Effect of the spiritual care training on anxiety reduction in home caregivers of the elderly with Alzheimer disease

authors:

avatar A. li Ravari , avatar Tayebeh Mirzaei , * , avatar Azam Salamizadeh , avatar Hesamedin Askari Majdabadi

Koomesh: Vol.19, issue 2; 467-474
published online: July 01, 2017
article type: Research Article
received: September 01, 2016
accepted: December 01, 2016

how to cite: Ravari A L, Mirzaei T , Salamizadeh A, Askari Majdabadi H. Effect of the spiritual care training on anxiety reduction in home caregivers of the elderly with Alzheimer disease. koomesh. 2017;19(2):e151100. 

Abstract

Introduction: Taking care of people with Alzheimer’s disease is a stressful task and home caregivers of  such patients are posed to anxiety, physical and mental exhaustion, as well as losing their caregiving performance. This study was conducted to determine the effect of spiritual care in reducing anxiety in caregivers of the elderly with Alzheimer;#39s disease. Materials and Methods: This work is an experimental study, where 60 home caregivers of the elderly with Alzheimer;#39s disease were selected in Rafsanjan using the convenience sampling method. Next, based on the inclusion criteria for the study, they were randomly assigned into two test and control groups. Relativly, the data were collected using demographic forms and Beck anxiety inventory before and after the intervention. Then, the spiritual care was provided for intervention group within five 45-60 minute sessions each week while the control group received no intervention. Results: The average of pre-intervention anxiety scores in the intervention and control groups was 14.04 and 13.71, respectively. The independent statistical t-test showed no significant difference between these two groups before intervention (P = 0.907). The mean post-intervention score of anxiety in the intervention and control groups was calculated as 7.92 and 13.85, respectively. In comparison, the statistical independent t-test showed a significant difference between these two groups after intervention (P = 0.028). Conclusion:  Spiritual care can reduce anxiety in home caregivers of the elderly with Alzheimer;#39s disease. Thus, it is recommended for all caregivers

References

  • 1.

    Alzheimers A. Alzheimer's disease facts and figures. Alzheimers Dement 2015; 11: 332.

  • 2.

    Alzheimers A. Alzheimer's disease facts and figures. Alzheimers Dement 2014; 10: 47-92.

  • 3.

    Zali H, Seyyedi SS, Rashidy Pour A, Rezaei Tavirani M. Epidemiology and etiology of Alzheimer's disease. Koomesh 2014; 16: 119-127. (Pesian).

  • 4.

    Ebersol P. Gerontological Nursing and Healthy Aging. St Louis: Mosby Co; 2005.

  • 5.

    Zohari S, Khatouni S, Abed Saeidi Z, Alavi Majd H, Yaghmaei F. Problems of main caregivers of Alzheimer patients referring to Alzheimer Association in Tehran. J Nurs Midwifery Shahid Beheshti Univ Med Sci 2006; 16: 65-74. (Persian).

  • 6.

    Miller EA, Rosenheck RA, Schneider LS. Caregiver burden, health utilities, and institutional service use in Alzheimer's disease. Int J Geriatr Psychiatry 2012; 27: 382-393.

  • 7.

    Agronin M. Practical guide in psychiatry. Philadelphia: Lippincott Co; 2004.

  • 8.

    Bastani GE, Negarandeh R, Haghani H. [General self-efficacy among family's female caregiver of elderly with Alzheimers disease]. Hayat 2012; 18: 27-37. (Persian).

  • 9.

    Clay OJ, Roth DL, Wadley VG, Haley WE. Changes in social support and their impact on psychosocial outcome over a 5year period for African American and White dementia caregivers. Int J Geriatr Psychiatry 2008; 23: 857-862.

  • 10.

    Neubauer S, Holle R, Menn P, Grel E. A valid instrument for measuring informal care time for people with dementia. Int J Geriatr Psychiatry 2009; 24: 275-282.

  • 11.

    Brodaty H, Donkin M. Family caregivers of people with dementia. Dialogues Clin Neurosci 2009; 11: 217-228.

  • 12.

    Cooper C, Katona C, Orrell M, Livingston G. Coping strategies and anxiety in caregivers of people with Alzheimer's disease: the LASERAD study. J Affect Disord 2006; 90: 15-20.

  • 13.

    Mahoney R, Regan C, Katona C, Livingston G. Anxiety and depression in family caregivers of people with Alzheimer disease: the LASER-AD study. Am J Geriatr Psychiatry 2005; 13: 795-801.

  • 14.

    Moosavi S. Acupressure and anxity in patients before amputation in poorsina hospital. Rasht J Sergery Iran 2007; 15. (Persian).

  • 15.

    Garca-Alberca JM, Lara JP, Berthier ML. Anxiety and depression in caregivers are associated with patient and caregiver characteristics in Alzheimer's disease. Int J Psychiatry Med 2011; 41: 57-69.

  • 16.

    Sadouk B. Personality disorder and neurosis. Translated by nosratollah pourafkari Tabriz: Tabesh 2002. (Persian).

  • 17.

    Ganji H. General psychology. 5th ed. Tehran: savallan, 2002. (Persian).

  • 18.

    Ganji T, Hosseini AF. Spirituality and anxiety in nursing students of faculty of nursing and midwifery Iran university of medical science-2006. Iran J Nurs 2010; 23: 44-51. (Persian).

  • 19.

    Navidian AB. Burden experienced by family caregivers of patients with mental disorders. Pak J Psycholo Res 2008; 23: 19-28.

  • 20.

