Effect of Islam‑based religious program on spiritual wellbeing in elderly with hypertension

Mahin Moeini, Somaye Sharifi, Mohamed Bagher Kajbaf


Lack of spiritual health in patients with hypertension leads to many mental, social, and physical effects, On the other hand, considering the prevalence of hypertension among the elderly, interventions to enhance their spiritual wellbeing is essential. Therefore, the aim of this study was to examine the effect of religious programs based on Islam on spiritual wellbeing
in elderly patients with hypertension who referred to the health centers of Isfahan in 2014.
Materials and Methods: This study was a randomized clinical trial. The participants (52 elderly patients with hypertension) were randomly divided in to experimental and control groups. Religious program was implemented for the experimental group in eight sessions in two Isfahan health centers. Spirituality wellbeing survey (SWB) questionnaire was completed in three steps, namely, pretest, posttest and follow-up (1 month) in two groups. In the study, Chi-square test, independent t-test, and repeated-measures analysis of variance were performed for analyzing the data.
Results: Before the intervention, there was no significant difference between the mean scores of spiritual wellbeing, the religious dimension, and the existential aspect of spiritual wellbeing of the two groups. However in the posttest step and follow-up stage, the mean scores of spiritual wellbeing, the religious dimension, and the existential aspect of spiritual wellbeing in the experimental group was significantly higher than in the control group (P < 0.001).
Conclusions: The religious program based on Islam promoted the SWB of elderly patients with hypertension; further, nurses can use these programs to promote the SWB of elderly patients with hypertension.


Aging, hypertension; Iran; religion; spiritual wellbeing

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Jadidi A, Farahaninia M, Ganmohamadi S, Haghavi H. Spiritual health of elderly nursing home residents. J Geriatr Nurs 2014;1:22‑30.

National Institute on Aging (NIA), part of the National Institutes of Health, U.S. Census Bureau. 2016. Available from: http:// www.nih.gov. [Last accessed on 2016 Oct 10].

Statistical Center of Iran, General Population and Housingn Census. 2014. Available from: http://www.amar.org.ir/Default. aspx?tabid=13. [Last cited 2014 Oct 07].

Aldrich N, Benson WF. Disaster preparedness and the chronic disease needs of vulnerable older adults. Prev Chronic Dis 2008;5:A27.

Nguyen QT, Anderson SR, Sanders L, Nguyen LD. Managing hypertension in the Elderly: A Common Chronic Disease with Increasing Age. Am Health Drug Benefits 2012;5:146-53.

Lloyd-Jones D, Adams R, Carnethon M. Heart disease and stroke statistics–2009 update: A report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Circulation 2009;119:e21-81.

Nicola LD, Gabbai FB, Agarwal R, Chiodini P, Borrelli S, Bellizzi V, et al. Prevalence and prognostic role of resistant hypertension in chronic kidney disease patients. J Am Coll Cardiol 2013;61:2461‑7.

Bobrovskaya L, Beard B, Bondarenko E, Beig M, Jobling PH, Walker FR, et al. Does exposure to chronic stress influence blood pressure in rats? Auton Neurosci 2013;77:217‑23.

Chop WC. Social aspect of aging. In: Farrell G, Miller WC. Nursing care of older person. Philadelphia: McGraw Hill Company; 2001. pp. 1115‑29.

Ninikoski H, Jula A, Viikari J, Rönnemaa T, Heino P, Lagström H. Blood pressure is lower in children and adolescents with a low‑saturated‑fat diet since infancy: The special Turku Coronary Risk Factor Intervention Project. Hypertension 2009;53:918‑24.

Seyyedfatemi N, Rezaie M, Givari A, Hosseini F. Prayer and spiritual Well‑being in cancer patients. J Payesh 2007;5:295‑304.

Amjad F1, Bokharey IZ. Comparison of spiritual well-being and coping strategies of patients with generalized anxiety disorder and with minor general medical conditions. J Relig Health 2014;54:524-39.

Potter PA, Perry AG. Fundamentals of Nursing. Philadelphia: Mosby Elsevier; 2009. pp. 343‑53.

Hojati H, Ghorbani M, Nazari R, Sharifinia H, Akhoondzadeh GH. Relationship continuing in prayer and spiritual health in hemodialysis patients. J Ment Health 2010;12:514‑21.

Pargament K, Koenig H, Tarakeshwar N, Hahn J. Religious coping methods as predictors of psychological, physical and spiritual outcomes among medically ill elderly patients: A two‑year longitudinal study. J Health Psychol 2004;9:713‑30.

Delaney C, Barrere C. Blessings: The influence of a spirituality based intervention on psych spiritual outcomes in a cardiac population. Holist Nurs Pract 2008;22:210.

Motamedi A, Ejei G, Azadfallah P, Kiamanesh A. Examine the relationship between religious orientations and successful aging. Daneshvar Raftar J 2005;12:43‑56.

Giaquinto S, Spiridigliozzi C. Possible influence of spiritual and religious beliefs on hypertension. Clin Exp Hypertens 2007;29:457‑64.

Pargament KI, Koenig HG, Tarakeshwar N, Hahn J. Religious struggle as a predictor of mortality among medically ill elderly patients: A 2‑year longitudinal study. Arch Intern Med 2001;161:1881‑5.

Exline JJ, Yali AM, Sanderson WC. Guilt, discord, and alienation: The role of religious strain in depression and suicidality. J Clin Psychol 2000;56:1481‑96.

Hassankhani H, Taleghani F, Mills J, Birks M, Francis K, Ahmadi F. Being hopeful and continuing to move ahead: Religious coping in Iranian chemical warfare poisoned veterans, a qualitative study. J Relig Health 2011;49:311‑21.

Saeedi Taheri Z, Asadzandi M, Ebadi A. The effect of spiritual care based on GHALBE SALIM model on spiritual experience in patients with coronary artery disease. IJPN 2013;1:45-53.

Azizi M, Effectiveness of spiritual therapy on hope and quality of life of students of Isfahan University [dissertation]. (Isfahan): Isfahan university, 2010.

Samadi M , Rahmani F.The Effects of Praying in Mental Health from Islam Perspective. Int J Econ Manag Soc Sci 2015;4:392-8.

Fallah R, Golzari M, Dastani M, Akbari ME. Integrating spirituality into a group psychotherapy program for women surviving from breast cancer. Iran J Cancer Prev 2012;3:141‑7.

Fatahi R. The effects of islamic spiritual group therapy on symptoms of dysthymic and quality of life of girl students of Isfahan University [dissertation]. (Isfahan): Isfahan University, 2009.

Paloutzian RF, Park CL. Handbook of the Psychology of Religion and Spirituality. 1st ed. New York: The Guilford Press; 2005.

Vahia IV, Depp CA, Palmer BW, Fellows I, Golshan S, Thompson W, et al. Correlates of spirituality in older women. Aging Ment Health 2011;5:97-102.

Momeni T, Yousefi H, Abedi H, Moeini M. Effects of spiritual care for the spiritual health of ischemic heart disease patients admitted to the cardiac intensive care unit: A Randomized Clinical Trial. Iran J Nurs Midwifery Res 2011;17:195‑9.

Hedayati E, Maryam H, Marzieh M, Keshavarzi S. The effect of need‑based spiritual/religious intervention on spiritual well‑being and anxiety of elderly people. Holistic Nurs Pract J 2015;2:136‑43.

Simoni JM, Marton MG, Kerwin J. Spirituality and psychological adaptation among women with IV/AIDS: Implications for counseling. J Couns Psychol 2002;49:139‑47.


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