title: The Role of Spirituality in Lifestyle Changing Among Patients with Chronic Cardiovascular Diseases: A Literature Review of Qualitative Studies.
abstract: Chronic cardiovascular diseases (CVD) are diseases with marked morbidity. Patients are often advised to change their lifestyle to prevent complications and impairment of their diseases. Compliance, however, is influenced by multiple factors. Initial studies show that spirituality is an important aspect in health behavior and lifestyle changing, but to health professionals like nurses this is unknown. The aim of this review is to investigate and synthesize evidence about the role of spirituality in lifestyle changing in patients with chronic CVD. A comprehensive search was conducted in electronic databases Academic Search Premier, E-journals, Medline and PubMed, published between the years 2000-2015. After selection based on pre-set inclusion criteria, studies were retrieved and evaluated on quality using the criteria of the QOREC. Twelve studies with a qualitative empirical design and mixed methods were included. This review shows that spirituality, is related to the self-management of patients with chronic diseases. For instance, lifestyle changes are experienced as a continuous inner battle. Religion gives strength, but is also experienced as a struggle. Feelings of guilt and becoming a victim influence patients' experience. For effectively advising patients with CVD on lifestyle changes, nurses cannot ignore this factor but further investigation is required.
authors.affiliation: University of Applied Science VIAA, P.O Postbus 10030, 8000 GA, Zwolle, The Netherlands. l.janssen@viaa.nl.
authors.forename: A J
authors.identifier: http://orcid.org/0000-0002-4049-3052
authors.initials: AJ
authors.lastname: Janssen-Niemeijer
authors.affiliation: Chair Care Ethics, University of Humanistic Studies, Utrecht, The Netherlands.
authors.forename: M
authors.initials: M
authors.lastname: Visse
authors.affiliation: University of Applied Science VIAA, P.O Postbus 10030, 8000 GA, Zwolle, The Netherlands.
authors.forename: R
authors.initials: R
authors.lastname: Van Leeuwen
authors.affiliation: Chair Care Ethics, University of Humanistic Studies, Utrecht, The Netherlands.
authors.forename: C
authors.initials: C
authors.lastname: Leget
authors.affiliation: University of Applied Science VIAA, P.O Postbus 10030, 8000 GA, Zwolle, The Netherlands.
authors.forename: B S
authors.initials: BS
authors.lastname: Cusveller
mesh_terms: D002318:Cardiovascular Diseases / Q000523:psychology*; D002908:Chronic Disease; D006801:Humans; D008019:Life Style; D036301:Qualitative Research; D029181:Spirituality
keywords: Chronic cardiovascular diseases; Life style changing; Literature review; Self-management; Spirituality