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IRCT20250716066512N1 IRCT 2025-10-05 Larestan University of Medical Sciences Effect of Spiritual Reminiscence on Death Anxiety in Hospitalized Cardiac Patients The effect of spiritual reminiscence on death anxiety in patients hospitalized in intensive care units. 2025-10-23 anticipated 70 Complete https://irct.ir/trial/85153 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Randomization description: Participants were selected using convenience sampling and allocated to two intervention and control groups using a two-person permuted block randomization (block size = 2). The random sequence was generated with Excel and implemented using sealed, numbered envelopes to ensure allocation concealment. The researcher was blinded to the sequence until assignment. N/A Death anxiety. Intervention 1: Intervention group: In addition to routine care, patients will participate in a spiritual reminiscence program over three consecutive days, with each session lasting 30–45 minutes: Session 1 focuses on the meaning of life and relationships, exploring the patient’s past and present experiences, identifying sources of meaning and joy, and discussing relationships with others and received spiritual support; Session 2 addresses hopes, fears, concerns, and religious beliefs, identifying the most challenging life experiences, current hopes and concerns, spiritual and religious beliefs, and the patient’s perceptions of the end of life; Session 3 covers spiritual and religious practices and a review, including reviewing religious activities, the impact of spiritual beliefs on life, and summarizing and revisiting the content of previous sessions. Sessions will be conducted individually in a calm environment by the researcher, and if the patient wishes, a family member may also attend. Patients can ask questions and receive spiritual support throughout the sessions. Intervention 2: Control group: Patients will receive only the routine care provided in the cardiac intensive care unit and will not receive any additional psychological or spiritual interventions. Yes - There is a plan to make this available What will be shared: Individual data of study participants can be shared after de-identifying individuals, and only a portion of the data, such as information related to the main outcome, can be shared. When: Access begins 6 months after results are published To whom: Researchers working in academic and scientific institutions Conditions: The use of the data or documents is limited to scientific analyses, writing research articles, or performing statistical evaluations related to the study objectives. Any use outside this scope, including the disclosure of identifiable information or transfer of data to third parties, is prohibited. Where to obtain: jaymandzahra261@gmail.com How to obtain: After sending a request message to the author's email and stating the reasons, the requester can access the data files in a short period of time (less than 20 days). Comments:
public MohammadRafi BazrAfshan
Larestan University of Medical Sciences, Velayat Boulevard, Imam Khomeini Square
Larestan Iran (Islamic Republic of) 7418945519 +98 71 5423 1027 m.rafibazrafshan@gmail.com Larestan University of Medical Sciences scientific MohammadRafi BazrAfshan
Larestan University of Medical Sciences, Velayat Boulevard, Imam Khomeini Square
Larestan Iran (Islamic Republic of) 7418945519 +98 71 5423 1027 m.rafibazrafshan@gmail.com Larestan University of Medical Sciences Iran (Islamic Republic of) Iran (Islamic Republic of) Confirmed diagnosis of heart disease by the attending physician Hospitalization in the cardiac intensive care unit Full consciousness and ability to communicate verbally Willingness and informed consent to participate in the study no limit no limit Both Death of a first-degree relative within the past 6 months Severe psychiatric disorders (major depression, schizophrenia, bipolar disorder) Use of psychiatric drugs affecting mood or anxiety Addiction to alcohol or illicit drugs Intellectual disability, blindness, deafness, or moderate to severe cognitive impairment Participation in similar interventions within the past 6 months F06.4 Anxiety disorder due to known physiological condition Behavior N/A Intervention group: In addition to routine care, patients will participate in a spiritual reminiscence program over three consecutive days, with each session lasting 30–45 minutes: Session 1 focuses on the meaning of life and relationships, exploring the patient’s past and present experiences, identifying sources of meaning and joy, and discussing relationships with others and received spiritual support; Session 2 addresses hopes, fears, concerns, and religious beliefs, identifying the most challenging life experiences, current hopes and concerns, spiritual and religious beliefs, and the patient’s perceptions of the end of life; Session 3 covers spiritual and religious practices and a review, including reviewing religious activities, the impact of spiritual beliefs on life, and summarizing and revisiting the content of previous sessions. Sessions will be conducted individually in a calm environment by the researcher, and if the patient wishes, a family member may also attend. Patients can ask questions and receive spiritual support throughout the sessions. Control group: Patients will receive only the routine care provided in the cardiac intensive care unit and will not receive any additional psychological or spiritual interventions. “Death anxiety score on the Templer Death Anxiety Scale. Timepoint: Before the initiation of the spiritual reminiscence intervention and immediately after its completion. Method of measurement: The Templer Death Anxiety Scale. . Timepoint: . Method of measurement: . Larestan University of Medical Sciences Approved 2025-06-24 Ethics Committee of Larestan Faculty of Medical Sciences Management of Research and Technology, Larestan University of Medical Sciences, Velayat Boulevard, Imam Khomeini Square Larestan Fars Iran (Islamic Republic of)