Volume 12, Issue 2 (2024)
Health Educ Health Promot 2024, 12(2): 299-307 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Mulyana B, Trisyani Y, Nuraeni A, Astrada A, Pamungkas R, Ekawaty D et al . Effect of the Affective Stimulation-Based Family-Centered Integrated Spiritual Support on Psychological Aspects of Acute Coronary Syndrome Patients. Health Educ Health Promot 2024; 12 (2) :299-307
URL: http://hehp.modares.ac.ir/article-5-74151-en.html
URL: http://hehp.modares.ac.ir/article-5-74151-en.html
1- Department of Nursing, Faculty of Health Sciences, Esa Unggul University, Jakarta, Indonesia
2- Department of Critical Care Nursing, Faculty of Nursing, Padjadjaran University, Bandung, Indonesia
3- Department of Education and Training, Tarakan Hospital, Jakarta, Indonesia
4- Department of Education and Training, Wishan Medika Clinic, Jakarta, Indonesia
2- Department of Critical Care Nursing, Faculty of Nursing, Padjadjaran University, Bandung, Indonesia
3- Department of Education and Training, Tarakan Hospital, Jakarta, Indonesia
4- Department of Education and Training, Wishan Medika Clinic, Jakarta, Indonesia
Abstract: (700 Views)
Aims: There are approximately 422.7 million cases of acute coronary syndrome worldwide. This study assessed the effect of affective stimulation-based, family-centered integrated spiritual support on relieving chest pain and anxiety in patients with acute coronary syndrome in the coronary intensive care unit.
Materials & Methods: This pilot study employed a quasi-experimental pre- and post-test design with a non-equivalent control group. Thirty respondents were selected using consecutive sampling techniques and divided into the experimental (n=15) and control (n=15) groups. The experimental group received routine care along with the program, while the control group received only routine care. The Numeric Pain Rating Scale was used to measure chest pain, and the Visual Analog Scale for Anxiety was used to assess anxiety. Data analysis began with a normality test using the Shapiro-Wilk test, followed by a homogeneity test using Levene's and Chi-square tests. Univariate analysis was conducted using frequency, percentage, mean, and standard deviation, concluding with a paired t-test, an independent t-test, Cohen’s d, and analysis of covariance.
Findings: Most respondents were males diagnosed with non-ST-elevation myocardial infarction. There was a statistically significant difference in the mean pain and anxiety scores between the pre-test and post-test in each group. There was a significant difference between the experimental and control groups regarding the average patient anxiety score, with an effect size of 0.807, but no significant difference in the average patient pain score.
Conclusion: Routine care combined with affective stimulation-based family-centered integrated spiritual support results in a better average pain and anxiety score.
Materials & Methods: This pilot study employed a quasi-experimental pre- and post-test design with a non-equivalent control group. Thirty respondents were selected using consecutive sampling techniques and divided into the experimental (n=15) and control (n=15) groups. The experimental group received routine care along with the program, while the control group received only routine care. The Numeric Pain Rating Scale was used to measure chest pain, and the Visual Analog Scale for Anxiety was used to assess anxiety. Data analysis began with a normality test using the Shapiro-Wilk test, followed by a homogeneity test using Levene's and Chi-square tests. Univariate analysis was conducted using frequency, percentage, mean, and standard deviation, concluding with a paired t-test, an independent t-test, Cohen’s d, and analysis of covariance.
Findings: Most respondents were males diagnosed with non-ST-elevation myocardial infarction. There was a statistically significant difference in the mean pain and anxiety scores between the pre-test and post-test in each group. There was a significant difference between the experimental and control groups regarding the average patient anxiety score, with an effect size of 0.807, but no significant difference in the average patient pain score.
Conclusion: Routine care combined with affective stimulation-based family-centered integrated spiritual support results in a better average pain and anxiety score.
