Diagnosis of cancer following long treatments is usually a stressful experience. The aim of this study was to investigate the effectiveness of spirituality therapy training on distress tolerance and death anxiety among patients with leukemia in Valiasr hospital of Khorramshahr in 2019.
The research method was quasi-experimental with pre-test, post-test, and follow-up design with a control group. Participants included 98 people with leukemia referred to Valiasr hospital in Khorramshahr in 2019, selected by purposeful sampling method and randomly assigned to experimental and control groups, each group consisting of 15 people. Data were collected via distress tolerance and death anxiety questionnaires. Before the intervention, a pre-test was held, and then the experimental group received twelve 90-minute spirituality therapy training sessions, but the control group did not receive any intervention. Then, the post-test was performed, and after one month of post-test, the follow-up period was performed. Data were analyzed using covariance analysis using SPSS software version 22.
The mean (SD) age of participants was 32.9 (4.6) in the experimental group and 34.3 (5.1) in the control group. In the experimental group, the mean (SD) of death anxiety score decreased from 12.4 (1.4) in the pre-test to 7.9 (1.3) in the post-test and 7.7 (1.2) in the follow-up (P<0.001). However, in the control group, the mean (SD) of death anxiety score increased from 12.6 (1.8) in the pre-test to 11.5 (1.6) in the post-test, and 11.4 (1.3) in the follow-up, which was not significantly significant. In the experimental group, the mean (SD) distress tolerance score increased from 24.6 (2.8) in the pre-test to 0.57 (4.3) in the post-test and 54.8 (4.2) in the follow-up (P<0.001). However, in the control group, the mean (SD) of distress tolerance score increased from 31.8 (5.7) in thepre-test to 30.5 (6.9) in the post-test and 32.6 (10.6) in follow-up, which was not significantly significant.
It can be concluded that spiritual therapy reduces death anxiety and increases distress tolerance in leukemia patients.
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