Spiritual Therapy Research Articles

Spiritual Reminiscence Therapy as a Psychotherapy Technique in Spiritual Counseling for the Elderly

Yaşlı bireyler, Türkiye’de en hızlı büyüyen demografik gruplardan birini oluşturmakta ve bazı saha araştırma sonuçlarına göre tüm yaş grupları arasında en dindar grup olarak tanımlanmaktadır. Yaşlı bireylerin sağlıkla ilgili yaşamış oldukları sorunlar sadece fiziksel sağlıkla ilgili değil ruh sağlığıyla da ilgilidir. Bu çalışmada ele alınan manevi anımsama terapisi, yaşlı bireylere uygulanabilecek danışmanlık tekniklerinden biridir. Anımsama çalışması ilk olarak Robert Butler (1968) tarafından, akıl hastanelerinde yaşlı insanlarla çalışmaya dayanan “yaşamı gözden geçirme” yönteminin bulunmasıyla ortaya çıkmıştır. Manevi danışma ve rehberlikte anımsama terapisinin kullanılması, yaşlı bireylere yaşamın anlam ve amacını bulma konusunda yardımcı olurken aynı zamanda sağlıklı yaşlanmayı teşvik etmenin bir yolu olarak da önerilmektedir. Maneviyatın anımsama terapisindeki sürece açıkça dâhil edilmesi, dindar yaşlı bireyler tarafından danışmanlık hizmetlerinden yararlanmayı kolaylaştırmanın bir yolu olarak değerlendirilmektedir. Bu makale, Türkiye’de yaşayan yaşlı bireylerde manevi anımsama terapisinin nasıl uygulanabileceğini araştırmayı amaçlamaktadır. Bu bağlamda makalede, maneviyatın yaşlılarda zihinsel ve fiziksel sağlık üzerine etkisi, yaşlılarda manevi danışmanlık ve rehberlik, bu danışmanlıkta kullanılan yöntem, teknikler ve etik, manevi anımsama terapisinin tanımı, tarihçesi, kapsamı ve anımsamanın manevi danışmanlık ve rehberliğe uyarlanması konuları ele alınmaktadır. Çalışmada, yaşlılara uygulanan manevi danışmanlık ve rehberlikte etik konusunda; danışan özerkliğine saygı, danışmanın danışanın manevi yönelimiyle ilgili yeterliliğe sahip olması ve mesleki yeterlilik sınırları içinde uygulama yapmak ilkelerine değinilmektedir. Ayrıca çalışmada danışanların, dinî öz değerlendirme yapabilmeleri için kullanılan nitel teknikler; manevi yaşam haritaları, manevi genogramlar, manevi eko-haritalar, manevi ekogramlar ve cümle tamamlama testlerine kısaca yer verilmiştir. Çalışmada, manevi anımsama terapisinin, pratik ve çözüm odaklı bir terapi süreci olması nedeniyle ülkemizdeki yaşlı bireyler için uygun görüldüğü sonucuna ulaşılmıştır. Bununla birlikte, Uluslararası alanyazında manevi anımsama terapisinin güçlü ve etkili bir terapi modeli olduğu kanıtlanmış olsa da Türkiye’de bu yöntemin etkililiğe dair herhangi bir çalışmaya rastlanamamıştır. Bu terapi tekniğinin yaşlı bireylerle çalışan manevi danışmanlar ve psikoterapistler tarafından kullanılmasının faydalı olacağına inanılmakta ve ülkemizde de etkililiğini sınayan çalışmaların artması gerektiği düşünülmektedir.