    Delaney C, Barrere C. Blessings: the influence of a spiritualitybased intervention on psychospiritual outcomes in a cardiac population. Holist Nurs Pract 2008; 22: 210-219.

  • 21.

    Fallahi Khoshknab M, Mazaheri M. Spirituality, spiritual care and spiritual therapy. Tehran Univ Well-Being Pall Care 2008. (Persian).

  • 22.

    Sanaei B, Nasiri H. The effect of cognitive-spritual group therapy in reducing depression and anxiety in patients with mood disorders in Isfahan Noor Medical Center. Couns Res Dev 2011; 2: 89-97. (Persian).

  • 23.

    Simoni JM, Martone MG, Kerwin JF. Spirituality and psychological adaptation among women with HIV/AIDS: Implications for counseling. J Counsel Psychol 2002; 49: 139.

  • 24.

    Koshani M, Vaghei S. Psychiatric nursing & mental health. Andishe-Rafie 2008. (Persian).

  • 25.

    Tan SC, Yeoh AL, Choo IB, Huang AP, Ong SH, Ismail H, Ang PP, Chan YH. Burden and coping strategies experienced by caregivers of persons with schizophrenia in the community. J Clin Nurs 2012; 21: 2410-2418.

  • 26.

    Pallangyo MP. Experiences of informal female caregivers providing care for people living with HIV in Dar es Salaam, Tanzania. J Assoc Nurs AIDS Care 2009; 20: 481-493.

  • 27.

    Hexem KR, Carroll K, Lanctot DA, Feudtner C. How parents of children receiving pediatric palliative care use religion, spirituality, or life philosophy in tough times. J Palliat Med 2011; 14: 39-44.

  • 28.

    Mahdavi B, Fallahi KM, Mohammadi F, Hosseini M. The effect of group spiritual care on quality of life in family caregivers of elders with Alzheimer's Dis 2015. (Persian).

  • 29.

    Spurlock WR. Spiritual well-being and caregiver burden in alzheimer's caregivers. Geriatr Nurs 2005; 26: 154-161.

  • 30.

    Sharifi M, Fatehizade M. Correlation between religious coping and caregiver depression burnout in family caregivers. Mod Care Sci Quart Birjand Nurs Midwifery Facul 2012; 9: 327-335. (Persian).

  • 31.

    Earle SS. Reflections on 12 years of facilitating Alzheimers caregiver support groups. Care Manag J 2006; 7: 135-136.

  • 32.

    Penman J, Oliver M, Harrington A. Spirituality and spiritual engagement as perceived by palliative care clients and caregivers. Aust J Adv Nurs 2009; 26: 29.

  • 33.

    Oman D, Hedberg J, Downs D, Parsons D. A transcultural spiritually based program to enhance caregiving self-efficacy: A pilot study. Complement Health Pract Rev 2003; 8: 201-224.

  • 34.

    Beck AT, Epstein N, Brown G, Steer RA. An inventory for measuring clinical anxiety: psychometric properties. J Consult Clin Psychol 1988; 56: 893-897.

  • 35.

    Kaviani H, Mousavi A. Psychometric properties of Beck Anxiety Inventory in age and gender categories of Persian population. J Med fac of Med Sci 2008; 66: 136-140. (Persian).

  • 36.

    Reyhani T, Sakhavatpor Z, Heydarzadeh M, Mosevi S, Mazlom S. Investigating the effects of spiritual self-care training on psychological stress of mothers with preterm infants admitted in neonatal intensive care unit. Iran J Obst Gynecol Infer 2014; 17: 18-28. (Persian).

  • 37.

    Huang HL, Shyu YI, Chen MC, Chen ST, Lin LC. A pilot study on a home-based caregiver training program for improving caregiver self-efficacy and decreasing the behavioral problems of elders with dementia in Taiwan. Int J Geriatr Psychiatry 2003; 18: 337-345.

  • 38.

    Ghasemi T, Rezayi A, Moini M, Esfahani H. The effect spiritual care programs on stress of ischemic heart disease: a clinical trial. J Mental Health 2012; 6: 554-564. (Persian).

  • 39.

    Fallah R, Gilzari M, Dstani M, Zahirodin A, Mosavi M, Akbari M. Integrating spirituality into a group psychotherapy program for women surviving from breast cancer. Thought Behav Clin Psychol 2011; 5: 65-76. (Persian).

  • 40.

    Bormann J, Warren KA, Regalbuto L, Glaser D, Kelly A, Schnack J, Hinton L. A spiritually based caregiver intervention with telephone delivery for family caregivers of veterans with dementia. Alzheimer's Care Today 2009; 10: 212-220.

  • 41.

    Kim SS, Reed PG, Hayward RD, Kang Y, Koenig HG. Spirituality and psychological wellbeing: Testing a theory of family interdependence among family caregivers and their elders. Res Nurs Health 2011; 34: 103-115.

  • 42.

    Lotfi Kashani F, Vaziri S, Arjmand S, Mousavi SM, Hashemieh M. Effectiveness of spiritual intervention on reducing distress in mothers of children with cancer. Med Ethics 2012; 6: 173-186.

  • 43.

    Ghahari S, Fallah R, Bolhari J, Moosavi SM, Razaghi Z, Akbari ME. Effectiveness of cognitive-behavioral and spiritual-religious interventions on reducing anxiety and depression of women with breast cancer. Know Res Appl Psychol 2012; 13: 33-40. (Persian).

  • 44.

    Ikedo F, Gangahar DM, Quader MA, Smith LM. The effects of prayer, relaxation technique during general anesthesia on recovery outcomes following cardiac surgery. Complement Ther Clin Pract 2007; 13: 85-94.##.