Spiritual Problems Research Articles

Spiritual and moral education as the cornerstone of human personality formation

Introduction. Building an open cultural and civilisational space in our country requires the development of new directions and content of spiritual and moral education. It is important to consider the fact that spiritual and moral education is integrative by nature. It is directly related to all the key aspects of teaching and upbringing and the surrounding world as a whole, fulfilling a system-forming function in the process of comprehensive development of homo sapiens. Objective: to identify and characterize the directions of spiritual and moral education, present a working model for the formation of spiritualised morality fundamentals in children and young people. Materials and methods. The basis of the study were the provisions and conclusions of classical teachers K. D. Ushinsky, V. P. Vakhterov, P. F. Kapterev, V. Y. Stoyunin and others who took the first steps to comprehend the process of spiritual and moral education. Modern authors who study the problems of spirituality and morality made a significant contribution to the study through their numerous publications. The methodology was based on the principles of subjectivity, openness and nature-appropriateness, integrity and systematicity, continuity, differentiation and individualisation. The general scientific methods involved conversations, exercises, debates, the method of example and the organisation of activities. Results. The study expands and concretizes the existing knowledge about spiritual and moral education. It substantiates the conclusion that spiritual and moral education of the younger generation is not a narrow psychological and pedagogical problem, but a social problem, the problem of the future of Russia. The proposed working model is an important step in building a renewed system of spiritual and moral education of children and youth. Discussion. Many scientists studying the problem of the Human’s world focus their attention only on his/her moral side, believing that morality encompasses his/her spiritual core. Meanwhile, more and more contemporary researchers believe that spirituality is a broader concept and is determinant in the connection ‘spirituality – morality’. Spirituality is the highest substructure of human personality, while morality reflects only the norms of society and characterizes the deeds, actions and behaviour of a person. Conclusion. Spiritualised morality is the pivot that each individual needs to form in order to be able to arrange his/her life activity in a regular way, to constantly improve himself or herself, along with building a harmoniously developed society.

O umieraniu ciała i obumieraniu ducha. „Jak nie zabiłem swojego ojca i jak bardzo tego żałuję” Mateusza Pakuły

The study focuses on the problem of corporeality and spirituality in relation to Mateusz Pakuła’s prose debut How I Didn’t Kill My Father and How Much I Regret It. The author of the article presents the analysed work against the background of the contemporary funeral tradition and makes genre determinations in an attempt to show the specificity of Pakuła’s literary expression. He shows the drama of a father and a son presented in the funeral diary, pointing on the one hand to the dying of the body (father), and on the other to the deep spiritual crisis of both protagonists (father, son). In the case of the father, it concerns the inability to bear his own pain and a request for euthanasia, and in the case of the son, it is a drama of choice, i.e. accelerating the death of the father or passivity and accompanying his father in a painful and long dying.

Analisis Psikospiritual Fenomena Relapse Bagi Kelompok ODGPZ di Loka Rehabilitasi BNN Deli Serdang Tahun 2024

Relapse is a relapse behavior that repeatedly occurs after undergoing rehabilitation characterized by the emergence of addictive mindsets, behaviors and actions after the withdrawal period. Drug cases create a sense of dependence caused by several factors, namely family factors, social factors, employment factors, psychological factors and spiritual factors. That's why the case causes uncontrolled emotions of wanting to collect. The focus of the research is to analyze in depth the psychospiritual of ODGPZ who experience continuous relapse in the Rehabilitation Workshop. The term psychospiritual refers to psychology and spirituality where the psychological dimension affects the spiritual experience and the spiritual dimension can affect psychology. Spirituality and psychology include the search for identity which raises various questions that can cause problems in oneself that make oneself anxious, depressed, unstable mood and feeling like they have no purpose in life. Psychospirituality is used as a tool or analytical knife for counselors to dismantle spiritual problems experienced by counselors and see patterns of relapsed behavior. The purpose of the study was to determine the pattern of relapse behavior for the ODGPZ group and analyze the pattern of relapse behavior using a psychospiritual perspective at the BNN Deli Serdang Rehabilitation Workshop. This study uses a qualitative research methodology with a case study method to clients who have experienced relapse. Data collection techniques were obtained by initial observation, interviews and documentation. The results of the analysis showed that the pattern of relapse behavior by ODGPZ was extraordinary enjoyment, suggestions from ODGPZ friends, increasing the spirit of activity, escaping from problems, and pressure and stigma from society. After the pattern was analyzed using a psychospiritual lens, the author found that there were clients who still found it difficult to refuse offers from ODGPZ friends, there were errors in interpreting the theological message of the Bible text, all problems were solved with drugs, finding meaning and purpose in life and social change. Therefore, psychospirituality is closely related to the intellectual and emotional of the individual which affects the mindset and behavior of individuals, especially drug user.