Deep Breathing Spiritual Therapy to Reduce Pre-Circumcision Anxiety in Children in Sukoreno Village, Jember Regency

Health problems in the community in Sukoreno Village, Jember Regency, namely children feeling anxious and even afraid when circumcision is about to be performed. This is because children receive information from their friends which makes fear worse for no apparent reason. The family, especially the parents, also have difficulty dealing with these problems so they don't know how to handle them. Parents have never known about deep breathing spiritual therapy and its benefits in preventing or reducing anxiety and fear, especially in children who will be circumcised. The aim is to provide education or health counseling regarding deep breathing spiritual therapy to reduce anxiety in children who are about to be circumcised in Sukoreno Village, Jember Regency. Using the education or health counseling stage method, namely the orientation, work, and termination stages. Using the leaflet instrument as an extension tool. The results of the service are providing education about the meaning of deep breathing spiritual therapy, the goals and benefits of therapy, indications for therapy, benefits of therapy, mechanisms of therapy, and things that need to be considered in therapy. There were 20 children who attended. The conclusion of this dedication is that deep breathing spiritual therapy is useful in reducing anxiety in children who will be circumcised.

Spiritual Healing: A Study of Modern Sufi Reflexology Therapy in Indonesia

There have been advances achieved in modern medicine but traditional treatment methods using certain spiritual approached have become increasingly popular in many parts of the world. Certain Sufi practices, among others, is used in medical treatment to support the healing process. Based on a case study on the practice of Sufi therapy conducted by Akang Syamsudin in the Limbangan Garut area, West Java, Indonesia this article attempts to explore the conversion process and dynamics of the development of Sufi healing. Employing a qualitative approach and Miles and Huberman landscape approach, and supported with interviews, observations, and documentation the research finds that Syamsudin’s Sufi therapy method combines physical and spiritual principles. Syamsudin’s therapeutic approach is based on the following seven factors, are: 1) belief that every disease has a cure; 2) balance and moderation are directly proportional to physical health; 3) spiritual factors dominate over physical factors; 4) the importance of blood circulation; 5) the efficacy of positive suggestion; 6) belief and submission to God’s will; 7) the effectiveness of patience and consistency. The research implications open a new paradigm in the field of non-invasive treatments. This article suggests that modern medical treatment should be complemented with spiritual therapy in order to achieve more positive healing outcomes for patients.

TERAPI AIR DINGIN SEBAGAI IKHTIAR PENYEMBUHAN MASALAH KEROHANIAN MENURUT PERSPEKTIF SUNNAH

Therapy for the healing of spiritual problems with a cold water is one of the treatment methods practiced by some Islamic Treatment Centers in Malaysia. It is also associated as a method of Islamic medicine, which refers to treatment methods based on the Quran or Sunnah. The main focus of this article is to review the extent of the validity of claims relating to this treatment as one of the methods of Islamic medicine. Research through inductive and descriptive analysis methods on related sources of the Sunnah is carried out. The study seeks to examine and analyze naṣ of syara’ used by Islamic treatment centers as the basis of cold water in the therapy of healing spiritual problems. Several interview sessions were conducted to identify the relationship between the treatment and the sources of the Qur'ān and Sunnah. The results of the interviews found that the processor referred to verse 42 in surah Ṣād regarding the story of the prophet Ayyub as an argument in the use of cold water as the spiritual therapy. They do not refer to any hadith as an argument for this kind of therapy. Meanwhile, searching in Islamic references and hadith collections found as many as 4 hadith that can be used as a basis to support the use of this treatment method as a therapeutic attempt to heal spiritual problems. However, the texts of the hadith do not specifically state about this treatment method, rather they are only general indication for it. While in the implementation aspect, the cold water therapy carried out by the treatment centers involved was found not to contain anything that is against the Islamic Law. Therefore, cold water therapy can be categorized as one of the methods of Islamic medicine.