Keywords: Acute Coronary Syndrome [MeSH], Anxiety [MeSH], Chest Pain [MeSH], Coronary Care Unit [MeSH], Psychological Well-Being [MeSH]
Article Type: Original Research |
Subject:
Health Care
Received: 2024/03/5 | Accepted: 2024/05/29 | Published: 2024/06/30
Received: 2024/03/5 | Accepted: 2024/05/29 | Published: 2024/06/30
References
1. Pangestika DD, Trisyani Y, Nur'aeni A. The effect of dhikr therapy on the cardiac chest pain of acute coronary syndrome (ACS) patients. Nurse Media J Nurs. 2020;10(2):200-10. [Link] [DOI:10.14710/nmjn.v10i2.25638]
2. Bjørnnes AK, Rustøen T, Lie I, Watt-Watson J, Leegaard M. Pain characteristics and analgesic intake before and following cardiac surgery. Eur J Cardiovasc Nurs. 2016;15(1):47-54. [Link] [DOI:10.1177/1474515114550441]
3. Gonzalez-Martin S, Becerro-de-Bengoa-Vallejo R, Angulo-Carrere MT, Iglesias ME, Martinez-Jimenez EM, Casado-Hernandez I, et al. Effects of a visit prior to hospital admission on anxiety, depression and satisfaction of patients in an intensive care unit. Intensive Crit Care Nurs. 2019;54:46-53. [Link] [DOI:10.1016/j.iccn.2019.07.001]
4. Xiao Y, Li W, Zhou J, Zheng J, Cai X, Guo M, et al. Impact of depression and/or anxiety on patients with percutaneous coronary interventions after acute coronary syndrome: A protocol for a real-world prospective cohort study. BMJ Open. 2019;9(9):e027964. [Link] [DOI:10.1136/bmjopen-2018-027964]
5. Morton PG, Fontaine D, Hudak CM, Gallo BM. Critical care nursing: A holistic approach. 8th ed. Jakarta: EGC; 2013. [Link]
6. Iles-Smith H, McGowan L, Campbell M, Mercer C, Deaton C. A prospective cohort study investigating readmission, symptom attribution and psychological health within six months of primary percutaneous coronary intervention. Eur J Cardiovasc Nurs. 2015;14(6):506-15. [Link] [DOI:10.1177/1474515114543227]
7. Black JM, Hawks JH. Medical surgical nursing: Clinical management for positive outcomes. Singapure: Elsevier; 2009. [Link]
8. Sağlık DS, Çağlar S. The effect of parental presence on pain and anxiety levels during invasive procedures in the pediatric emergency department. J Emerg Nurs. 2019;45(3):278-85. [Link] [DOI:10.1016/j.jen.2018.07.003]
9. Farquhar JM, Stonerock GL, Blumenthal JA. Treatment of anxiety in patients with coronary heart disease: A systematic review. Psychosomatics. 2018;59(4):318-32. [Link] [DOI:10.1016/j.psym.2018.03.008]
10. Agrawal H, Aggarwal K, Littrell R, Velagapudi P, Turagam MK, Mittal M, et al. Pharmacological and non pharmacological strategies in the management of coronary artery disease and chronic kidney disease. Curr Cardiol Rev. 2015;11(3):261-9. [Link] [DOI:10.2174/1573403X1103150514155757]
11. Sahrayi Zarghi S, Najafi Ghezeljeh T, Rasouli M. The effect of aromatherapy and the benson relaxation technique on the anxiety of patients with acute coronary syndrome: Randomized controlled trial. J Client Cent Nurs Care. 2020;6(2):109-16. [Link] [DOI:10.32598/JCCNC.6.2.34.2]
12. Abbasi M, Mohammadi E, Sheaykh Rezayi A. Effect of a regular family visiting program as an affective, auditory, and tactile stimulation on the consciousness level of comatose patients with a head injury. Jpn J Nurs Sci. 2009;6(1):21-6. [Link] [DOI:10.1111/j.1742-7924.2009.00117.x]
13. Goldfarb MJ, Bibas L, Bartlett V, Jones H, Khan N. Outcomes of patient- and family-centered care interventions in the ICU: A systematic review and meta-analysis. Crit Care Med. 2017;45(10):1751-61. [Link] [DOI:10.1097/CCM.0000000000002624]