THEORETICAL PRINCIPLES OF THE FORMATION OF SPIRITUAL CULTURE IN FUTURE TEACHERS OF ARTISTS

The problem of spirituality, spiritual culture and their role in the formation of the creative personality of student youth is quite relevant. The process of forming spirituality is an important aspect of the modern humane educational paradigm. According to the scientific community, it is spirituality that expresses the degree of "humanization" of the pedagogical process. Questions of spirituality have interested humanity at all times and have been studied by many sciences: philosophy, pedagogy, psychology, sociology, ethics, aesthetics, etc. In the New Ukrainian School Program in the Progress to Values, it is stated that now it is important to intensify efforts to raise the spiritual level of Ukrainian youth, to form a stable system of deep moral and spiritual values in them. The purpose of the article is to describe the concept of spiritual culture and the formation of artistic ideas in future teachers during the study of Ukrainian folk art. Analysis, synthesis and modeling methods were used to study the state of research. The results of our research was carried out with the help of empirical methods: pedagogical observation, questionnaires, interviews, testing, the method of experimental evaluations. Mathematical statistics methods were used to process the research results. In the research, we used a complex of general scientific and pedagogical methods. To ensure an objective and comprehensive study of the researched phenomenon, an analysis of scientific, scientific-methodical, and art sources was carried out; the state of development of the problem and prospects for further research were determined; generalization of pedagogical experience in teaching art in a higher education institution. The formation of a spiritual personality takes place in the interconnected process of education and training. An important role in the formation of the spiritual sphere of the individual belongs to education. Its tasks are classified according to the following directions: formation of a scientific outlook; education of a conscious attitude to learning, development of cognitive activity and culture of mental work; education of political consciousness and development of civic activity; education of a creative attitude to work, preparation for a conscious choice of profession; education of morality and culture of behavior; formation of legal awareness and education of civil responsibility; education of aesthetic culture and development of artistic abilities, etc.

A Traumatology Case Study of an Indonesian Theological Student

Indonesian theological students often come to seminary with handful of problems from the onset of their life. The expectation from the traditional Christian family for their children to set the behavior right in the seminary is outdatedly common. This study explores a case of a 21-year-old theological male student who suffered verbal and physical abuse from his parents. During the initial four weeks of therapeutic alliance with the author, the student exhibited traumatic symptoms of severe hostility and somatic re-enactment of past adverse experiences. He had been known to possess talisman and some sacred relics for witchcraft in the past which contemporarily yield nightmare and terror at night. The qualitative case study explored the traumatic problem of the student through a 12-month observation and in-depth interview. Through experiential therapy of gestalt, CBT, and forgiveness therapy in the last seven months, the student showed reduced symptoms of hostility, somatic complaints, and impulse-behavior. The spiritual formation of prayer and meditation of the Scripture have been useful for the patient in dealing with his spiritual problems. Keywords: counselling, trauma, seminary, students, syncretism, theology, therapy

ZIYO GO‘KALPNING “TO‘G‘RI YO‘L” ASARIDA IJTIMOIY VA SIYOSIY TAMOYILLAR

This article is devoted to the analysis of the social and political principles presented in the work “The Right Way” (To‘g‘ri yo‘l) by the famous Turkish philosopher Ziya Gokalp, in which the social, economic, spiritual and political problems of the 20th century analyzed. Also, the article reveals the significance of Ziya Gokalp's socio-philosophical tendencies in solving problems specific to society.

