Turkiye Klinikleri Cardiovascular Sciences

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Açık Kalp Ameliyatı Olacak Hastaların Spiritüel İyi Oluş ve Umut Düzeylerinin Belirlenmesi: Tanımlayıcı Araştırma
Determination of Spiritual Well-Being and Hope Level of Patients Undergoing Open Heart Surgery: A Descriptive Study
Neslihan ÇİÇEKLİa, İlknur ÇALIŞKANb
aKoşuyolu Yüksek İhtisas Eğitim ve Araştırma Hastanesi, Kalp Damar Cerrahisi Kliniği, İstanbul, Türkiye
bİstanbul Okan Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, İstanbul, Türkiye
Turkiye Klinikleri J Cardiovasc Sci. 2022;34(1):17-25
doi: 10.5336/cardiosci.2021-86952
Article Language: TR
Full Text
ÖZET
 Amaç: Araştırma, açık kalp ameliyatı olacak hastaların spiritüel iyi oluş ve umut düzeylerinin belirlenmesi amacıyla tanımlayıcı türde yapılmıştır. Gereç ve Yöntemler: Araştırmanın örneklemini Sağlık Bilimleri Üniversitesi Kartal Koşuyolu Yüksek İhtisas Eğitim ve Araştırma Hastanesinde açık kalp ameliyatı olmak için yatan 166 hasta oluşturmuştur. Araştırmanın verileri; hasta tanıtım formu, Herth Umut İndeksi, Spiritüel İyi Oluş Ölçeği ile toplanmıştır. Verilerin analizinde tanımlayıcı veriler sayı yüzdelik hesaplamaları, Kolmogorov-Smirnov testi, tek yönlü ANOVA, bağımsız gruplar için t-testi, Kruskal-Wallis testi ve Pearson korelasyon analizi kullanılmıştır. Bulgular: Araştırmaya katılan hastaların %72,3'ünün 51 yaş ve üzeri yaş grubunda, %69,3'ünün erkek, %45,3'ü ilkokul mezunu, %84,9'unun evli, %51,2'sinin baypas ameliyatı geçireceği, %84,3'ünün daha önce kalp ameliyatı geçirmediği, %41'inin 4-6 gündür hastanede kaldığı belirlenmiştir. Hastaların Spiritüel İyi Oluş Ölçeği toplam puanının 115,93±10 ve Herth Umut İndeksi toplam puanının 39,11±5,40 olduğu saptanmıştır. Araştırmaya katılmaya gönüllü hastaların tanıtıcı özelliklerine göre Spiritüel İyi Oluş Ölçeği'nden aldıkları puanlar arasında istatistiksel olarak anlamlı farklılık bulunmamıştır (p>0,05). Araştırma kapsamındaki hastaların eğitim durumu, daha önce kalp ameliyatı geçirme durumu ve hastanede kalış süresine göre Herth Umut İndexi'nden aldıkları puanlar arasında istatistiksel olarak anlamlı farklılık belirlenmiştir (p<0,05). Sonuç: Araştırmada, hastaların spiritüel iyi oluşlarının ve umut düzeylerinin yüksek olduğu, spiritüel iyi oluş ile umut düzeyi arasında ilişki olmadığı sonucuna ulaşıldı.

Anahtar Kelimeler: Sağ kalp baypası; spiritüalizm; kardiyovasküler hemşireliği; umut
ABSTRACT
 Objective: This study was carried out in a descriptive type in order to determine the spiritual well-being and hope level of the patients who will undergo open-heart surgery. Material and Methods: The sample of the study consisted of 166 patients hospitalized for open heart surgery at the University of Health Sciences Kartal Koşuyolu Yüksek İhtisas Training and Research Hospital. The data of this study were collected with the patient information form, Herth Hope Index, Spiritual Well-Being Scale. Descriptive data in the analysis of the data were used for the number percent calculations, Kolmogorov-Smirnov test, one-way ANOVA, t-test for independent groups, Kruskal-Wallis test, and Pearson correlation analysis. Results: 72.3% of the patients participating in the study are in the age group of 51 and above, 69.3% are male, 45.3% are primary school graduates, 84.9% are married, 51.2% will undergo bypass surgery. It was determined that 84.3% of them had not undergone heart surgery before, and 41% of them stayed in the hospital for 4-6 days. The total score of the Spiritual Well-Being Scale of the patients was 115.93±10, and the total score of the Herth Hope Index was 39.11±5.40. There was no statistically significant difference between the scores obtained from the Spiritual Well-Being Scale according to the descriptive characteristics of the patients who volunteered to participate in the study (p>0.05). A statistically significant difference was determined between the education level of the patients within the scope of the study, their previous heart surgery and the length of stay in the hospital, and the scores they got from the Herth Hope Index (p<0.05). Conclusion: It was concluded that the patients had high spiritual well-being and hope levels, and there was no relationship between spiritual well-being and hope level.