Comparison of the Effectiveness of Spirituality Therapy and Mindfulness-Based Training in Promoting Resilience of Multiple Sclerosis Patients

Background: Chronic diseases such as multiple sclerosis (MS) can lead to hopelessness, negative emotions and thoughts, and reduced quality of life. The present study aimed to compare the effectiveness of spirituality therapy and mindfulness-based training in increasing the resilience of MS patients. Methods: The present study was a quasi-experimental study adopting a pre-test, post-test, and follow-up design with a control group. The statistical population of this study included all patients referring to the MS Association of Tehran in 2018. Using a convenience sampling method, 60 patients were selected and randomly divided into three groups. Data were collected using the Connor‐Davidson Resilience Scale (CD‐RISC) and analyzed adopting repeated measure analysis of variance. Data were analyzed by SPSS 22 software. Results: The results of repeated measure analysis of variance showed that spirituality and mindfulness-based interventions exerted effect on resilience (P≥0.008). Comparing the results also revealed that spirituality therapy had more powerful effect on resilience (P≥0.001). Conclusion: It was concluded that spirituality therapy and mindfulness-based training were both effective in promoting resilience in MS patients; however, spirituality therapy was found to be more effective in increasing the MS patients’ resilience.

Impact of ATAQ Spiritual Therapy on The Index Hematological Parameters in a Healthy Population of Adults

One of the roles of nurses is to improve public health with spiritual-based interventions. This study aims to determine changes in hematological parameters after spiritual intervention in normal healthy adults in the city of Kendari, Indonesia. Study participants were taken voluntarily from 60 normal healthy adults, aged 20-35 years who were in Kendari city. Written informed consent was obtained from each participant after explaining the objectives, risks and benefits of the study. For each respondent, before and after spiritual therapy, hematological parameters were checked. There was difference (p<0.05) for hematological parameters: in group A (treatment) after being given ATAQ spiritual therapy for 30 days there was an increase in RBC levels (p<0.05) and a decrease in WBC levels (p>0.05). While group B (control) was not given ATAQ spiritual therapy, but was given education, there was a decrease in RBC levels (p >0.05), and an increase in WBC levels (p <0.05). This study provides additional baseline data for baseline hematological parameters in normal healthy adults after receiving OATAQ spiritual therapy. Interest and modification to follow spiritual therapy that can improve health.

Chemical Constituents, Cytotoxicity and Hyperglycemic effect of the Leaves of Solanum Nigrum L.-Black Nightshade

Introduction: The World Health Organization (WHO) defines traditional medicine as practices, knowledge and belief systems which use minerals, plants and animal-based remedies, spiritual therapies and exercises to prevent, treat and maintain wellbeing. Diabetes mellitus is a heterogeneous group of metabolic disorder characterized by high blood glucose level. The pancreatic β-cells and its secretory hormone i.e. insulin are central in the pathophysiology of Diabetes. The aims of this study was to isolate the chemical constituents, test the cytotoxicity of the crude extract and evaluate the hyperglycaemic effects of the isolated compound and crude extract of Solanum Nigrum leaves crude extract Materials and Methods: The extraction was carried out by conventional extraction by soaking the powdered sample in solvent 1:3 (sample: solvent) in hexane, dichloromethane, chloroform, and ethyl acetate, Cytotoxicity test using Brine shrimp (Artemia salina), and hyperglycaemic evaluation using Alloxan was used intraperitoneally to induce diabetic in albino rats, treatment group including glibenclamide (600 µg/kg) and pioglitazone (429 μg/kg), were considered in the study. The effect of the crude extract on glucose, other biochemical, and the hematological parameters were evaluated. Results: Diabetic control was on the days 7 of the study with 100, 200, 300, 400 and 500 mg/kg of the extract showing a glucose reduction at 500, 338.94±4.14, 184.78±1.12, 129.45±1.23, and 98.11±4 µg/mL as significant. The isolated compound campesterol Indicated significant hyperglycemic reduction in the blood system. Conclusion: This study showed that Solanum Nigrum L has an anti-hyperglycemic activity and this is also attributed as result of some active chemical constituents like campesterol which play an important role in the management of Diabetes mellitus in the extract. This study was carried out for the first time of Solanum Nigrum L on alloxan-induced diabetic rats.