Signatures of neuroinflammation in the hippocampus and amygdala in individuals with religious or spiritual problem

ABSTRACT The term Religious or Spiritual Problem (RSP), as defined in the revised 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR, 2022), refers to the questioning of faith, transcendent values, or changes in the religious belief system. This condition is often accompanied by marked depression and anxiety. However, it has not been explored whether RSP shares biological features with psychiatric disorders, including neuroinflammation in the amygdala and hippocampus. To elucidate this issue, we investigated 50 individuals with RSP and 50 matched control volunteers. Neuroinflammation was indexed by the diffusion-basis spectral imaging-based restricted fraction (DBSI-RF) measure in magnetic resonance imaging (MRI) scans. Plasma C-reactive protein (CRP) and IL-6 levels were also measured. The results revealed significantly elevated inflammatory measures in the amygdala and hippocampus and increased IL-6 concentrations in RSP. Depressive symptoms predicted the inflammatory measures. IL-6 partially mediated the relationship between depression and inflammation in the amygdala. However, the evidence for this mediation was weak, as revealed by Bayesian statistics. These results indicate that RSP is characterized by putative neuroinflammatory changes in brain structures implicated in emotion regulation, learning, and memory.

SPACE-TIME CONTINUUM OF PRZEMYSLAW LIS-MARKIEWICZ’S NOVELS

The work outlines the artistic space-time as an author's model of the world, its main features and functioning in the works of the contemporary Polish writer Przemysław Lis‑Markiewicz. The paradigm of space-time discourse is studied on the basis of the novels "Confession of the Spirit" and "Moskal". The article indicates that the plot of novels by Przemysław Lis‑Markiewicz, which also depict Ukrainian history, unfolds in a linear perspective, each chapter is marked with dates according to the calendar time. The works synthesize calendar, event and perceptual time. The spatial picture of the works is built on open and closed models of the world, macro- and microcosm. The study of the implementation specifics for the concepts of time and space made it possible to point out the relationship between the historical / character chronotope, the role of retrospection and prospection in the novels of the Polish artist. The chronotope of novels is determined by the narrative strategy, the author's intention, and the genre structure. "Confession of the Spirit" is perceived as the author's attempt to understand the formation of personality in the complex period of social and political events of the late 19th – 20th centuries and is defined as a novel-biography. The novel "Moskal" is considered as a synthesis of documentary and psychological, which testified the author's attention to social and political, spiritual problems of a person in a border situation, a historical and political novel. The article traces peculiarities of the artistic interpretation of Ukrainian geographical and cultural spaces, realized in artistic works. The space-time in the author's novels reflects the essence of the spiritual and material world of the inhabitants of the Ukrainian-Polish border, acts as a marker of the identity of the inhabitants of the region, which appears as a certain palimpsest construction, signifying the memory of Ukrainians and Poles, their narratives. In his novels, Przemysław Lis-Markiewicz unfolds the space of Ukraine in the days of wars or political vicissitudes, emphasizing the tragic pages of history.

Validation of the Standardized Needs Evaluation Questionnaire in Polish Cancer Patients.

