 12 individual educational sessions, 45-35 minutes long, for patients and families, based on the Sound Heart Algorithm after donating educational booklet. The Goldberg Depression Questionnaire was completed by both control and intervention groups before and after the intervention. Results. There was no significant difference in mean scores of depression between the intervention and control groups before intervention (p = 0.604). After the intervention, the difference was significant (p = 0.000). There was no statistically significant difference in mean scores of depression in the control group before and after the intervention (p = 0.259), while this difference was significant in the intervention group (p < 0.001). Conclusions. the Sound Heart Model, with a holistic, community-based approach by creating courage in the face of disease crises, hope, optimism, positive thinking, development of the family's and patient's relationship with God, self, people and nature, was able to reduce depression in hemodialysis patients, and thus the use of its strategy is recommended.
Background and Objectives: Lifestyle modifications pertain to all aspects of life, including physical, mental, and psychological domains. Therefore, the achievement of any kind of health, especially mental health, has come into special focus. The current study aimed to investigate the Islamic lifestyle and its relationship with depression and anxiety among the students of Qom University of Medical Sciences.Methods: This descriptive cross-sectional study was conducted on 500 students of Qom University of Medical Sciences. They were selected by cluster random sampling among all students of Qom University of Medical Sciences. To assess the relationship of Islamic lifestyle with depression and anxiety among students, the following instruments were utilized: Kaviani Islamic Lifestyle Survey Test-short form (ILST), Beck Anxiety Inventory, and Goldberg Depression Questionnaire. The data were analyzed in SPSS software using the Pearson correlation coefficient and linear regression test. Results:Based on the results of the present study demonstrated that the Pearson correlation coefficient between lifestyle and depression was obtained at R=-0.15; moreover, this value was calculated at R=-0.12 for lifestyle and anxiety. Moreover, people with a better lifestyle experience less anxiety and depression and vice versa Furthermore, anxiety, and depression were not significantly correlated with such demographic variables as age, grade point average, gender, place of residence, and marital status, as compared to the Islamic lifestyle. Conclusion:As evidenced by the obtained results, anxiety and depression can predict people's lifestyle. Therefore, it is recommended that standard educational programs focus on the Islamic lifestyle in order to promote better health in the students.
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