Zahra Taheri

Background and Objectives: The aim of the present study was to determine the relationship between dimensions of religious and spiritual wellbeing, stress, anxiety, and depression in students of Qom University of Medical Sciences and as well as to access the predictability of stress, anxiety, and depression from the levels of religious-spiritual dimension in students. Methods: In this descriptive and analytical study, 138 students in Qom University of Medical Sciences were selected via random sampling method. Theycompleted the MI RSWB- 48, Depression, anxiety, and stress scale. Data were analyzed by SPSS Ver.16,utilizing descriptive statistics and the statistical tests of Independent t-test, ANOVA, Pearson correlation coefficient and regression analysis. Results: Religious-spiritual wellbeing was correlated with depression, anxiety and stress. The results of multiple liner regression showed that hope predicted stress, anxiety, and depression after controlling demographic variables. In addition, general religiosity was associated with depression. Conclusion: The findings indicated that immanent hope and general religiosity were, respectively, the most important religious-spiritual components which may affect psychological distress in students.

Background and Objectives: Spirituality and spiritual care, as essential components of holistic nursing care, are widely recognized, while spiritual aspect is still overlooked. Spirituality has been associated with the caregiver’s sense of well-being and ability to cope. The aim of this study was to determine attitude of intensive care nurses toward spirituality and spiritual care and its relationship with mental health. Methods: This cross-sectional study was conducted on 55 nurses working in the Intensive Care Units of educational hospitals in Qom, 2014. Tools of study include measures of Spirituality and Spiritual Care Rating Scale and General Health Questionnaire. Data was analyzed by descriptive statistics, Pearson correlation coefficient, independent t-test, and ANOVA in the statistical software SPSS, ver. 16. Results: There were 10.2% male and 89.8 % female nurses; age ranged from 21 to 46 years, with a mean age of 29. Mean and standard deviation attitude score of spirituality and spiritual care in nursing were 55.95 and 7.66, respectively. Among the demographic variables of age, and work experience were significant correlation with the perception of spirituality and spiritual care. Also, there were significant and direct correlations between spirituality and spiritual care and general health. Conclusion: Our finding indicated that attitudes toward spirituality and spiritual care in the intensive care nurses were moderate. According to the direct relationship between attitudes toward spirituality and spiritual care and mental health, there should be a significant focus on strengthening spirituality in nursing care in intensive care, education, and acculturation in the area of religious and spiritual activities among nursing students.

Background and Objectives: Islamic lifestyle is associated with all dimensions of life and can play an important role in maintaining health. The present study was conducted to investigate correlation between dimensions of Islamic lifestyle and mental health in the students of the Qom University of Medical Sciences. Methods: The study population of this descriptive-analytical, cross-sectional study conducted in 2016 consisted of the students of the QUMS. Of this population, 150 people were selected by multistage sampling. Data gathering was conducted by the short version of Islamic lifestyle test and 12-item General Health Questionnaire. Data analysis was performed by descriptive statistics, Pearson correlation coefficient, and stepwise multiple regression. Results: Mean score for Islamic lifestyle and mental health variables in the students was 417.14±42.21 and 15.4±2.21, respectively. There was a significant correlation between Islamic lifestyle and mental health. Among the variables included in the stepwise multiple regression, Thinking and Science, Financial, and Social dimensions had significant effect on mental health. Conclusion: Thinking and Science dimension was the most important Islamic lifestyle aspect followed by Financial and Social dimensions. These components help promote students' mental health.

Background and Objectives: Spiritual well-being has been recognized as an important resource to cope with illness and life stresses. The aim of this study is to determine the Spiritual well-being status as well as stress coping strategies in hemodialysis patients. Methods: This descriptive-analysis study included 95 randomly selected patients undergoing treatments with hemodialysis in hemodialysis centers of Qom hospitals. Data collection instruments were the Spiritual Well-Being Scale and Jalowiec Coping Scale Data were analyzed via SPSS 16 software, by using descriptive statistics, Pearson correlation coefficient and independent t-test. Results: The mean and standard deviation score of spiritual well-being of patients were 91.98±15.09 while the mean and standard deviation of existential and religious well-being were 50.76±8.06 and 41.22±8.91, respectively. 52.6% got scores higher than the average score in spiritual well-being. The most common coping strategies in patients were Evasive and Supportant copings. Spiritual well-being and problem-oriented coping strategies had a significant positive correlation. But there was no significant relationship between spiritual well-being and emotion-focused coping strategies. Conclusion: Results showed that hemodialysis patients mostly use emotion-oriented strategies when facing disease and treatment’s challenges. There was a positive relation between spiritual well-being and problem-oriented coping strategies; therefore, in order to increase levels of coping with the disease, the care plan should be written with an emphasis on patients' spiritual needs.