Cancer influences various aspects of patients' functioning. Cancer patients face not only medical problems but also organizational, socio-psychological, and spiritual problems. Their needs often seem to be unrecognized because patients do not express their concerns and clinicians do not ask appropriate questions. Unmet needs impact patients' quality of life. The aim of this study was to select, adapt, validate, and introduce a simple instrument for estimating cancer patients' unmet needs in Poland. The Needs Evaluation Questionnaire (NEQ) was chosen for validation in a Polish population. The Polish version of the NEQ was developed with a back-translation procedure, as approved by a psycho-oncologist and a public health specialist. The psychometric properties of the NEQ (content analysis, reliability, construct validity, comprehensibility, and acceptability) were measured. This study was performed on a group of 121 cancer patients. The median time of completion for the NEQ was 10 min. The form, length, and font size of the NEQ were accepted by the respondents. Overall, the meaning of the questions was well understood, with only a few cases of discreetly heterogeneous interpretation of the content. The questionnaire showed good reliability and internal factor structure validity. The NEQ is a simple, easy-to-administer instrument with good psychometric properties and seems to be useful in assessing the unexpressed needs of cancer patients.

Принцип всеединства как основа идеи бессмертия в философии Ф.М. Достоевского и Вл.С. Соловьева

The article represents a study of F.M. Dostoevsky’s and V.S. Solovyov’s immortological ideas, which are insufficiently studied today. On the material of various publications of Dostoevsky, it is shown that he considered the idea of immortality as “the main and the most supreme idea of human existence”, since it is inherent in a perfect, final being, which implies an indissoluble unity. It is assumed that the sources of the writer’s immortalological ideas were the philosophical systems of I.G. Fichte, F.W.J. Schelling, K.G. Karus and G.T. Fechner. It was revealed that Dostoevsky considered active love and the idea of “absolute self-improvement” necessary for spiritual transformation and overcoming selfishness, leading to a violation of integrity and inevitable death. Based on the material of Solovyov's early works, it is shown that his views strongly coincided with the position of the writer. As it turned out, both Russian thinkers saw the possibility of a future life only in connection with Christianity, which differed significantly from traditional teaching. An overview of the concept of “true Christianity” is given, which presupposes, first of all, faith in the immortality of man and unity. Suffering is seen as a necessary driving force towards the conscious renunciation of one's own personality and the merging of humanity with the diversity of manifestations of the metaphysical essence. It is shown that an important condition for this is joint improvement, since individual efforts to transform the world are not enough. It is concluded that due to such transformation “free all-human unity, worldwide brotherhood in the name of Christ” will be established in the world. Undoubtedly, partly utopian in their basis, the ideas of the writer and philosopher were aimed at solving the spiritual problems of man of that time and humanity in general.

QURANIC BIBLIOTHERAPY: AN ISLAMIC PSYCHOSPIRITUAL APPROACH TO HEALING

Quranic Bibliotherapy is an emerging therapeutic intervention that combines Islamic spirituality and psychological principles to promote healing and well-being. Rooted in the holy text of the Qur'an, this approach uses narratives, reflections, spontaneous Quranic verses, sources of information, action, and change to address mental and spiritual issues. By incorporating Islamic psychospiritual practices, individuals are guided towards self-reflection, personal growth, and inner peace. The study highlights the importance of Quranic Bibliotherapy as an innovative tool in Islamic Psychospiritual healing. Such a holistic approach fosters resilience, self-awareness, and a deep connection with the Divine. By embracing the teachings of the Qur'an, individuals can find comfort, guidance, and hope, navigating life's trials with renewed strength and faith. A qualitative approach with grounded theory method is used to investigate how the application of Quranic Bibliotherapy as an Islamic psychospiritual approach to overcome mental and spiritual problems. The study involved in-depth interviews with individuals who had undergone Quran Bibliotherapy sessions at the Indonesian Bibliotherapy Community, where they discussed their experiences, insights gained, and their impact on their personality, mental, moral, and spiritual development. The study positively impacts mental health and spiritual well-being, offering profound implications for bibliotherapy practitioners, researchers, and the wider Islamic community.

Discussion on the Importance of Mental Health

With the improvement of people's living standards, people s quality of life is increasing year by year, and people s spiritual world problems affect our health. For our physical and mental health, I learn the knowledge of psychological counseling and improve their spiritual world, to lead the people around us to pay attention to our physical and mental health.