Keywords: Heart bypass right; spiritualism; cardiovascular nursing; hope
REFERENCES:
  1. National Heart, Lung, and Blood Institute [İnternet]. [Erişim tarihi: 20 Ekim 2021]. What is Heart Surgery. Erişim linki: [Link] 
  2. Cooley DA, Frazier OH. The past 50 years of cardiovascular surgery. Circulation. 2000;102(20 Suppl 4):IV87-93. [PubMed] 
  3. World Health Organization. Amendments to the Constitution Report by the Secretariat. 1999. Erişim tarihi: 20 Ekim 2021. Erişim linki: [Link] 
  4. Shirkavand L, Abbaszadeh A, Borhani F, Momenyan S. Correlation between spiritual well-being with satisfaction with life and death anxiety among elderlies suffering from cancer. Electron J Gen Med. 2018;15(3):4-10. [Crossref] 
  5. Muldoon M, King N. Spirituality, health care, and bioethics. J Relig Health. 1995;34(4):329-49. [Crossref]  [PubMed] 
  6. Rovers M, Kocum L. Development of a holistic model of spirituality. J Spiritual Ment Heal. 2010;12(1):2-24. [Crossref] 
  7. Fisher J. The four domains model: connecting spirituality, health and well-being. Religions. 2011;2(1):17-28. [Crossref] 
  8. Hungelmann J, Kenkel-Rossi E, Klassen L, Stollenwerk RM. Spiritual well-being in older adults: Harmonious interconnectedness. J Relig Health. 1985;24(2):147-53. [Crossref]  [PubMed] 
  9. Umann J, Guido L de A, Linch GF da C. Estratégias de enfrentamento à cirurgia cardíaca [Strategies for coping with cardiac surgery]. Ciência, Cuid e Saúde. 2010;9(1):67-73. [Crossref] 
  10. Lucchese FA, Koenig HG. Religion, spirituality and cardiovascular disease: research, clinical implications, and opportunities in Brazil. Rev Bras Cir Cardiovasc. 2013;28(1):103-28. [Crossref]  [PubMed] 
  11. Ai AL, Corley CS, Peterson C, Huang B, Tice TN. Private prayer and quality of life in cardiac patients: pathways of cognitive coping and social support. Soc Work Health Care. 2009;48(4):471-94. [Crossref]  [PubMed] 
  12. Vargas TVP, Maia EM, Dantas RAS. Sentimentos de pacientes no pré-operatório de cirurgia cardíaca. Rev Latino-am Enferm. 2006;14(3):1-6. [Link] 
  13. Koerich C, Baggio MA, Erdmann AL, De Melo Lanzoni GM, Higashi GDC. Myocardial revascularization: strategies for coping with the disease and the surgical process. ACTA Paul Enferm. 2013;26(1):8-13. [Crossref] 
  14. Bezerra SMMDS, Gomes ET, Galvão PCDC, Souza KV. Spiritual well-being and hope in the preoperative period of cardiac surgery. Rev Bras Enferm. 2018;71(2):398-405. English, Portuguese. [Crossref]  [PubMed] 
  15. Gomes ET, Espinha DCM, Bezerra SMM da S. Religion and belief in God in the preoperative period of cardiac surgery: an exploratory study. Brazilian J Nurs. 2015;14(3):273-83. [Crossref] 
  16. Sidar A, Özdedli Ö, İşkesen İA. Açık kalp cerrahisi öncesi ve sonrası hastaların kaygı ve ağrı distresi: ağrı düzeyi ile ilişkisinin incelenmesi [The relationship between anxiety, pain distress and pain severity before and after open heart surgery in patients]. Yoğun Bakım Dergisi. 2013;4(1):1-8. [Link] 
  17. Ekşi H, Kardaş S. Spiritual well-being: scale development and validation. Spirit Psychol Couns. 2017;2(1):73-88. [Crossref] 
  18. Herth K. Abbreviated instrument to measure hope: development and psychometric evaluation. J Adv Nurs. 1992;17(10):1251-9. [Crossref]  [PubMed] 
  19. Aslan Ö, Sekman K, Kömürcü Ş, Özet A. Kanserli hastalarda umut [Hope among cancer patients]. C.Ü. Hemşirelik Yüksekokulu Dergisi. 2007;11(2):18-24. [Link] 
