fa بررسی تأثیر دعا بر سلامت معنوی بیماران مبتلا به نارسایی مزمن قلبی طب اسلامی- ایرانی Islamic- Iranian Medicine پژوهشي - مقاله اصیل Original Research <strong><span style="letter-spacing:-.05pt;"><span style="color:black;"><span style="font-family:b yekan;">سابقه و هدف:</span></span></span></strong> <span style="font-family:b zar;">در بیماری‌های مزمن مانند نارسایی قلبی، سلامت روانی، جسمانی و معنوی مختل می‌شود. رفتارهای مذهبی چون دعا می‌توانند باعث افزایش انرژی معنوی و ایجاد نگرش مثبت در بیمار شوند. در این ارتباط، مطالعه حاضر با هدف بررسی تأثیر دعا بر سلامت</span> <span style="font-family:b zar;">معنوی</span> <span style="font-family:b zar;">بیماران</span> <span style="font-family:b zar;">مبتلا</span> <span style="font-family:b zar;">به نارسایی مزمن قلبی انجام گرفت.</span><span style="letter-spacing:-.05pt;"><span style="color:black;"><span style="font-family:b zar;"></span></span></span><br> <strong><span style="letter-spacing:-.05pt;"><span style="color:black;"><span style="font-family:b yekan;">مواد و روش‌ها:</span></span></span></strong> <span style="font-family:b zar;">پژوهش حاضر از نوع مطالعات توصیفی- مقطعی است که جامعه آن 140 بیمار مبتلا به نارسایی مزمن قلبی بستری در بخش قلب بیمارستان 22 بهمن نیشابور در سال 1394 بودند. ابزار گردآوری داده‌ها پرسشنامه‌ سلامت</span> <span style="font-family:b zar;">معنوی</span> <span dir="LTR"><span style="font-size:10.0pt;">Palutzian</span></span> <span style="font-family:b zar;">و </span>&nbsp;<span dir="LTR"><span style="font-size:10.0pt;">Ellison</span></span><span style="font-family:b zar;">و پرسشنامه تناوب دعا (</span><span dir="LTR"><span style="font-size:10.0pt;">Prayer Activity</span></span><span style="font-family:b zar;">)</span> <span dir="LTR"><span style="font-size:10.0pt;">Meraviglia</span></span><span style="font-family:b zar;"> بود.</span> <span style="font-family:b zar;">برای تجزیه و تحلیل داده‌ها از نرم‌افزار </span><span dir="LTR"><span style="font-size:10.0pt;">SPSS 16</span></span> <span style="font-family:b zar;">و</span> <span style="font-family:b zar;">آزمون‌های آماری توصیفی و استنباطی (آزمون‌های مجذور کای، ضریب همبستگی </span><em><span dir="LTR" style="background:white;font-style:normal;"><span style="font-size:10.0pt;">Pearson</span></span></em><span style="font-family:b zar;">، آزمون</span><span dir="LTR"><span style="font-size:10.0pt;">Kruskal-Wallis </span></span>&nbsp;<span style="font-family:b zar;">و رگرسیون خطی) استفاده گردید.</span><span style="letter-spacing:-.05pt;"><span style="color:black;"><span style="font-family:b zar;"></span></span></span><br> <strong><span style="letter-spacing:-.1pt;"><span style="color:black;"><span style="font-family:b yekan;">یافته‌ها:</span></span></span></strong> <span style="letter-spacing:-.1pt;"><span style="font-family:b zar;">نتایج نشان‌دهنده‌ وجود ارتباط معنادار و مستقیم بین دعا و سلامت معنوی بیماران می‌باشند ((0001/0</span></span><span dir="LTR" style="letter-spacing:-.1pt;"><span style="font-size:10.0pt;">P<</span></span><span style="letter-spacing:-.1pt;"><span style="font-family:b zar;">)</span></span><span style="letter-spacing:-.1pt;"><span style="font-family:b zar;">‌</span></span><span style="letter-spacing:-.1pt;"><span style="font-family:b zar;">، (63/0-=</span></span><span dir="LTR" style="letter-spacing:-.1pt;"><span style="font-size:10.0pt;">r</span></span><span style="letter-spacing:-.1pt;"><span style="font-family:b zar;">)). همچنین بین سن بیماران، تناوب دعا،</span></span> <span style="letter-spacing:-.1pt;"><span style="font-family:b zar;">تجربه</span></span> <span style="letter-spacing:-.1pt;"><span style="font-family:b zar;">قبلی</span></span> <span style="letter-spacing:-.1pt;"><span style="font-family:b zar;">دعا</span></span> <span style="letter-spacing:-.1pt;"><span style="font-family:b zar;">و</span></span><span style="font-family:b zar;"> <span style="letter-spacing:-.1pt;">نگرش</span></span> <span style="letter-spacing:-.1pt;"><span style="font-family:b zar;">نسبت</span></span> <span style="letter-spacing:-.1pt;"><span style="font-family:b zar;">به</span></span> <span style="letter-spacing:-.1pt;"><span style="font-family:b zar;">دعا ارتباط معناداری مشاهده گردید (0001/0</span></span><span dir="LTR" style="letter-spacing:-.1pt;"><span style="font-size:10.0pt;">P<</span></span><span style="letter-spacing:-.1pt;"><span style="font-family:b zar;">)‌</span></span><span style="letter-spacing:-.1pt;"><span style="font-family:b zar;">؛ </span></span><span