Journal of Religion and Health

, Volume 58, Issue 6, pp 1961–1969 | Cite as

The Impact of Spiritual Care Education on Anxiety in Family Caregivers of Patients with Heart Failure

  • Milad Borji
  • Seyed Rahmatollah Mousavimoghadam
  • Ebrahim Salimi
  • Masoumeh Otaghi
  • Yosof AziziEmail author
Original Paper


Heart failure (HF) has been emerging as a general health problem over recent decades. Spiritual care is a type of support service provided to patients suffering from HF. Spiritual care intervention in nursing is a unique aspect of care, which cannot be replaced by psychosocial care. Considering the importance of anxiety for caregivers of patients with HF, the present study aimed to examine the effect of spiritual intervention on anxiety in caregivers of patients with HF in Ilam, Iran. This research is a semi-experimental study, 71 caregivers of patients with HF were randomly assigned to experimental group (n = 34) and control (n = 37) group. Beck Anxiety Inventory, which consisted of 21 items and scored based on a 4-point Likert scale ranging from zero to three, was employed to collect data. The scores range from zero to 63 with the higher scores indicating the higher level of anxiety. The experimental group received spiritual intervention over six 45-minute sessions in a period of 2 weeks (14 days; three times a week; every other day). Data were analyzed using descriptive and inferential statistics run in the SPSS software version 16. The result showed a difference between the level of anxiety in two groups after the intervention (P = 0.001). Anxiety level in the experimental group three weeks after intervention (27.88 ± 7.10) was significant in comparison with before intervention (45.06 ± 5.79) (P = 0.001). According to the results, the spiritual intervention reduced the anxiety level in the caregivers of patients with HF. Nurses are recommended to provide such necessary training to caregivers in order to provide the grounds for reducing their anxiety.


Heart failure Spiritual intervention Caregivers Anxiety 



This article was approved by student research committee of Kermanshah University of medical sciences with the project code 3007182. Therefore, researchers are grateful to the center.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Milad Borji
    • 1
    • 2
  • Seyed Rahmatollah Mousavimoghadam
    • 3
  • Ebrahim Salimi
    • 4
  • Masoumeh Otaghi
    • 5
  • Yosof Azizi
    • 6
    Email author
  1. 1.Department of Nursing, Faculty of Nursing and MidwiferyKermanshah University of Medical ScienceKermanshahIslamic Republic of Iran
  2. 2.Nursing and Midwifery School, Students Research CommitteeKermanshah University of Medical SciencesKermanshahIslamic Republic of Iran
  3. 3.Department of Islamic StudiesIlam University of Medical SciencesIlamIslamic Republic of Iran
  4. 4.Student Research CommitteeKermanshah University of Medical SciencesKermanshahIslamic Republic of Iran
  5. 5.Department of Nursing, Faculty of Nursing and MidwiferyIlam University of Medical ScienceIlamIslamic Republic of Iran
  6. 6.Student Research CommitteeIlam University of Medical SciencesIlamIslamic Republic of Iran

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