The effect of spiritual care based self- regulation on physical and environmental comforts in coronary heart disease patients in ICUs

Physical and environmental comforts are important elements to accelerate the patient recovery process in the intensive care unit. This work aims to figure out the effect of spiritual care based self-regulation on the physical and environmental comforts of CHD patients. The research used a quasi-experiment with a control group design. The present study had 34 participants in each of the control and intervention groups. The samples were collected using purposive sampling, and the inclusion criteria were that the participants should be conscious, with stable hemodynamics, Muslims and not on a ventilator. The interventions administered were prayer, pain management with reciting dhikr and qur’anic healing. The data were collected using the numeric rating scale (NRS) questionnaire for physical comfort and Richards-Campbell Sleep Questionnaire (RCSQ). This quasiexperimental study with a control group was conducted. The spiritual care intervention based on self-regulation was administered twice a day for four days to patients in the intervention group. The data were analyzed using Wilcoxon and Mann-Whitney. It was found that most respondents in the intervention group experienced a good level of physical comfort (32 respondents or 94%) and good and excellent levels of environmental comfort (50% and 50%) upon being administered spiritual care intervention. Meanwhile, in the control group, as many as 16 respondents (47.1%) reported a sufficient level of physical comfort and 12 others (35.3%) reported a poor level of environmental comfort. The difference between the intervention and control groups was significant in physical comfort at a p-value of 0.002 and in environmental comfort at p p-value of 0.000. Spiritual care intervention can be used as a complementary therapy to accelerate the recovery process and improve the quality of patient care during their stay in the ICU.