Model spiritual care with an adaptation theory approach Callista Roy on cortisol levels

Aria Nurahman Hendra Kusuma; Dwi Pudjonarko; Untung Sujianto; Hardhono Susanto; Kusman Ibrahim; Meidiana Dwidiyanti

doi:10.31101/jhes.4283

Authors

Aria Nurahman Hendra Kusuma Universitas Kusuma Husada Surakarta https://orcid.org/0000-0002-0023-3723
Dwi Pudjonarko Universitas Diponegoro https://orcid.org/0000-0001-9964-3484
Untung Sujianto Universitas Diponegoro https://orcid.org/0000-0003-3145-3769
Hardhono Susanto Universitas Diponegoro https://orcid.org/0000-0002-0212-9858
Kusman Ibrahim Universitas Padjadjaran https://orcid.org/0000-0001-8609-288X
Meidiana Dwidiyanti Universitas Diponegoro https://orcid.org/0000-0001-9996-566X

DOI:

https://doi.org/10.31101/jhes.4283
Abstract views 10 times

Keywords:

cortisol levels, ischemic stroke, spiritual care model

Abstract

Ischemic stroke is a cause of physical disability. These defects result in impaired biopsychosociospiritual adaptation in stroke patients. The inability to adapt will cause an anxiety reaction which triggers an increase in cortisol levels. The spiritual care model helps patients find meaning and purpose in life as well as an optimistic attitude so that they have better adaptability. This type of research is Quasy Experimental with a pretest-posttest control group design. The study population was ischemic stroke patients in the Outpatient Department of Dr. Regional General Hospital. Moewardi Surakarta. The total sample consisted of 60 respondents, divided into 30 control group respondents and 30 intervention group respondents, who received a spiritual care model intervention in the outpatient room of Dr RSUD. Moewardi Surakarta. The research results show the influence of the Spiritual Care Model Using Callista Roy's Adaptation Theory Approach on Cortisol Levels in Ischemic Stroke Sufferers with a significance value of 0.043 < 0.05. The Spiritual care model influences the amygdala, which stimulates the hypothalamus through the hypothalamic-pituitary-adrenal (HPA) axis, thereby inhibiting the excretion of corticotropin-releasing factor (CRF). The pituitary gland then stimulates adrenocorticotropic hormone (ACTH), which reduces cortisol. This research has a contribution that spiritual care interventions can improve the adaptability of biopsychosocial rehabilitation of stroke patients. This research has a contribution that spiritual care interventions can improve the ability to adapt biopsychosocial rehabilitation of stroke patients.

Downloads

Download data is not yet available.

References

Afshar, M., Sadat, Z., & Bagheri, M. (2021). The Effect of Spiritual Counseling on Hope in Patients with Multiple Sclerosis: A Randomized Clinical Trial. International Journal of Community Based Nursing and Midwifery, 9(4), 319–322. https://doi.org/10.30476/ijcbnm.2021.88605.1523

AHA, A. H. A. (2019). 2019 Stroke Fact Sheet (pp. 1–4). American Heart Association. https://www.stroke.org/en/about-stroke

Alligood, M. R. (2017). Pakar Teori Keperawatan dan Karya Mereka (A. Y. S.Hamid & K. Ibrahim (eds.); 8th ed.). Elsevier Ltd.

Amalia, L. (2024). The Relationship of Cortisol Levels and Sleep Quality in Acute Ischemic Stroke Patients : A Literature Review. Jurnal Neuroanestesi Indonesia, 13(1), 46–52. https://doi.org/https://doi.org/10.24244/jni.v13i1.533

Amini, K., Tahrekhani, M., Abbas-alamdari, Z., & Faghihzadeh, S. (2020). The Effect of Spiritual Care on Anxiety about Death in Patients with Gastrointestinal Cancer Undergoing Chemotherapy : A Randomized Controlled Trial. European Journal of Integrative Medicine, 36, 1–6. https://doi.org/10.1016/j.eujim.2020.101117

Anderson, S. C. (2019). The global burden of stroke: persistent and disabling. The Lancet Neurology, 18, 439. https://doi.org/10.1016/S1474-4422(19)30030-4

Deepradit, S., Powwattana, A., Lagampan, S., & Thiangtham, W. (2023). Effectiveness Of A Family-Based Program For Post-Stroke Patients And Families: A Cluster Randomized Controlled Trial. International Journal of Nursing Sciences, 10(4), 446–455. https://doi.org/10.1016/j.ijnss.2023.09.020

Dianti, M. R., & Indrawijaya, Y. Y. A. (2021). Efektifitas Terapi Murottal Al Qur’an terhadap Stres Mencit (Mus Musculus). J. Islamic Pharm, 6(1), 28–34.