MENGATASI MASALAH KESIHATAN MENTAL MELALUI PENDEKATAN PSIKO SPIRITUAL

Today’s scenario reveals an urgent need to help the problems faced by individuals suffering from mental health problems that stem from various factors with an appropriate approach. The paper will analyze on the psycho spiritual therapy based on Islamic principles in understanding and to overcomer mental health issues. The dynamic and holistic approach of Psycho Spiritual Therapy is suitable to help individuals with mental health problems through the methodology of Al Quran and As Sunnah. The approach of Psycho Spiritual Therapy is an added value and an alternative to the existing modern treatment. This therapy approach could also bring back the discipline on Islamic knowledge based on the paradigm of ‘tawhidik’ to help patient with mental health illness on faith and belief in Allah as a foundation to overcome mental health problems. Through the approach of Psycho Spiritual Therapy, various techniques can be used to strengthen the spirit of an individual. One of which is to improve relationship with Allah through the act of worship, strengthening the heart with remembrance (zikir), and fulfillment of the mind with positive thoughts. This practice will help to improve the wellbeing of an individual’s emotional, psychology, spiritual with mental health problems. Besides that, the approach of Psycho Spiritual Therapy can also be a support to patient with mental health illness in dealing with problems related to their needs and challenges.

The pathways model for integrative care and the social work role: case study

ABSTRACT The Pathways Model is an approach guiding the individual to combine self-care, habit change, and positive lifestyle changes, with professional healthcare interventions. There are multiple roles that a social work professional can adopt in guiding the individual in a Pathways recovery plan, including a coaching role, assessment, health education, lifestyle guidance, skills training, counselling, diversity specialist, and integrative care coordination. Spirituality, religious practices, and complementary therapies are important elements in integrative care. The professional social worker with the benefit of social work training is optimally suited to engage in these multiple therapeutic roles. A case narrative of a 49-year-old woman with hypertension and heart disease illustrates how a social worker can utilise various elements of social work practice to facilitate a client’s use of the Pathways Model.

A Cross-Sectional Assessment of Complementary and Alternative Medicine (CAM) Use among Patients with Chronic Diseases (CDs) in Qassim, Saudi Arabia.

This study aims to investigate CAM use among CD patients from Qassim, Saudi Arabia and to compare CAM practice with different demographic and disease characteristics of the participants. A cross-sectional study was conducted among CD patients. During the three-months of data collection period, a total of 377 patients were approached and 208 patients participated in the study, giving a response rate of 55.17%. A p value of <0.05 was considered as significant. Among the study population, 94 (45.2%) patients were CAM users. Diabetes mellitus patients were the majority (48 (51.06%)) followed by hypertensive patients (34 (36.17%)). Spiritual therapies were the most common CAM followed by herbal products. Among CAM users, 41 (19.7%) patients reported disclosing CAM use to their health care providers. Among all the sociodemographic variables, gender (p = 0.029), marital status (p = 0.034) and education level (p = 0.047) were significantly associated with CAM use. In conclusion, the use of CAM among CD patients was relatively high in Qassim. Patients reported using CAM without disclosing to their health care providers which is a major health risk. It is critical to counsel CD patients regarding rational and informed CAM use in order to prevent harmful and unwanted effects.

Status of hemodialysis patients using complementary and alternative medicine practices during the COVID-19 pandemic