  20. Martins H, Dias Domingues T, Caldeira S. Spiritual well-being in cancer patients undergoing chemotherapy in an outpatient setting: a cross-sectional study. J Holist Nurs. 2020;38(1):68-77. [Crossref]  [PubMed] 
  21. Reig-Ferrer A, Arenas MD, Ferrer-Cascales R, Fernández-Pascual MD, Albaladejo-Blázquez N, Gil MT, et al. Evaluation of spiritual well-being in haemodialysis patients. Nefrologia. 2012;32(6):731-42. English, Spanish. [PubMed] 
  22. Rabitti E, Cavuto S, Iani L, Ottonelli S, De Vincenzo F, Costantini M. The assessment of spiritual well-being in cancer patients with advanced disease: which are its meaningful dimensions? BMC Palliat Care. 2020;19(1):26. [Crossref]  [PubMed]  [PMC] 
  23. Wakiuchi J, Marchi JA, Norvila LS, Marcon SS, Sales CA. Hope of cancer patients undergoing chemotherapy. ACTA Paul Enferm. 2015;28(3):202-8. [Crossref] 
  24. Soleimani MA, Zarabadi-Pour S, Motalebi SA, Allen KA. Predictors of quality of life in patients with heart disease. J Relig Health. 2020;59(4):2135-48. [Crossref]  [PubMed] 
  25. Bredle JM, Salsman JM, Debb SM, Arnold BJ, Cella D. Spiritual well-being as a component of health-related quality of life: The Functional Assessment Of Chronic Illness Therapy-Spiritual Well-Being Scale (FACIT-Sp). Religions. 2011;2(1):77-94. [Crossref] 
  26. Gjeilo KH, Stenseth R, Wahba A, Lydersen S, Klepstad P. Long-term health-related quality of life and survival after cardiac surgery: a prospective study. J Thorac Cardiovasc Surg. 2018;156(6):2183-90.e2. [Crossref]  [PubMed] 
  27. Sandau KE, Lee CS, Garberich R, Weaver CE, Joseph S, Hall SA, et al. Relationship of spiritual wellbeing and depressive symptoms for patients with a left-ventricular assist device (LVAD). J Hear Lung Transplant. 2019;38(4):S302. [Crossref] 
  28. Nuraeni A, Mirwanti R, Anna A. Relationship of spiritual-wellbeing with anxiety and depression in patients with cardiac heart disease. Belitung Nurs J. 2018;4(1):45-50. [Crossref] 
  29. Yaghoobzadeh A, Soleimani MA, Allen KA, Chan YH, Herth KA. Relationship between spiritual well-being and hope in patients with cardiovascular disease. J Relig Health. 2018;57(3):938-50. [Crossref]  [PubMed] 
  30. Jahani A, Rejeh N, Heravi-Karimooi M, Vaismoradi M, Jasper M. Spiritual wellbeing of Iranian patients with acute coronary syndromes: a cross-sectional descriptive study. J Res Nurs. 2014;19(6):518-27. [Crossref] 
  31. Bay PS, Beckman D, Trippi J, Gunderman R, Terry C. The effect of pastoral care services on anxiety, depression, hope, religious coping, and religious problem solving styles: a randomized controlled study. J Relig Health. 2008;47(1):57-69. [Crossref]  [PubMed] 
  32. Mahdavi A, Esmaeili R, Heidari-Gorji MA, Mohammadi-Tazeh F, Charati JY. Anxiety and hope to life in open heart surgery patients-a cross sectional study. J Cardiovasc Dis Res. 2016;7(1):23-6. [Link] 
  33. Rawdin B, Evans C, Rabow MW. The relationships among hope, pain, psychological distress, and spiritual well-being in oncology outpatients. J Palliat Med. 2013;16(2):167-72. [Crossref]  [PubMed]  [PMC] 
  34. Utne I, Miaskowski C, Bjordal K, Paul SM, Jakobsen G, Rustøen T. The relationship between hope and pain in a sample of hospitalized oncology patients. Palliat Support Care. 2008;6(4):327-34. [Crossref]  [PubMed] 

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