title: The effect of spiritual care on spiritual health of patients with cardiac ischemia.
abstract: BACKGROUND
  Spiritual well-being (SWB) of patients with cardiovascular diseases particularly in those admitted in coronary care unit (CCU) is threatened due to disease crisis. Therefore, implementing spiritual care is necessary for them. This study aimed to determine the effect of spiritual care program on SWB of patients with cardiac ischemia admitted in CCU in Al-Zahra Hospital, Isfahan, Iran.
  
  
  METHODS
  In a single blind randomized clinical trial, 64 ischemic patients in CCU were randomly divided into test and control groups. Spiritual care program included supportive presence, rituals and using supportive systems for 3 days. Spiritual Well-being Questionnaire were completed before and after the intervention for the both groups.
  
  
  RESULTS
  Mean scores of SWB had no significant difference between the two groups before the intervention (p = 0.84). Mean score of existence dimension (p < 0.001) and mean total score of SWB (p < 0.001) in the test group showed a significant difference comparing before and after the intervention; however, it was not significant in the control group (p = 0.17). Mean existence dimension (p = 0.01) and mean total score SWB (p = 0.01) had a significant difference between test and control groups after the intervention; however, there was no significant difference in mean score of religious dimension between the two groups after the intervention (p = 0.25).
  
  
  CONCLUSIONS
  The spiritual care program promoted the SWB of ischemic patients in existence dimension and overall score, and nurses can use these programs to promote patients' SWB.
authors.affiliation: Department of Adult Health Nursing, Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
authors.forename: Mahin
authors.initials: M
authors.lastname: Moeini
authors.forename: Tahereh Momeni Ghale
authors.initials: TM
authors.lastname: Ghasemi
authors.forename: Hojjatollah
authors.initials: H
authors.lastname: Yousefi
authors.forename: Heidarali
authors.initials: H
authors.lastname: Abedi
keywords: Coronary artery disease; nursing; spirituality