The use of complementary and alternative medicine (CAM) applications increased by 39.3% of individuals with chronic diseases during the pandemic process in Turkey. For this reason, this descriptive study was conducted to determine the use of integrative and integrated medicine practices in hemodialysis patients during the COVID-19 pandemic. The population of the study consisted of individuals who were treated in a hemodialysis unit in the city center (n = 235). It was planned to include whole of the population by using the whole number method, but patients, who did not agree to participate in the study and did not meet the inclusion criteria of the study, were excluded from the sample and the study was conducted with 160 patients between 1st June and 1st September 2021. As a data collection tool, a questionnaire consisting of 30 questions including socio-demographic and disease characteristics of the patients was prepared by the researcher upon review of related literature. Considering the distribution of phytotherapy method (herbal treatment) usage frequency of integrative and integrated medicine applications of individuals before the COVID-19 pandemic and during the COVID-19 pandemic period, the most vitamins (21.8%), prebiotics (12.5%), and honey (%) 10.6), their use was found to be high. During the COVID-19 pandemic, the use of massage (40%), breathing exercises (30.0%) and spiritual therapy (28.7%) applications increased. As a result, it is seen that integrative and integrated applications are considered in the process of dealing with hemodialysis patients. Physicians need to be aware of and ask patients about their use of integrated and integrated health practices.

Complementary and alternative medicine application in cancer patients in Iran.

PurposeNowadays, complementary and alternative medicine (CAM) is used by cancer patients all over the world. The aim of this study was to investigate the prevalence of CAM use in patients with cancer in Iran.MethodsThis descriptive-analytical study was conducted on 320 cancer patients in Arak. For gathering information, a researcher-made questionnaire was used. This questionnaire was consisted of two parts: demographic and clinical information; and patient’s attitude toward using complementary and alternative medicine treatments and their effectiveness, as well as how much they used different kinds of these treatments. The data were analyzed using SPSS software version 16.ResultsOur findings showed that average age of participants was 55.11 ± 15.58. Most of them had leukemia (25.9%) and underwent chemotherapy (55%), and 141 (44.3%) of individuals were using CAM. Majority of patients (73.2%) were using CAM to improve physical conditions, 61.4% were using it simultaneously with conventional medical treatments, and 25% to reduce pain. Participants have reported visiting holy places, yoga, prayer therapy, and using medicinal plants and special diets, respectively.ConclusionConsidering the high number of patients using CAM treatments, proper planning and implementation to educate professional members of health team, especially doctors and nurses about CAM treatments is essential. The most important CAM treatments to be educated are spiritual therapies, yoga, medicinal plants, and diet therapy. Moreover, support and education about using these kinds of treatment should be considered in the supportive care program for patients with cancer.

The Effect of Spiritual Therapy on Clients' Vital Signs during Pulmonary Function Test: An Experimental Study

Background: The patient's vital signs must stay stable pre a pulmonary function test since the approach demands the patient to breathe slowly and deeply and exhale quickly. However, events that cause variations in normal vital signs may impact the patient. Many strategies can be utilized to stabilize vital signs, including spiritual treatment. The purpose of this study is to compare the effectiveness of spiritual therapy on the vital signs of client's pre a pulmonary function test. Methods: Un experimental design study with an application (pre-test, post-test), to determine the effectiveness of spiritual therapy for clients pre pulmonary function test for 106 clients in Al-Diwaniyah, Al-Shamiya, and Al- Hamza public hospitals In Iraq. Participant's vital sings (pulse rate, respiratory rate, blood pressure and oxygen saturation) were measured before and after the intervention group. Two groups assigned as Quran intervention and a control group. Results: The results showed the difference in Pulse rate between pre and post- test were decrease in Quran therapy group 9.23 b/m. While Systolic blood pressure and Diastolic blood pressure were increased in Quran therapy group 5.17 /4.07 mm/hg. Also the results showed the respiratory rate was decreased in Quran therapy group 4.75 b/ m. While Oxygen saturation was increased in Quran therapy group 2.95. Conclusions: Listening to the Qur’an pre pulmonary function test had a positive effect on the regulation or stability of vital signs. Age and body mass index have the most influence on the vital signs of the clients who listed to the Quran pre pulmonary function test.