Gandana, R. S., & Kariasa, I. M. (2017). Physical Disability and Self-Concept of Stroke Patients in The Budhi Asih Hospital , Indonesia. UI Proc. Health Med, 3, 47–49. https://doi.org/10.7454/UIPHM.V3I1.192

Ghorbani, M., Mohammadi, E., Aghabozorgi, R., & Ramezani, M. (2020). The Effect of Applying Spiritual Care Model on Well-Being and Quality of Care in Cancer Patients. Supportive Care in Cancer, 29(5), 2749–2760. https://doi.org/10.1007/s00520-020-05781-7

Góes, M. G. O. de, & Crossetti, M. da G. de O. (2020). Developing a Spiritual Care Model for Patients and Their Relatives in Illness. Rev Gaúcha Enferm, 41, 1–10. https://doi.org/https://doi.org/10.1590/1983-1447.2020.20190150

Gulyaeva, N. V., Onufriev, M. V., & Moiseeva, Y. V. (2021). Ischemic Stroke, Glucocorticoids, and Remote Hippocampal Damage: A Translational Outlook and Implications for Modeling. Frontiers in Neuroscience, 15(December), 1–10. https://doi.org/10.3389/fnins.2021.781964

Haghparast, A., Tabatabaei, H. S., Ghanbari, N., & Maleki, L. (2021). The Effect of the Spiritual Care Model Based on the Righteous Heart on the Post-Traumatic Stress of Veterans in 2019. Teikyo Medical Journal, 44(02), 859–867.

Kageyama, K., Iwasaki, Y., & Daimon, M. (2021). Hypothalamic Regulation Of Corticotropin-Releasing Factor Under Stress And Stress Resilience. International Journal of Molecular Sciences, 22(22). https://doi.org/10.3390/ijms222212242

Kaur, S., & Singh, R. (2017). Role of Different Neurotransmitters in Anxiety : A Systematic Review. International Journal of Pharmaceutical Sciences and Research, 8(2), 411–421. https://doi.org/10.13040/IJPSR.0975-8232.8(2).411-21

Khalajinia, Z., Tehran, H. A., & Heidari, A. (2021). Explaining The Perception of Spiritual Care from The Perspective of Health Personnel: A Qualitative Study. Journal of Education and Health Promotion |, 10(53), 1–6. https://doi.org/10.4103/jehp.jehp_599_20

Lattanzi, S., Divani, A. A., & Coccia, M. (2023). Social Functioning can Improve Motor Recovery after Stroke. Journal of Integrative Neuroscience, 22(2), 1–2. https://doi.org/10.31083/j.jin2202032

Liu, W., Liu, X., Wang, J., Peng, S., Li, J., Pei, M., Qiu, Z., & Zhang, P. (2023). Predicting The Relationship Between Anxiety And Health-Related Quality Of Life In Post-Stroke Patients: The Role Of Sleep Duration. Journal of Stroke and Cerebrovascular Diseases, 32(11), 107368. https://doi.org/10.1016/j.jstrokecerebrovasdis.2023.107368

Lupien, S. J., Ouellet-Morin, I., Trépanier, L., Juster, R. P., Marin, M. F., Francois, N., Sindi, S., Wan, N., Findlay, H., Durand, N., Cooper, L., Schramek, T., Andrews, J., Corbo, V., Dedovic, K., Lai, B., & Plusquellec, P. (2023). The Destress for Success Program: Effects of a stress education program on cortisol levels and depressive symptomatology in adolescents making the transition to high school. Neuroscience, 249, 74–87. https://doi.org/10.1016/j.neuroscience.2013.01.057

Moffat, S. D., An, Y., Resnick, S. M., Diamond, M. P., & Ferrucci, L. (2020). Longitudinal change in cortisol levels across the adult life span. Journals of Gerontology - Series A Biological Sciences and Medical Sciences, 75(2), 394–400. https://doi.org/10.1093/gerona/gly279

Neidert, S., Katan, M., Schuetz, P., Fluri, F., Ernst, A., Bingisser, R., Kappos, L., Engelter, S. T., Steck, A., Müller, B., & Christ-Crain, M. (2018). Anterior pituitary axis hormones and outcome in acute ischaemic stroke. Journal of Internal Medicine, 1(4), 420–432. https://doi.org/10.1111/j.1365-2796.2010.02327.x