style="letter-spacing:-.1pt;"><span style="font-family:b zar;">اما </span></span><span style="letter-spacing:-.1pt;"><span style="font-family:b zar;">بین جنسیت، </span></span><span style="letter-spacing:-.1pt;"><span style="font-family:b zar;">تناوب دعا،</span></span> <span style="letter-spacing:-.1pt;"><span style="font-family:b zar;">تجربه</span></span> <span style="letter-spacing:-.1pt;"><span style="font-family:b zar;">قبلی</span></span> <span style="letter-spacing:-.1pt;"><span style="font-family:b zar;">دعا</span></span> <span style="letter-spacing:-.1pt;"><span style="font-family:b zar;">و</span></span> <span style="letter-spacing:-.1pt;"><span style="font-family:b zar;">نگرش</span></span> <span style="letter-spacing:-.1pt;"><span style="font-family:b zar;">نسبت</span></span> <span style="letter-spacing:-.1pt;"><span style="font-family:b zar;">به</span></span> <span style="letter-spacing:-.1pt;"><span style="font-family:b zar;">دعا ارتباط معناداری وجود نداشت (06/0</span></span><span dir="LTR" style="letter-spacing:-.1pt;"><span style="font-size:10.0pt;">P<</span></span><span style="letter-spacing:-.1pt;"><span style="font-family:b zar;">). علاوه‌براین بین سطح تحصیلات، تناوب دعا،</span></span> <span style="letter-spacing:-.1pt;"><span style="font-family:b zar;">تجربه</span></span> <span style="letter-spacing:-.1pt;"><span style="font-family:b zar;">قبلی</span></span> <span style="letter-spacing:-.1pt;"><span style="font-family:b zar;">دعا</span></span> <span style="letter-spacing:-.1pt;"><span style="font-family:b zar;">و</span></span> <span style="letter-spacing:-.1pt;"><span style="font-family:b zar;">نگرش</span></span> <span style="letter-spacing:-.1pt;"><span style="font-family:b zar;">نسبت</span></span> <span style="letter-spacing:-.1pt;"><span style="font-family:b zar;">به</span></span> <span style="letter-spacing:-.1pt;"><span style="font-family:b zar;">دعا ارتباط معکوس و معناداری به‌دست آمد (001/0</span></span><span dir="LTR" style="letter-spacing:-.1pt;"><span style="font-size:10.0pt;">P<</span></span><span style="letter-spacing:-.1pt;"><span style="font-family:b zar;">). بین وضعیت تأهل بیماران</span></span><span style="letter-spacing:-.1pt;"><span style="font-family:b zar;">، </span></span><span style="letter-spacing:-.1pt;"><span style="font-family:b zar;">تناوب دعا،</span></span> <span style="letter-spacing:-.1pt;"><span style="font-family:b zar;">تجربه</span></span><span style="font-family:b zar;"> <span style="letter-spacing:-.1pt;">قبلی</span></span> <span style="letter-spacing:-.1pt;"><span style="font-family:b zar;">دعا</span></span> <span style="letter-spacing:-.1pt;"><span style="font-family:b zar;">و</span></span> <span style="letter-spacing:-.1pt;"><span style="font-family:b zar;">نگرش</span></span> <span style="letter-spacing:-.1pt;"><span style="font-family:b zar;">نسبت</span></span> <span style="letter-spacing:-.1pt;"><span style="font-family:b zar;">به</span></span> <span style="letter-spacing:-.1pt;"><span style="font-family:b zar;">دعا نیز ارتباط </span></span><span style="letter-spacing:-.1pt;"><span style="font-family:b zar;">مستقیم</span></span><span style="letter-spacing:-.1pt;"><span style="font-family:b zar;"> و معناداری </span></span><span style="letter-spacing:-.1pt;"><span style="font-family:b zar;">مشاهده گردید (</span></span><span style="letter-spacing:-.1pt;"><span style="font-family:b zar;">0001/0</span></span><span dir="LTR" style="letter-spacing:-.1pt;"><span style="font-size:10.0pt;">P<</span></span><span style="letter-spacing:-.1pt;"><span style="font-family:b zar;">)</span></span><span style="letter-spacing:-.1pt;"><span style="font-family:b zar;">‌.</span></span><span style="letter-spacing:-.1pt;"><span style="color:black;"><span style="font-family:b zar;"></span></span></span><br> <strong><span style="color:black;"><span style="font-family:b yekan;">استنتاج:</span></span></strong> <span style="font-family:b zar;">با توجه به نتایج مشخص می‌شود که معنویت</span> <span style="font-family:b zar;">نه‌تنها</span> <span style="font-family:b zar;">ریشه</span> <span style="font-family:b zar;">در</span> <span style="font-family:b zar;">عقاید</span> <span style="font-family:b zar;">فرد دارد؛</span> <span style="font-family:b zar;">بلکه</span> <span style="font-family:b zar;">در</span> <span style="font-family:b zar;">تجربه</span> <span style="font-family:b zar;">او</span> <span style="font-family:b zar;">نیز ریشه دوانیده است</span><span style="font-family:b zar;">.