The spiritual and social role of the mother in the Ukrainian family

The relevance of the topic lies in the study of the spiritual and social role of the mother in the Ukrainian family due to the crisis of the family in modern society. This crisis is manifested in the increase of divorces, fatherlessness, a free attitude toward sex before marriage, abortions, homosexual behavior, and a lack of trust and love between family members. Currently, during the war waged by Russia against Ukraine, Ukrainians are subjected to terrible sexual assaults, destruction, and abuse by the enemy. Because of this occupational war, the crisis in the family worsens even more. The study was conducted in 2021, before Russia’s large-scale invasion of Ukraine. The sample included families living in Kyiv. It was advisable to experiment with 30 families who believe in God and 30 atheist families. The following methodical tools were used in the research: T. Alordey’s questionnaire, the method of ‘Normative resistance’ according to E. Eidemiller, and the projective method of ‘Draw-a-Family-Picture’. The aim of the research was to show a special vital resource of Christian mothers, which affects the creation of an atmosphere of love and respect in their families, in contrast to the vital resource of mothers in families that do not believe in God. This vital resource affects the performance of the role of the mother. As a result of the questionnaire, husbands’ understanding of the mother’s role in the family was studied. Christian and non-Christian men showed that most of them were grateful to their mothers. From the answers in the questionnaires, it is clear that the life principles that husbands learned from their mothers, they practice in their own families. This forms the authority of the wife in the family and affects the role of the mother. Normative resistance in mothers from non-believing families was not ascertained. These mothers considered terrible, negative situations to be normal. Mothers who confess Christ ascertain normative resistance. They make great efforts so that children grow up in an atmosphere of joy and mutual understanding. Analyzing the drawings of children from non-Christian families, one can see psychological and spiritual problems in families. The pictures reflect children’s experiences of conflicts in the family. An atmosphere of love and strong family relationships can be observed in the drawings of Christian children. Children have mothers who pray for them. The effectiveness of the ‘I am a mother’ training aimed at biological and social mothers is shown. The social mothers are preschool educators, schoolteachers, and academics in higher education institutions. Ukrainian mothers, teaching their children to love God and the motherland, positively influence society and form the spiritual, professional, and business cultures of the young generation. Christian families have a special, vital resource. This resource enables mothers to fully fulfill their spiritual and social roles in the family. During the war in Ukraine, such mothers laid the foundations of new values that affect the whole world.

Socio- spiritual approaches towards rehabilitation of the victims of sexual molestation in Zimbabwe: An African pastoral care perspective

Sexual molestation is a common phenomenon in communities globally, particularly in situations of family disintegration and periods of political violence and economic instability that cause migration and displacement. Molestation comes in various forms including sexual harassment, fondling, oral-genital contact, penetration and intercourse which is dehumanizing. This causes the victims to suffer physical, psychological and spiritual problems. Therefore, there is a need to provide a holistic pastoral care approaches that address the problems resulting from molestation. This paper seeks to explore ways in which the victims of sexual molestation in Zimbabwe may be healed spiritually and psychologically and their dignity be restored. It will begin by discussing the challenges that arise due to sexual molestation and propose some pastoral care approaches that promote holistic healing and restoration of the victims. The paper utilizes the theoretical framework of the ubuntu theology of the Nobel laureate the late Archbishop Desmond Tutu of South Africa. His theory helps in the understanding of the role of pastoral care for the victims of sexual molestation in the Zimbabwean context. This is a non-empirical research based on analysing secondary sources of data through a desk-top study approach. The paper contributes to insights on how ubuntu-informed pastoral care practices can promote the restoration of the dignity of the victims of sexual molestation.