Qinthara, F. N., & Hanami, Y. (2024). Adaptation of Religious/Spiritually Integrated Practice Assessment Scale-Client Attitude (RSIPAS-CA) in Indonesia. Jurnal Psikologi Islam Dan Budaya, 7(1), 23–32. https://doi.org/10.15575/jpib.v7i1.29083

Roelfsema, F., Van Heemst, D., Iranmanesh, A., Takahashi, P., Yang, R., & Veldhuis, J. D. (2017). Impact of age, sex and body mass index on cortisol secretion in 143 healthy adults. Endocrine Connections, 6(7), 500–509. https://doi.org/10.1530/EC-17-0160

Rosyadi, I., Kusbaryanto, & Yuniarti, F. A. (2019). Literatur Review Aspek Spiritualitas / Religiusitas Dan Perawatan Berbasis Spiritual / Religius Pada pasien kanker. Jurnal Kesehatan Karya Husada, 7(1), 117–120. http://jurnal.akeskhjogja.ac.id/index.php/jkkh/article/download/262/164

Salamizadeh, A., Mirzaei, T., & Ravari, A. (2017). The Impact of Spiritual Care Education on the Self-Efficacy of the Family Caregivers of Elderly People with Alzheimer ’ s Disease Original A rticle. Int J Community Based Nurs Midwifery, 5(3), 231–238. https://pdfs.semanticscholar.org/d75b/106243afc2e45d43b492a6a332ddbee171c8.pdf

Teo, C. H., Wong, A. C. H., Sivakumaran, R. N., Parhar, I., & Soga, T. (2023). Gender Differences in Cortisol and Cortisol Receptors in Depression: A Narrative Review. International Journal of Molecular Sciences, 24(8), 1–13. https://doi.org/10.3390/ijms24087129

Tumeleng, P., Runtuwene, T., & Kembuan, M. (2015). Sebaran Kebiasaan Merokok Pada Pasien Stroke Iskemik Yang Di Rawat Inap Di Bagian Neurologi Rsu Prof. Dr. R. D. Kandou Manado. E-CliniC, 3(1), 262–266. https://doi.org/10.35790/ecl.3.1.2015.6827

Utami, T. N. (2017). Tinjauan Literatur Mekanisme Dzikir Terhadap Kesehatan: Respons Imunitas. Jurnal JUMANTIK, 2(1), 106–109. http://jurnal.uinsu.ac.id/index.php/kesmas/article/view/965

Vanessa and Susan. (2016). Parent Cortisol and Family Relatedness Predict Anxious Behavior in Emerging Adults. Physiology & Behavior, 30(7), 802–811. https://doi.org/10.1177/0022146515594631.Marriage

Wijayanti, L., Haryanto, J., & Suharto. (2017). The Effects of Spiritual Care on Depression and Meaning in Life in the Clients with Kidney Failure Receiving Hemodialysis in Rumah Sakit Islam Surabaya. International Journal of Science and Research (IJSR), 6(7), 247–251. https://doi.org/10.21275/art20174828

Yilmaz, C. K., & Kara, F. Ş. (2020). The Effect of Spiritual Well-Being on Adaptation to Chronic Illness Among People with Chronic Illnesses. Perspectives in Psychiatric Care, 1–8. https://doi.org/10.1111/ppc.12566

Yu, Y., Liu, L., Huang, J., Shen, G., Chen, C., Huang, Y., Zhang, B., Tang, S., & Feng, Y. (2020). Association Between Systolic Blood Pressure And First Ischemic Stroke In The Chinese Older Hypertensive Population. Journal of International Medical Research, 48(4), 1–12. https://doi.org/10.1177/0300060520920091

Yuliadi, I. (2021). HPA Aksis Dan Gangguan Psikosomatik. Jurnal Ilmiah Psikologi Candrajiwa, 6(1), 1–22. https://candrajiwa.psikologi.fk.uns.ac.id/

Zorn, J. V., Schür, R. R., Boks, M. P., Kahn, R. S., Joëls, M., & Vinkers, C. H. (2017). Cortisol stress reactivity across psychiatric disorders: A systematic review and meta-analysis. Psychoneuroendocrinology, 77, 25–36. https://doi.org/10.1016/j.psyneuen.2016.11.036