The effect of spiritual care based on Ghalbe Salim model on the sleep quality of the patients with coronary artery disease

A person’s complete health depends on the balance between his existential dimensions. Spiritual care has been identified as the most important and helpful factor in achieving balance in health maintenance and disease resistance. Considering soothing role of sleep in complete health of human and its high importance for cardiac patients; this study was carried out to determine the effect of spiritual care based on GHALBE SALIM model on sleep quality in patients with coronary artery disease. In this two-group controlled clinical trial study, sixty patients with acute coronary syndrome in the coronary care units of Baqiyatallah hospital in Tehran in 2013 were selected by purposeful sampling method and they were randomly allocated in two experimental and control groups. By using Pittsburgh Sleep Quality questionnaire, patient's sleep quality was measured on the first day after admission. In experimental group, spiritual care program was performed from the first day of admission to the time of discharge. After two months, sleep quality of the samples was measured. Data of the study were analyzed by using descriptive statistics (mean, standard deviation and frequency), inferential statistics (chi-square, paired and independent t, Mann-Whitney U, Wilcoxon) and SPSS18 software. Total PSQI score in experimental group was decreased significantly after the intervention in compare with the time before the intervention (p=0.001).Total PSQI score of the experimental group after the intervention was significantly different in compare with the control group (p=0.001) Spiritual care based on GHALBE SALIM model improved the sleep quality of patients. As a result, the achievement of peace and freedom from stress due to disease helped the patient’s psychological adaptation to the disease and also helps the patient’s current treatment status and health indirectly.