Caregiver burden among parents of children with type 1 diabetes: A qualitative scoping review

ObjectivesType one diabetes (T1D) in children places substantial responsibility on parents as caregivers. This study investigated caregiver burden in parents of children with T1D by exploring the financial, physical, social, spiritual, and emotional or psychological problems they experienced. MethodsWe conducted a qualitative scoping review of the databases PsycINFO, PROSPERO, OVID Medline, OVID EMBASE, Cochrane Library (CDSR and Central), EBSCO CINAHL, ProQuest Dissertations and Theses Global, and SCOPUS. Of 119 full text articles assessed for eligibility, 18 peer-reviewed qualitative studies were included. Studies were considered relevant if they focused on diabetes management and parental burden or the experience of caregiving for a child with T1D. ResultsUsing thematic analysis, six interrelated themes were identified: (a) experiencing chronic sorrow, (b) assuming responsibility for glucose highs and lows, (c) managing T1D and nighttime sleep disturbances, (d) making career sacrifices and choices to optimize T1D care, (e) navigating social experiences postdiagnosis, and (f) discovering new sources of support through online platforms. ConclusionsThis synthesis highlights an all-encompassing experience involved in caretaking for a child with T1D. Caregiving duties lead to a constant sense of vigilance, especially due to fear of hypoglycemic incidents. Parents commonly experience challenges with balancing work demands with T1D management, which lead to career and financial sacrifices. Their burden of care is exacerbated by a lack of reliable respite care but helped somewhat by online peer support. Future research is needed on the care burden differences between mothers and fathers and how sociodemographic factors affect how caregiver burden is experienced.

Exploring Palliative Care Needs Among Patients With Cancer and Non-Cancer Serious Chronic Diseases: A Comparison Study.

Palliative care (PC) is integral to improving the quality of life and mitigating suffering for individuals with serious illnesses. This interdisciplinary-led study aims to comprehensively evaluate the prevalence of distressing problems and unmet needs among both cancer and non-cancer chronic disease patients and explore their need for PC. A cross-sectional, comparative, and multicenter design was conducted, involving 458 patients from eight hospitals, utilizing a self-reported Problems and Needs in Palliative Care-sv questionnaire. The study included 276 (60.3%) patients with cancer and 182 (39.7%) with non-cancer chronic diseases. Most were 45-64 years old (n = 216, 47.2%). Patients with cancer reported a higher prevalence of physical symptoms, notably pain (n = 240, 87%) and anorexia (n = 192, 69.6%), while non-cancer patients faced more social challenges, including issues in companion relationships (n = 77, 42.3%) and discussing their disease with life companion (n = 78, 42.9%). Unmet needs were prevalent in both groups, with cancer patients having an average of 75.6% (n = 120) unmet needs, predominantly in the information (n = 145, 91.75%) and spiritual domains (n = 123, 77.8%). Non-cancer patients emphasized financial (n = 71, 66.6%) and autonomy (n = 59, 55.0%) problems. Moreover, patients in both groups with severe Charlson Comorbidity Index scores demonstrated significantly higher PC needs across all health domains. The study highlights the universal demand for comprehensive PC for patients with both cancer and non-cancer chronic diseases. The findings underscore the need for enhanced PC provision, especially for patients with multiple comorbidities. Further research is needed to comprehensively address psychological, social, and spiritual problems in both patient groups.

Frontal asymmetry and physiological responses in religious and spiritual problems with and without conversion

ABSTRACT Religious conversion is often associated with a negative emotional state accompanied by profound changes in sacred beliefs, values, attitudes, and practices. This negative emotional state is referred to as “Religious or Spiritual Problem” (RSP) in the revised 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR, 2022). The physiological and neuronal correlates of RSP and religious conversion are not known. Therefore, we measured lateralized frontal alpha-asymmetry, saliva cortisol levels, and heart rate in 24 individuals who experienced religious conversion with RSP, 23 individuals with RSP without religious conversion, and 20 problem-free controls with matched religiosity. In the baseline condition, participants read newspapers and listened to non-religious music; in the religious condition, they read Bible verses and listened to sacred music. Relative to the controls, both groups with RSP showed stress responses in the religious condition, including increased frontal alpha-asymmetry (left > right frontal activation), elevated saliva cortisol concentrations, and higher heart rate. Participants experiencing religious conversion displayed higher frontal alpha-asymmetry than those without conversion, but the cortisol levels and heart rate responses were similar in converters and non-converters. These results indicate that religious conversion with RSP demands a higher cognitive load than RSP alone.

