Mind-Body-Spiritual Care for Coronary Heart Disease Patients - A Systematic Review

Abstract

Background. Coronary heart disease (CHD) patients hospitalized for acute coronary syndrome may experience bio-psycho-spiritual distress. The objective of this study was to assess evidence of nursing care or other interventions addressing the patient's bio, psycho, and spiritual issues and determine the efficacy of the existing intervention tailored to tackle the issues. Methods. A comprehensive search was carried out on various databases i.e. PubMed (Medline), Embase, CINAHL, Scopus, Springerlink, PsycInfo, ProQuest, EBSCOHost, Web of Science Clarivate Analytic and Science Direct. Unpublished studies were also searched from libraries and university repositories. Results. Seventeen out of 1215 papers meeting inclusion criteria were included in the review. The study encompassing mind, body, and spiritual nursing care was very limited in number, most reviewed papers were not on nursing care and examined the individual intervention. All reviewed studies reported positive results. Nevertheless, the reviewed studies were very diverse in terms of intervention (dose, the method of delivery, length of follow up), the patients' condition treated, and outcome measured makes it difficult to conclude on a certain nursing care model and its effectiveness for the CHD patients. Conclusion. Further study is necessary to develop the best nursing care model for coronary heart disease patients and to examine its effectiveness in alleviating patients' issues.