14. Zuo J, Tao Y, Liu M, Feng L, Yang Y, Liao L. The effect of family-centered sensory and affective stimulation on comatose patients with traumatic brain injury: A systematic review and meta-analysis. Int J Nurs Stud. 2021;115:103846. [Link] [DOI:10.1016/j.ijnurstu.2020.103846]
15. Ding X, Zhu L, Zhang R, Wang L, Wang TT, Latour JM. Effects of family-centred care interventions on preterm infants and parents in neonatal intensive care units: A systematic review and meta-analysis of randomised controlled trials. Aust Crit Care. 2019;32(1):63-75. [Link] [DOI:10.1016/j.aucc.2018.10.007]
16. Mulyana B, Yanny Trisyani W, Nur'aeni A, Pamungkas RA. A systematic review of family-centered intervention among critical ill patients. Indones J Nurs Health Sci. 2021;6(2):133-57. [Link]
17. Salmani F, Mohammadi E, Rezvani M, Kazemnezhad A. The effects of family-centered affective stimulation on brain-injured comatose patients' level of consciousness: A randomized controlled trial. Int J Nurs Stud. 2017;74:44-52. [Link] [DOI:10.1016/j.ijnurstu.2017.05.014]
18. ipfcc.org [Internet]. Virginia: Institute for Patient- and Family-Centered Care: Transforming Health Care Through Partnerships; 2024 [cited 2024, January, 04]. Available from: https://ipfcc.org/. [Link]
19. aacn.org [Internet]. Aliso Viejo: American Association of Critical-Care Nurses; c1996-2024 [cited 2024, January, 04]. Available from: https://www.aacn.org/. [Link]
20. sdicompanions.org [Internet]. Seattle: Spiritual Directors International; c2024 [cited 2024, January, 04]. Available from: https://www.sdicompanions.org/. [Link]
21. Baarslag MA, Jhingoer S, Ista E, Allegaert K, Tibboel D, Van Dijk M. How often do we perform painful and stressful procedures in the paediatric intensive care unit? A prospective observational study. Aust Crit Care. 2019;32(1):4-10. [Link] [DOI:10.1016/j.aucc.2018.04.003]
22. Lichtman AH, Lux EA, McQuade R, Rossetti S, Sanchez R, Sun W, et al. Results of a double-blind, randomized, placebo-controlled study of nabiximols oromucosal spray as an adjunctive therapy in advanced cancer patients with chronic uncontrolled pain. J Pain Symptom Manag. 2018;55(2):179-88. [Link] [DOI:10.1016/j.jpainsymman.2017.09.001]
23. Wu SI, Wu CC, Tsai PJ, Cheng LH, Hsu CC, Shan IK, et al. Psychobiotic supplementation of PS128TM improves stress, anxiety, and insomnia in highly stressed information technology specialists: A pilot study. Front Nutr. 2021;8:614105. [Link] [DOI:10.3389/fnut.2021.614105]
24. Utli H, Vural Doğru B. The effect of the COVID-19 pandemic on self-management in patients with type 2 diabetics. Prim Care Diabetes. 2021;15(5):799-805. [Link] [DOI:10.1016/j.pcd.2021.07.009]
25. Indonesian Heart Association. Guidelines for the management of acute coronary syndrome. Jakarta: Indonesian Heart Association; 2015. [Indonesian] [Link]
26. Juzar DA, Muzakkir AF, Ilhami YR, Taufiq N, Astiawati T, Junior RA IM, et al. Management of acute coronary syndrome Indonesia: Insight from one ACS multicenter registry. Indones J Cardiol. 2022;43(2):45-55. [Link] [DOI:10.30701/ijc.1406]
27. Khesroh AA, Al-Roumi F, Al-Zakwani I, Attur S, Rashed W, Zubaid M. Gender differences among patients with acute coronary syndrome in the middle east. Heart Views. 2017;18(3):77-82. [Link] [DOI:10.4103/HEARTVIEWS.HEARTVIEWS_10_17]