Changes in Depression Levels in the Elderly With a Spiritual Approach And Deep Breathing Relaxation At UPT PSTW Blitar In Tulungagung

Background: Psychological changes in the elderly include feelings of loneliness, fear of loss, fear of death, anxiety, useless feeling, dependence and neglect and depression. This study aimed to determine the effect of a spiritual approach and deep breathing relaxation on changes in the level of depression in the elderly.Methods: The design of this study was a Pre-Experimental, One-group pre-post test design with a population of all elderly people at the Tresna Werdha Blitar Social Services UPT with a total of 80 respondents. The sample is part of the population with a purposive sampling technique of 40 respondents. The data that has been collected is processed by the Wilcoxon Match Pairs Test statistical test with a significance of = 0.05.Results: The results of the analysis of the Wilcoxon Match Pairs Test obtained a p-value = 0.000 which is less than the value of (0.05), it can be concluded that H0 is rejected, meaning that there is an influence of spiritual approach and deep breath relaxation on changes in depression levels in the elderly.Conclusion: Spiritual approach therapy and deep breathing relaxation are effective in overcoming depression in the elderly, so this needs to be done continuously, in collaboration with the local health center and involving the participation of nursing home staff

ŞİFANIN YENİ MEDYATİK TEMSİLİ ÜZERİNE: TUNCER ÇİFTÇİ İLE HOŞ SOHBETLER PROGRAMI NIN SOSYOLOJİK ANALİZİ

Late modernity created a new social universe that shocked the classical framework of modernity. One of the most important examples of this shock is the social construction of the disease. Late modern relations have revived the traditional health practices (traditional medicine, spiritual therapy, etc.) suppressed by disciplinary medicine, which constitutes a model for modern society. To put it more accurately, earthquakes in the modern information-power system have caused old practices to be associated with modern health monopolies. On the other hand, neo-liberal market conditions have led to the re-coding of these authentic improvement methods by the bureaucratic logic of the information-power order. In this article, we will focus on the analysis of the “Tuncer Çiftçi ile Hoş Sohbetler” program, which is one of the religious examples of alternative healing practices in Turkey. In his TV programs, which he made for a long time in the daytime and late generations of satellite channels, Çiftçi claimed that he instantly diagnosed his patients over telephone connections and healed them with his miraculous power. After leaving the conventional media for an "unknown reason", he continues to distribute the healing through his private channel and Youtube broadcasts. Ciftci's tele-therapeutic methods, which enable him to be characterized as a "religious abuser" or a charismatic personality, point to new sociological syntheses between the bureaucratic institutionalism of modern medicine and common sense disease knowledge. In this study, the meaning of health at the institutional and inter-subjective level in modern society will be discussed in the context of Talcott Parsons' sick role and Alfred Schutz's phenomenological sociology. In addition, the discursive function of the health/disease distinction in Turkish modernization will be addressed and the alternative health literature will be discussed in outline. Finally, the appearance of Tuncer Çiftçi in the Turkish media and the formal and content structure of the program will be analyzed.

Reduction of Hopelessness Through Spiritual Emotional Freedom Techniques Therapy in Chronic Kidney Disease Patients Undergoing Hemodialysis

