Spiritual Distress among Patients with Acute Coronary Syndrome in Cardiac Intensive Care Unit

Helda Fitria Wahyuni, Aan Nur'aeni, Afif Amir Amirullah

Abstract


Background. Engaging patients' spiritual needs with Acute Coronary Syndrome (ACS) is still primarily ignored compared to their physical needs. One thing that has been forgotten is spiritual distress assessment, even though the stress experienced can aggravate ACS conditions, especially in acute situations. This study aimed to identify spiritual distress among ACS patients in the Cardiac Intensive Care Unit (CICU). Methods. This study was a quantitative research with a population of ACS patients treated in CICU at one of the hospitals in West Java. The sampling technique used was consecutive sampling and obtained 34 respondents during one month. Collecting data using a modified instrument from the Spiritual Distress Assessment Tool (SDAT) and obtained a validity range of 0.33 - 0.45 and a reliability of 0.80. Data analysis using mean and frequency distribution. Results. 82.35% of respondents had mild spiritual distress, and 17.65% of respondents had moderate spiritual distress. The most disturbing spiritual distress was in the "Need for value acknowledgment," while the "Need to maintain control" was the least problematic among respondents. Conclusions. The spiritual distress experienced among ACS patients in the ICU was mostly mild. However, some patients experienced moderate distress. To reduce this distress level can be executed by paying more attention to the patient's needs to be respected regarding their values and beliefs.

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References


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G., Martin, E., & Spencer, B. (2010). The spiritual distress assessment tool: an instrument to assess spiritual distress in hospitalised elderly persons. BMC Geriatrics, 10. 1186/1471-2318-10-88.

Nuraeni, A., Ibrahim, K., & Agustina, H. R. (2013). Makna Spiritualitas pada Klien dengan Sindrom Koroner Akut. Volume 1 Nomor 2 Agustus

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Susilo, C., Sujuti, H., & Andri, T. (2013). Hubungan Luas Infark Miokard (Berdasar Skor Selvester) dengan Respon Nyeri Dada pada Pasien Sindrom Koroner Akut (SKA) di RSD Dr. Soebandi Jember. Jurnal Ilmu Keperawatan, Volume 1, No.2 .

Arnold, S., M.Herrick, L., Pankrazt, V. S., & S.Mueller, P. (2007). spiritual well- being, emotional distress, and perception of health after myocard infarction. The Internet Journal of Advanced Nursing Practice, 9(1)1- 18.

Caldeira, S., Carvalho, E. C., & Viera, M. (2014). Beetween spiritual wellbeing

and spiritual distress: possible related factors in elderly patients with cancer. Revista Latino-Americana de Enfermagen, 22(1), 28-34.

Craven, R., & Hirnle, C. (2007). Fundamental of Nursing. Philadelphia: Lippincott William & Wilkins.

Departemen Kesehatan. (2006). Pharmaceutical Care untuk Pasien Penyakit Jantung Koroner : Fokus Sindrom Koroner Akut. Jakarta: Direktorat bina Farmasi dan klinik & Ditjen bina kefarmasian dan alat kesehatan.

Friedman, M., Bowden, V., & Jones, E. (2003). Family Nursing: Reasearch Theory & Practice. New Jersey: Prentice Hall.

Hamid, A. (2000). Buku Ajar Aspek Spiritual dalam Keperawatan. Jakarta: Widya Medika.

Ho, RCM, Neo, LF, Chua, ANC, et al. (2010). Research on Psychoneuroimmunology : Does stress Influence Immunity and Cause Coronary Artery Disease? Ann Acad Med Singapore, 191-196.

Huffman, J. C., Celano, C. M., & Januzzi, J.

L. (2010). The Reationship between depresion, anxiety, and cardiovascular outcomes in patient with acute coronary syndromes. Neuropsychiatric Desease and Treatment, 6 : 123-36.

Kolansky, D. M. (2009). Acute Coronary Syndromes : Morbidity, Mortality, and Pharmacoeconomic Buerden.

American Journal of Managed Care, Vol.15,p 36-41.

Kozier, B., Berman, A., & Snyder, S. (2004). Fundamental of nursing : Concept, process, and practice. New Jersey: Pearson Prentice Hall.

Krisnayanti, K. D. (2013). Depresi dan cemas pada pasien dengan sindrom koroner akut. E-jurnal Medika Udayana, Vol 2 no 8.

Melati, R., Basuki, E., & Setianto, B. (2008). Hubungan antara Job Strain dengan Terjadinya Infark Miokard pada Pasien Pusat Jantung Nasional. Jurnal Kardiologi Indonesia-Volume 29 No.1 Januari, 29: 12-19.

Moeini, M., Ghasemi, T. M., Yousefi, H., & Abedi, H. (2012). the effect of spiritual care on spiritual health of patients with cardiac ischemia. Iranian Journal of Nursing and Midwifery Research.

Monod, S. M., Rochat, E., Bula, C. J., Jobin,

G., Martin, E., & Spencer, B. (2010). The spiritual distress assessment tool: an instrument to assess spiritual distress in hospitalised elderly persons. BMC Geriatrics, 10. 1186/1471-2318-10-88.

Nuraeni, A., Ibrahim, K., & Agustina, H. R. (2013). Makna Spiritualitas pada Klien dengan Sindrom Koroner Akut. Volume 1 Nomor 2 Agustus

Potter, & Perry. (2005). Buku Ajar Fundamental Keperawatan: Konsep, Proses & Praktek. Edisi 4. Vol 1. Jakarta: EGC.

Puchalski, C. (2001). Spirituality and health: the art of compassionate medicine. Hospital Physician, 37(3), 30-36.

Susilo, C., Sujuti, H., & Andri, T. (2013). Hubungan Luas Infark Miokard (Berdasar Skor Selvester) dengan Respon Nyeri Dada pada Pasien Sindrom Koroner Akut (SKA) di RSD Dr. Soebandi Jember. Jurnal Ilmu Keperawatan, Volume 1, No.2 .




DOI: https://doi.org/10.24198/pacnj.v2i1.30807

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