ڈاکٹر مسعود احمد (متوفی ۲۰۰۸ء) کے رسائل ( انٹرنیشنل سیریز)کا تعارف وتجزیہ

Islam is a complete code of life, which provides solutions to the spiritual and material problems of both individual and collective lives of man. In the teachings of Islam, there are no separate standards of religion and the worldly affairs. There is no dual concept of education of schools, madrassas and mosques, but now-a-days these two fields are considered separately, which in itself leads to two extremes. There are very few scholars who have presented the concept of their integration, and presented a practical model themselves. One of these personalities is the name of Dr. Masood Ahmed (deceased: 2008) who was a master of both religious and worldly sciences. He was the luminary of a scholarly family as his father was associated with the profession of imam of Delhi's Jama Masjid, but he did his doctorate from a university along with traditional religious education, He was an imam of mosque as well as a professor in the college. He also remained a professor and trained people all his life. The article under review is a witness of his comprehensive style of personality. He conveyed the rules of religion to the people in the light of Quran and Sunnah. The focus of his teachings was the reformation of life matters.

Spiritual Well-Being to the Quality of Life of Heart Failure Patients

Heart failure is caused by the heart being unable to maintain normal blood flow. Some patients with heart failure expressed that they needed nurses' help with their physical, psychological, and spiritual problems. Spiritual Well-Being and its components play an important role in a person's declining quality of life and have been linked to various other health factors. This research aims to determine the relationship between spiritual well-being and the quality of life of heart failure patients. The sample for this research was 100 respondents taken using the accidental sampling technique. Data analysis uses the chi-square correlation test if the test conditions are met. If the test requirements are not met, use the alternative Fisher exact test. The instruments used in this research were the Spiritual Needs Questionnaire (SpNQ) and the Minnesota Living with Heart Failure Questionnaire (MLHFQ). The results of this study illustrate that there is no relationship between quality of life scores and all aspects of the spiritual needs of heart failure patients (p> 0.05). The results of the analysis carried out showed that NYHA functional status (p= 0.044) and ejection fraction (r= -0.205, p= 0.041) influenced the spiritual needs of heart failure patients. The results of this study indicate that the patient's spiritual needs are not related to the general quality of life score, but have a significant relationship with the physiological dimensions of quality of life, ejection fraction, and NYHA functional status.

Spiritual Well-Being of Acute Coronary Syndrome Patients in The Cardiac Intensive Care Unit

Patients with Acute Coronary Syndrome (ACS) are at risk of experiencing problems in various aspects of life. Changes in spiritual conditions are one of the problems that often occur, especially spiritual well-being. Existential well-being (EWB) and religious well-being (RWB) are specific parts of spiritual well-being that will be analyzed in this study. The research design used is descriptive with a cross-sectional approach. The study population was patients who experienced Acute Coronary Syndrome and were treated in the cardiac intensive unit with a total of 84 patients who were taken using a non-probability sampling technique with a purposive sampling method. The instrument used is the Indonesian version of the Spiritual Well-Being Scale (SWBS) questionnaire and has received permission from the original owners Ellison and Paloutzian by paying for the copyright. The results showed that the level of religious well-being (RWB) and existential (EWB) was in the high category with 86.9% and 71.4% respectively. There were no respondents who had a low level of religious or existential spiritual well-being. Health service providers are expected to be able to assess the spiritual well-being of ACS patients so that spiritual problems can be detected and efforts to treat them as early as possible.