Hopelessness has been identified as a major psychological problem that exacerbates the clinical outcomes of chronic kidney disease (CKD) patients undergoing hemodialysis (HD). Hopelessness is mostly reduced by cognitive therapy, but the results are delayed, so a spiritual element is needed. Spiritual emotional freedom technique (SEFT) therapy can reduce hopelessness because it not only focuses on cognition, but also involves spiritual, psychological, and physical elements. This study aimed to determine the effects of SEFT therapy on the hopelessness of CKD patients undergoing HD. This research was quasi-experimental with pre- and post-test control group designs. The sample size was 64 respondents, who were divided into two groups, each consisting of 32 respondents who were selected by purposive sampling. SEFT therapy was conducted four times. Hopelessness was measured using the Beck Hopelessness Scale (BHS). The data were analyzed by paired t-test and independent samples t-test. Before receiving SEFT, the two groups did not indicate differences in hopelessness (p = 0.141). However, after receiving SEFT, the respondents’ hopelessness in the experimental group was reduced significantly (p = 0.000). Hopelessness in the experimental and control groups also differed significantly after the intervention (p = 0.000). This study revealed that SEFT reduced the hopelessness of CKD patients undergoing HD. SEFT therapy can be implemented in clinical practice areas of nursing to support patient care.&#x0D; Keywords: chronic kidney disease, hemodialysis, hopelessness, spiritual emotional freedom technique&#x0D; &#x0D; Abstrak&#x0D; &#x0D; Mengurangi Keputusasaan Melalui Terapi Spiritual Emotional Freedom Techniques Pada Pasien Penyakit Ginjal Kronik yang Menjalani Hemodialisis. Keputusasaan telah diidentifikasi sebagai salah satu masalah psikologis utama yang memperburuk hasil klinis pasien penyakit ginjal kronik (PGK) yang menjalani hemodialisis (HD). Keputusasaan sebagian besar dikurangi dengan melibatkan unsur kognitif, akan tetapi hasilnya mengalami keterlambatan sehingga dibutuhkan unsur spiritual. Terapi spiritual emotional freedom technique (SEFT) dapat mengurangi keputusasaan karena tidak hanya berfokus pada kognitif tetapi juga melibatkan unsur spiritual, psikis, dan fisik. Penelitian ini bertujuan untuk mengetahui pengaruh terapi SEFT terhadap keputusasaan pasien PGK yang menjalani HD. Penelitian ini merupakan quasi-experiment dengan rancangan pretest dan posttest control group. Besar sampel sebanyak 64 responden yang dibagi menjadi dua kelompok, dan masing-masing kelompok terdiri dari 32 responden dipilih secara purposive sampling.Terapi SEFT dilakukan sebanyak empat kali. Keputusasaan diukur menggunakan Beck Hopelessness Scale (BHS). Data dianalisis dengan uji paired t-test dan uji independent samples t-test. Sebelum menerima SEFT kedua kelompok tidak menunjukkan perbedaan keputusasaan (p = 0,141). Namun, setelah menerima SEFT, keputusasaan responden di kelompok eksperimen berkurang secara signifikan (p = 0,000). Keputusasaan pada kelompok eksperimen dan kontrol juga berbeda secara signifikan setelah intervensi dilakukan (p = 0,000). Studi ini mengungkapkan bahwa SEFT mengurangi keputusasaan pasien PGK yang menjalani HD. Terapi SEFT dapat diimplementasikan dibidang praktik klinis keperawatan untuk mendukung perawatan pasien. &#x0D; Kata Kunci: hemodialisis, keputusasaan, penyakit ginjal kronik, spiritual emotional freedom technique

The Comparison of the Effectiveness of Acceptance and Commitment Therapy and Spirituality Therapy in Reducing Anxiety in Women with Breast Cancer

Background: The experience of anxiety as a bad experience creates a different behavioral, cognitive, and emotional response that preserves annoying thoughts and inefficient beliefs. The present study aimed to investigate the effectiveness of acceptance and commitment therapy (ACT) and spirituality therapy in reducing anxiety in women with breast cancer in Tehran. Methods: This was a pre-test/post-test quasi-experimental design research with a control group and a three-month follow-up. The statistical population comprised women with breast cancer visiting the Gynecological Ultra-Specialized Cancer Center of Khatam-al-Anbya Hospital in Tehran in 2021. In total, 45 women with breast cancer were selected and randomly divided into two experimental groups and one control group (n=15). The first and second experimental groups underwent eight 60-minute sessions of ACT and eight 60-minute sessions of spiritual therapy, respectively. The research instruments included the Penn State Worry Questionnaire (PSWQ). The collected data were analyzed using repeated measures ANOVA. Results: The results showed that ACT and spiritual therapy significantly reduced generalized anxiety scores in the experimental groups compared to the control group (P&lt;0.01). Moreover, the absence of anxiety significantly increased in the two experimental groups that underwent ACT and spirituality therapy compared to the control group (P&lt;0.01). However, ACT and spirituality therapy did not differ significantly in their effects on the dependent variables. Conclusion: This study achieved promising results concerning the applicability of ACT and spirituality therapy in reducing anxiety in women with breast cancer. Based on the results, holding ACT and spirituality therapy workshops may exert beneficial effects on reducing anxiety in women with breast cancer.

Trichotillomania – An Ayurvedic Perspective

Trichotillomania (TTM) also known as a hair-pulling disorder is a debilitating psychiatric condition characterized by the recurrent pulling out of one's own hair, leading to hair loss and functional impairment. If untreated, TTM may lead to life-threatening medical problems. In DSM-5-TR, TTM is kept under the category of “Obsessive-compulsive and related disorders.” As there is no established treatment in contemporary medicine for TTM, many patients seek other interventions such as Ayurveda (traditional Indian system of medicine). There is no clarity regarding ayurvedic diagnosis and management of TTM. This has created a major diagnostic and management dilemma in clinical ayurvedic psychiatry practice while approaching a patient of TTM. The aim of the present study is to understand TTM according to Ayurveda and to propose an ayurvedic diagnosis and treatment protocol for it. The present study has explored the similarity between Bhutonmada/Grahonmada (psychiatric condition having idiopathic manifestation) and TTM. Although some references related to hair-pulling behavior are available in ayurvedic texts, they may not represent TTM exactly as an independent disease entity. There is some similarity between Bhutonmada and TTM in terms of etiology, pathology, course and prognosis, and clinical features. Hair-pulling behavior and other self-injurious behaviors can be understood as Bhutonmada with the intention of Himsa. Spiritual or divine therapies, ayurvedic psychotherapy, and virtuous code of conduct, along with ayurvedic medicines, may provide relief to TTM patients. The present study provides new insights for diagnosing and managing the patients of TTM according to Ayurveda.

Asuhan Keperawatan Pada Tn.S Dengan Halusinasi PendengaranDi RSJ Prof DR Soerojo Magelang

Hallucinations are a form of reality orientation disorder characterized by a person giving a response or judgment in the absence of a stimulus received by the senses, and is one of the effects of perceptual disturbances. The purpose of this study is to provide nursing care to clients with impaired sensory perception of hearing with dhikr and istigfar therapy. The method used by the researcher is a qualitative study using case study research (case studies) with a nursing process approach in one patient who has sensory perception disorders. The process of collecting data by interviewing, observing and viewing the patient's medical records. Data analysis was carried out by data collection and data reduction. The results of the research that all interventions have been successfully carried out and nursing problems are resolved as shown by the patient being able to control his auditory hallucinations with dhikr and istigfar. Spiritual Therapy with Islamic dhikr and istigfar, which is a treatment and treatment aimed at healing a mental illness, to each individual, with inner or spiritual strength, in the form of religious rituals not treatment with drugs, with the aim of strengthening one's faith so that he can develop his potential and religious nature to the fullest. So it can be concluded that the application of dhikr therapy can control the auditory hallucinations experienced by the client.

Religious Coping for Covid-19 Patients: Islamic Approaches

This qualitative study aims to explore the religious coping of Covid-19 patients during the home care and self-isolation process. A correlative narrative strategy with a sample of 7 Covid-19 patients are used to determining the religious coping of Muslims during the pandemic in the form of praying, reading the Qur’an, dhikr, charity, and having thoughts of Allah. The the result showed that patients need the help of close relatives to develop religious coping and it is essential to provide spiritual healing services in addition to pharmaceutical therapy to Covid-19 patients. Furthermore, Islamic counseling can be used as an alternative to spiritual therapy, while religious coping creates positive psychological conditions, supporting healing and increasing immunity. Further study needs to be carried out to determine the importance of implementing a holistic care model in health services Covid-19.