28. Sapriyanti, Natasha D, Gayatri D. Spiritual well-being and quality of life of coronary heart disease patients in hospitals. Jurnal Penelitian Kesehatan Suara Forikes. 2021;12(3):78-82. [Indonesian] [Link]
29. Diputra MDR, Wita IW, Aryadana W. Characteristics of acute coronary syndrome patients at sanglah hospital denpasar, 2016. E-Jurnal Medika. 2018;7(10). [Indonesian] [Link]
30. Muhibbah M, Wahid A, Agustina R, Iilliandri O. Characteristics of acute coronary syndrome patients in tulip room inpatients at ulin regional hospital, Banjarmasin. Indones J Health Sci. 2019;3(1):6-12. [Indonesian] [Link] [DOI:10.24269/ijhs.v3i1.1567]
31. Suling FRW, Patricia MI, Suling TE. Prevalence and risk factors of acute coronary syndrome at the Indonesian Christian university general hospital. Med J Christ Univ Indones. 2018;34(3):110-4. [Indonesian] [Link]
32. Al-Saif SM, Alhabib KF, Ullah A, Hersi A, Alfaleh H, Alnemer K, et al. Age and its relationship to acute coronary syndromes in the Saudi Project for Assessment of Coronary Events (SPACE) registry: The SPACE age study. J Saudi Heart Assoc. 2012;24(1):9-16. [Link] [DOI:10.1016/j.jsha.2011.08.001]
33. Overbaugh KJ. Acute coronary syndrome. Am J Nurs. 2009;109(5):42-52. [Link] [DOI:10.1097/01.NAJ.0000351508.39509.e2]
34. Jatiman T, Wibisono S, Lefi A. Clinical description of acute coronary syndrome based on blood sugar status at RSUD Dr. Soetomoe Surabaya. Surabaya: Faculty of Medicine Airlangga University; 2013. [Indonesian] [Link]
35. Trisnaamijaya D, Pangemanan J, Mandang V. Relationship between smoking behavior and unstable angina pectoris. E-CliniC. 2014;2(1):1-6. [Indonesian] [Link] [DOI:10.35790/ecl.2.1.2014.3597]
36. Sagala SGL, Pangemanan JA, Djafar DU. Description of troponin T levels based on examination time and location of infarction in patients with acute myocardial infarction at RSUP Prof. Dr. R. D Kandou for the period January-December 2015. E-CliniC. 2016;4(2). [Indonesian] [Link] [DOI:10.35790/ecl.4.2.2016.14465]
37. Haider A, Bengs S, Luu J, Osto E, Siller-Matula JM, Muka T, et al. Sex and gender in cardiovascular medicine: Presentation and outcomes of acute coronary syndrome. Eur Heart J. 2020;41(13):1328-36. [Link] [DOI:10.1093/eurheartj/ehz898]
38. Mourad G, Strömberg A, Johansson P, Jaarsma T. Depressive symptoms, cardiac anxiety, and fear of body sensations in patients with non-cardiac chest pain, and their relation to healthcare-seeking behavior: A cross-sectional study. Patient. 2016;9(1):69-77. [Link] [DOI:10.1007/s40271-015-0125-0]
39. Toronto CE, LaRocco SA. Family perception of and experience with family presence during cardiopulmonary resuscitation: An integrative review. J Clin Nurs. 2019;28(1-2):32-46. [Link] [DOI:10.1111/jocn.14649]
40. Torke AM, Wocial LD, Johns SA, Sachs GA, Callahan CM, Bosslet GT, et al. The family navigator: A pilot intervention to support intensive care unit family surrogates. Am J Crit Care. 2016;25(6):498-507. [Link] [DOI:10.4037/ajcc2016730]
41. Carson SS, Cox CE, Wallenstein S, Hanson LC, Danis M, Tulsky JA, et al. Effect of palliative care-led meetings for families of patients with chronic critical illness: A randomized clinical trial. JAMA. 2016;316(1):51-62. [Link] [DOI:10.1001/jama.2016.8474]
