Journal of Education and Health Promotion 2277-9531 12 6 2022 07 01 The effect of group logotherapy on spirituality and preoperative anxiety in patients seeking open heart surgery referring to Tehran Heart Center in 2020 1 8 29944 EN . Fatemehsadat Alavi MSc of Health Education, Iran University of Medical Sciences, Tehran, Iran . Seyed Hossein Ahmadi Tafti Professor of cardiothoracic surgery Tehran heart center Tehran university of medical science, Tehran, Iran . Farshid Alaeddini MD, PhD, Epidemiology, Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran . Zainab Ebrahimyan Master of Animation, Tarbiat Modares University, Tehran, Iran . Atieh Ebrahimyan Master of Nanophysics, Al-Zahra University, Tehran, Iran . Morteza Mansourian Associate Professor, Health Promotion Research Centre, Iran University of Medical Sciences, Tehran, Iran Journal Article 2023 03 22 BACKGROUND AND PURPOSE: Most patients experience anxiety before heart surgery. On the <br />other hand, spiritual health can improve the candidate patient’s adaptation to surgery. Therefore, <br />this study aimed to investigate the effect of group logotherapy on spirituality and anxiety of patients <br />undergoing cardiac surgery.<br />MATERIALS AND METHODS: In this quasi‑experimental study, 60 hospitalized candidates for <br />cardiac surgery were randomly assigned to two groups (30 in the experimental group, 30 in the <br />control group). To measure anxiety and relationship with God, Beck Anxiety Questionnaire and the <br />researcher‑made scale about relationship with God (reconstruction of Lawrence’s scale of perception <br />of God) were used, respectively. In the intervention group, in addition to drug therapy, individuals <br />received two sessions of group discussion and spiritual skills training using the behavioral‑cognitive <br />method with emphasis on spiritual thoughts and problem‑solving methods, but the control group <br />received only drug therapy. Data were analyzed using SPSS software.<br />RESULTS: In the experimental group, the anxiety scores mean in the posttest and follow‑up were <br />significantly lower than the pretest (P < 0.05), while the mean anxiety in the control group in the <br />posttest stage was not significantly different, but at the follow‑up stage, it was significantly lower <br />than the pretest, but the decrease in mean anxiety in the experimental group was greater (P < 0.05). <br />The mean subscales of relationship with god (influence, divine providence, acceptance, presence, <br />challenge, benevolence) were significantly higher in the experimental and control groups in the <br />follow‑up stage than the pretest, but the increase in the mean of these variables was more in the <br />experimental group in the follow‑up stage (P < 0.05).<br />CONCLUSION: Findings showed that the components of relationship with God are a good predictor <br />of pre‑surgery anxiety, so by focusing on spiritual training of patients who are candidates for surgery, <br />the incidence or severity of anxiety can be reduced.<br /><br /> https://jehp.mui.ac.ir/article_29944_bf811576819a427614cbc193920b16df.pdf