Relationship of Spirituality with Morbidity and Mortality in Patients with Coronary Artery Disease undergoing CABG Surgery at Shariati Hospital

Authors

Keywords:

Coronary Artery Bypass, Coronary Artery Disease, Spirituality, Trust

Abstract

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Background and Objective: Coronary artery disease is the leading cause of death in most countries. Although the relationship between spirituality and health has been confirmed in various studies, the relation in this specific case has not been investigated. Therefore, the present study was conducted to investigate the relationship of spirituality with morbidity and mortality in patients with coronary artery disease who underwent CABG surgery.

Method: This cross-sectional study was performed on patients with coronary artery disease who had undergone CABG at Dr. Shariati Hospital in Tehran over the time period from December 2012 to December 2013. The data collection tools were a data gathering checklist based on patients' records and respective physician's confirmation and the Spirituality questionnaire (Hall and Edwards, 1996). Data were analyzed using Mann-Whitney, Kruskal-Wallis, and Spearman correlation coefficient. All ethical issues were observed in this study and the authors of the article have not reported any conflicts of interest.

Results: The findings of the relationship between the six subscales of spirituality with morbidity and mortality showed that with an increase in the median score of disappointment subscale, the incidence of infection, tamponade, PVC and AF increased and by increasing the median score of awareness subscale, the incidence rate decreased (P<0.05). There was a significant positive correlation between the hospital stay and disappointment subscale (P=0.003, r=0.291). Mortality also decreased in patients who were more knowledgeable (p<0.05).

Conclusion: The results of the research indicate that spirituality correlates with the incidence of morbidity and mortality after CABG surgery. Therefore, effective solutions such as considering the spiritual issues in the patients' treatment process and training appropriate psychological techniques should be used to expedite their recovery.

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Please cite this article as: Bagheri J, Shayan N, BagheriM.M, Heidari M.Relationship of Spirituality with Morbidity and Mortality in Patients with Coronary Artery Disease undergoing CABG Surgery at Shariati Hospital. J Res Relig Health. 2019; 5(1): 76- 86. doi:https://doi.org/10.22037/jrrh.v5i1.17956

 


References

Sadeghian S, Darvish S, Salimi S, Esfehani FA, Fallah N, Mahmoodian M, et al. Metabolic syndrome: stronger association with coronary artery disease in young men in comparison with higher prevalence in young women. 2007;18(3):163-8.

Lilly LS, Braunwald E. Braunwald's heart disease: a textbook of cardiovascular medicine: Elsevier Health Sciences; 2012.

Fauci AS. Harrison's principles of internal medicine: Mcgraw-hill New York; 1998.

Dar MI, Manan AU, Rasheed B, Murtaza G, Ahmad MJAot, surgery c. Outcome of patients after coronary artery bypass grafting in cardiogenic shock. 2007;13(4):247.

Koenig H, Koenig HG, King D, Carson VB. Handbook of religion and health: Oup Usa; 2012.

Vespa A, Jacobsen PB, Spazzafumo L, Balducci LJPO. Evaluation of intrapsychic factors, coping styles, and spirituality of patients affected by tumors. 2011;20(1):5-11.

Horri N, Haghighi S, Amini M, Zare M, Abazari P, Hassanzadeh A. Relation between the number of major negative stressful life events and undiagnosed glucose metabolism disorders (IGT, Diabetes) in First-Degree relatives of type 2 diabetics. Iranian Journal of Endocrinology & metabolim. 2008;10(1):17-23. (Full Text in Persian)

Musazadeh T, Adib A, Motavally R. A comparative study of level and way of using defense mechanisms by diabetic and healthy individuals in 2007. Medical Sciences Journal of Islamic Azad University Tehran Medical Branch. 2009;19(1):61-4. (Full Text in Persian)

Gordon PA, Feldman D, Crose R, Schoen E, Griffing G, Shankar JJC, et al. The role of religious beliefs in coping with chronic illness. 2002;46(3):162-74.

Rowe MM, Allen RGJAJoHS. Spirituality as a means of coping with chronic illness. 2003;19(1):62-6.

Gall TL, Grant KJPP. Spiritual disposition and understanding illness. 2005;53(6):515-33.

Morris ELJATiH, Medicine. The relationship of spirituality to coronary heart disease. 2001;7(5):96.

Blumenthal JA, Babyak MA, Ironson G, Thoresen C, Powell L, Czajkowski S, et al. Spirituality, religion, and clinical outcomes in patients recovering from an acute myocardial infarction. 2007;69(6):501-8.

Shahrbabaki PM, Nouhi E, Kazemi M, Ahmadi F. Spirituality: a panacea for patients coping with heart failure. International journal of community based nursing and midwifery. 2017 Jan;5(1):38.

Premaratne S, Premaratne ID, Fernando ND, Williams L, Hasaniya NWJJcd. Atrial fibrillation and flutter following coronary artery bypass graft surgery: a retrospective study and review. 2016;5:2048004016634149.

Hall TW, Edwards KJ. The Spiritual Assessment Inventory: A theistic model and measure for assessing spiritual development. Journal for the Scientific Study of Religion. 2002 Jun;41(2):341-57.

Ghomian S, Heydarinasab L. A Preliminary Study of Validity and Reliability of Spirituality Assessment Inventory (SAI). CPAP. 2014;2(10):141-58. (Full Text in Persian)

Ai AL, Peterson C, Bolling SF, Koenig HJTG. Private prayer and optimism in middle-aged and older patients awaiting cardiac surgery. 2002;42(1):70-81.

Arnold S, Herrick LM, Pankratz VS, Mueller PSJIJoANP. Spiritual well-being, emotional distress, and perception of health after a myocardial infarction. 2007;9(1).

Bay PS, Beckman D, Trippi J, Gunderman R, Terry CJJor, health. The effect of pastoral care services on anxiety, depression, hope, religious coping, and religious problem solving styles: a randomized controlled study. 2008;47(1):57-69.

Nabolsi MM, Carson AMJSjocs. Spirituality, illness and personal responsibility: the experience of Jordanian Muslim men with coronary artery disease. 2011;25(4):716-24.

Kennedy JE, Abbott RA, Rosenberg BS. Changes in spirituality and well-being in a retreat program for cardiac patients. Alternative therapies in health and medicine. 2002 Jul 1;8(4):64-73.

Hotoleanu C, Dumitrascu DJJoPR. The role of spirituality in female and male medical patients. 2016;85:66.

Mohammadyari GJP-S, Sciences B. Relationship between parent's spiritual intelligence, level of education and children's mental health.2012;69:2114-8.

Shahbazi H, Shakerinejad GH, Ghajari H, Ghofranipour F, Lotfizadeh M. Relationship of spirituality and quality of life in patients with type 2 diabetes. Iranian Journal of Endocrinology & Metabolism. 2016;17(5):345-52. (Full Text in Persian)

Published

2019-04-06

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Original Article