42. Gaol NTL. Stress theories: Stimulus, response, and transactional. Buletin Psikologi. 2016;24(1):1-11. [Indonesian] [Link] [DOI:10.22146/bpsi.11224]
43. Palmeira AFA, Lopes CT, Neves VR. Nursing professionals' education on the spiritual dimension of critical patients. Revista Gaúcha de Enfermagem. 2023;44:. [Portuguese] [Link] [DOI:10.1590/1983-1447.2023.20220069.en]
44. Badanta B, Rivilla-García E, Lucchetti G, De Diego-Cordero R. The influence of spirituality and religion on critical care nursing: An integrative review. Nurs Crit Care. 2022;27(3):348-66. [Link] [DOI:10.1111/nicc.12645]
45. Willemse S, Smeets W, Van Leeuwen E, Janssen L, Foudraine N. Spiritual care in the ICU: Perspectives of Dutch intensivists, ICU nurses, and spiritual caregivers. J Relig Health. 2018;57(2):583-95. [Link] [DOI:10.1007/s10943-017-0457-2]
46. Kydonaki K, Kean S, Tocher J. Family involvement in intensive care: A qualitative exploration of critically ill patients, their families and critical care nurses (input study). J Clin Nurs. 2020;29(7-8):1115-28. [Link] [DOI:10.1111/jocn.15175]
47. LeMone P, Burke KM, Bauldoff G. Text book of medical surgical nursing. Jakarta: EGC; 2012. [Indonesian] [Link]
48. Kiwanuka F, Shayan SJ, Tolulope AA. Barriers to patient and family-centred care in adult intensive care units: A systematic review. Nurs Open. 2019;6(3):676-84. [Link] [DOI:10.1002/nop2.253]
49. Chiang VCL, Lee RLP, Ho FM, Leung CK, Tang YP, Wong WS, et al. Fulfilling the psychological and information need of the family members of critically ill patients using interactive mobile technology: A randomised controlled trial. Intensive Crit Care Nurs. 2017;41:77-83. [Link] [DOI:10.1016/j.iccn.2017.03.006]
50. Azoulay E, Pochard F, Chevret S, Jourdain M, Bornstain C, Wernet A, et al. Impact of a family information leaflet on effectiveness of information provided to family members of intensive care unit patients: A multicenter, prospective, randomized, controlled trial. Am J Respir Crit Care Med. 2002;165(4):438-42. [Link] [DOI:10.1164/ajrccm.165.4.200108-006oc]
51. Garrouste-Orgeas M, Max A, Lerin T, Gregoire C, Ruckly S, Kloeckner M, et al. Impact of proactive nurse participation in ICU family conferences: A mixed-method study. Crit Care Med. 2016;44(6):1116-28. [Link] [DOI:10.1097/CCM.0000000000001632]
52. Ciufo D, Hader R, Holly C. A comprehensive systematic review of visitation models in adult critical care units within the context of patient- and family-centred care. Int J Evid Based Healthc. 2011;9(4):362-87. [Link] [DOI:10.1111/j.1744-1609.2011.00229.x]
53. Tawil I, Brown LH, Comfort D, Crandall CS, West SD, Rollstin AD, et al. Family presence during brain death evaluation: A randomized controlled trial*. Crit Care Med. 2014;42(4):934-42. [Link] [DOI:10.1097/CCM.0000000000000102]
54. Sanabria-Mazo JP, Colomer-Carbonell A, Fernández-Vázquez Ó, Noboa-Rocamora G, Cardona-Ros G, McCracken LM, et al. A systematic review of cognitive behavioral therapy-based interventions for comorbid chronic pain and clinically relevant psychological distress. Front Psychol. 2023;14:1200685. [Link] [DOI:10.3389/fpsyg.2023.1200685]
55. Vambheim SM, Kyllo TM, Hegland S, Bystad M. Relaxation techniques as an intervention for chronic pain: A systematic review of randomized controlled trials. Heliyon. 2021;7(8):e07837. [Link] [DOI:10.1016/j.heliyon.2021.e07837]
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |