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Culturally Tailored Nurse-Led Holistic Spiritual Care Improves Hemodynamic Stability and Well-Being in Cardiac Surgery Patients
Sponsor: Lincoln University College Malaysia
Summary
This study aims to evaluate the effectiveness of culturally tailored nurse-led holistic spiritual care in improving hemodynamic stability and psychological well-being among patients undergoing preoperative cardiac surgery in South Sumatra, Indonesia. Preoperative anxiety is common among cardiac surgery patients and can lead to increased blood pressure, heart rate, and overall physiological instability. In addition, psychological distress may negatively affect patient recovery and well-being. This multi-center randomized controlled trial involves adult patients scheduled for elective cardiac surgery. Participants are randomly assigned to either an intervention group or a control group. The intervention group receives a 20-minute session of culturally tailored holistic spiritual care, including therapeutic communication, deep breathing, progressive muscle relaxation, spiritual reflection, and culturally appropriate prayer. The control group receives standard preoperative care. Primary outcomes include changes in hemodynamic parameters such as blood pressure, heart rate, and mean arterial pressure. Psychological well-being is assessed using the WHO-5 Well-Being Index. The results of this study are expected to provide evidence on the effectiveness of integrating culturally responsive spiritual care into routine preoperative nursing practice to improve both physiological and psychological outcomes.
Official title: Effect of Culturally Tailored Nurse-Led Holistic Spiritual Care on Hemodynamic Stability and Well-Being in Preoperative Cardiac Surgery Patients in South Sumatra, Indonesia: A Multicentre Randomized Controlled Trial
Key Details
Gender
All
Age Range
18 Years - 65 Years
Study Type
INTERVENTIONAL
Enrollment
248
Start Date
2025-10-09
Completion Date
2026-03-12
Last Updated
2026-04-20
Healthy Volunteers
No
Interventions
Culturally Tailored Nurse-Led Holistic Spiritual Care
This intervention consists of a culturally tailored nurse-led holistic spiritual care session delivered approximately one hour before surgery. The intervention lasts approximately 20 minutes and is conducted in a quiet preoperative setting. It includes five structured components: (1) therapeutic communication to assess patient concerns and establish rapport, (2) guided deep breathing exercises using slow diaphragmatic techniques, (3) progressive muscle relaxation to reduce physiological tension, (4) spiritual reflection focusing on meaning, hope, and coping, and (5) culturally adapted prayer based on the patient's religious and cultural background. The intervention is delivered by trained cardiac nurses using a standardized protocol to ensure consistency across study sites.
Locations (1)
Siti Fatimah Regional General Hospital, South Sumatra Province
Palembang, South Sumatra, Indonesia