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<p>This study aimed to assess the impact of spiritual care education on post-traumatic growth and resilience among patients diagnosed with leukemia. This randomized controlled trial study was conducted at Shahid Beheshti Hospital in Hamadan, Iran, in 2023. A total of 75 participants were recruited through convenience sampling and randomly assigned to either the intervention (<i>N</i> = 38) or control (<i>N</i> = 37) groups. Data collection included demographic information, the Post-Traumatic Growth questionnaire, and the Connor-Davidson Resilience Scale administered before, one month, and two months after the intervention. Participants in the intervention group received six sessions of spiritual care education, each lasting 30–45&#xa0;min, with sessions spaced one day apart. Prior to the intervention, no significant differences were found in the mean scores of post-traumatic growth (<i>P</i> = 0.645) and resilience (<i>P</i> = 0.802) between the groups. However, following the intervention, significant between-group differences were observed in the mean scores of post-traumatic growth and resilience. For post-traumatic growth, the differences were statistically significant one month after the intervention (<i>P</i> &lt; 0.001, <i>d</i> = 0.814), two months after the intervention (<i>P</i> &lt; 0.001, <i>d</i> = 1.294), and overall (<i>P</i> &lt; 0.001, <i>η</i><sup>2</sup> = 0.203). Similarly, for resilience, significant between-group differences were found at one month (<i>P</i> &lt; 0.001, <i>d</i> = 1.078), at two months (<i>P</i> &lt; 0.001, <i>d</i> = 1.023), and in the overall comparison (<i>P</i> &lt; 0.001, <i>η</i><sup>2</sup> = 0.158). Moreover, within-group comparisons demonstrated a significant increase in post-traumatic growth (<i>P</i> &lt; 0.001, <i>η</i><sup>2</sup> = 0.244) and resilience (<i>P</i> &lt; 0.001, <i>η</i><sup>2</sup> = 0.200) scores from baseline to the final measurement in the intervention group. In contrast, no significant changes were observed in the control group for either post-traumatic growth (<i>P</i> = 0.795) or resilience (<i>P</i> = 0.539). These findings suggest that spiritual care education provided by nurses can contribute to psychological growth and resilience enhancement among leukemia patients, thereby promoting comprehensive care.</p>

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Impact of Spiritual Care Education on Leukemia Patients’ Post-traumatic Growth and Resilience in Iran: A Randomized Controlled Trial

  • 期刊论文

  • 发表日期：

    2025年7月19日

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  • Amir Sadeghi,
  • Payam Karimian,
  • Vahid Yousofvand,
  • Amin Monjezi,
  • Behrad Sadeghi,
  • Vahid Yadegari Sorour,
  • Salman Khazaei,
  • Edris Habibi

摘要

This study aimed to assess the impact of spiritual care education on post-traumatic growth and resilience among patients diagnosed with leukemia. This randomized controlled trial study was conducted at Shahid Beheshti Hospital in Hamadan, Iran, in 2023. A total of 75 participants were recruited through convenience sampling and randomly assigned to either the intervention (N = 38) or control (N = 37) groups. Data collection included demographic information, the Post-Traumatic Growth questionnaire, and the Connor-Davidson Resilience Scale administered before, one month, and two months after the intervention. Participants in the intervention group received six sessions of spiritual care education, each lasting 30–45 min, with sessions spaced one day apart. Prior to the intervention, no significant differences were found in the mean scores of post-traumatic growth (P = 0.645) and resilience (P = 0.802) between the groups. However, following the intervention, significant between-group differences were observed in the mean scores of post-traumatic growth and resilience. For post-traumatic growth, the differences were statistically significant one month after the intervention (P < 0.001, d = 0.814), two months after the intervention (P < 0.001, d = 1.294), and overall (P < 0.001, η2 = 0.203). Similarly, for resilience, significant between-group differences were found at one month (P < 0.001, d = 1.078), at two months (P < 0.001, d = 1.023), and in the overall comparison (P < 0.001, η2 = 0.158). Moreover, within-group comparisons demonstrated a significant increase in post-traumatic growth (P < 0.001, η2 = 0.244) and resilience (P < 0.001, η2 = 0.200) scores from baseline to the final measurement in the intervention group. In contrast, no significant changes were observed in the control group for either post-traumatic growth (P = 0.795) or resilience (P = 0.539). These findings suggest that spiritual care education provided by nurses can contribute to psychological growth and resilience enhancement among leukemia patients, thereby promoting comprehensive care.