</span> <span style="font-family:b zar;">اگر</span> <span style="font-family:b zar;">شخصی تنها</span> <span style="font-family:b zar;">اعتقاد</span> <span style="font-family:b zar;">داشته</span> <span style="font-family:b zar;">باشد اما</span> <span style="font-family:b zar;">تجربه نکرده</span> <span style="font-family:b zar;">باشد،</span> <span style="font-family:b zar;">بسیاری</span> <span style="font-family:b zar;">از</span> <span style="font-family:b zar;">فواید جسمی</span> <span style="font-family:b zar;">و</span> <span style="font-family:b zar;">روانی</span> <span style="font-family:b zar;">معنویت</span> <span style="font-family:b zar;">را</span> <span style="font-family:b zar;">از</span> <span style="font-family:b zar;">دست</span> <span style="font-family:b zar;">می‌دهد. نقش دعا در بیماری‌های مزمن مانند نارسایی مزمن قلبی انکارناپذیر است و می‌توان از آن در جهت حفظ سلامت و مقابله مؤثر با بیماری استفاده کرد.</span><strong><span style="font-family:b zar;"></span></strong> &nbsp;<br> <strong>Background and Purpose:</strong> Chronic diseases such as heart failure could disrupt mental, physical, and spiritual health. Religious practices such as prayer enhance spiritual energy and create positive attitude in patients. We aimed to investigate the effects of prayer on spiritual health of patients with chronic heart failure.<strong><span dir="RTL"></span></strong><br> <strong>Materials and Methods:</strong> This cross-sectional study was carried out on 140 patients with chronic heart failure who were hospitalized in cardiology ward of 22 Bahman Hospital of Neyshabour, Iran, in 2015. The data collection tools included Palutzian and Ellison spiritual health questionnaire and Meraviglia&#39;s prayer frequency questionnaire. To analyze the data, descriptive and inferential statistical tests (i.e., Chi-square tests, Pearson correlation coefficient, Kruskal-Wallis test, and linear regression) were run in SPSS, version 16.<br> <strong>Results:</strong> The results showed a significant direct relationship between prayer and spiritual health (P<0.0001, r=-0.63). There was also a significant relationship between the age, frequency of prayer, previous prayer experience, and attitude toward prayer (P<0.001). However, there was no significant relationship between gender, frequency of prayer, previous prayer experience, and attitude towards praying (P<0.06). The results of this study showed an inverse correlation between educational level, frequency of prayers, previous prayer experience, and attitude toward prayer (P<0.001). In addition, there was a significant positive association between marital status, frequency of prayer, previous prayer experience, and attitude toward prayer (P<0.0001).<br> <strong>Conclusion:</strong> The findings indicate that spirituality originates from both beliefs and experiences of the individual. If a person merely holds some beliefs with no experiences, then they would lack many physical and mental benefits of spirituality. The role of prayer in patients with chronic illnesses is undeniable, and it could be beneficial in the maintenance of spiritual health and in effective defiance against diseases دعا, سلامت معنوی, نارسایی مزمن قلبی Chronic heart failure, Prayer, Spiritual health 29 36 http://jrh.mazums.ac.ir/browse.php?a_code=A-10-707-3&slc_lang=fa&sid=1 Mohammad Siavoshi محمد سیاوشی 10031947532846005405 10031947532846005405 Yes 1- MSc in Nursing, Sabzevar University of Medical Sciences, Sabzevar, Iran 1- کارشناس ارشد آموزش پرستاری، دانشگاه علوم پزشکی سبزوار، سبزوار، ایران Mahdieh Darrudi مهدیه درودی 10031947532846005406 10031947532846005406 No 2- Bachelor of Nursing, Neyshabur School of Medical Sciences, Ney-shabur, Iran 2- کارشناس پرستاری، دانشکده علوم پزشکی نیشابور، نیشابور، ایران Shahin Novruzieh شاهین نوروزیه 10031947532846005407 10031947532846005407 No 2- Bachelor of Nursing, Neyshabur School of Medical Sciences, Ney-shabur, Iran 2- کارشناس پرستاری، دانشکده علوم پزشکی نیشابور، نیشابور، ایران Mahdi Jamali Nik مهدی جمالی نیک 10031947532846005408 10031947532846005408 No 1- MSc in Nursing, Sabzevar University of Medical Sciences, Sabzevar, Iran 1- کارشناس ارشد آموزش پرستاری، دانشگاه علوم پزشکی سبزوار، سبزوار، ایران Reza Bordbar رضا بردبار Rezabordbar54@yahoo.com 10031947532846005409 10031947532846005409 No Department of Medical-Surgical Nursing, Neyshabur School of Medical Sciences, Neyshabur, Iran گروه معارف اسلامی، دانشگاه علوم پزشکی مازندران، ساری، ایران