Ninuk Dian Kurniawati, - and Nursalam, - and - and - (2020) Mind-Body-spiritual Nursing Care Effects on Spirituality and Cardiovascular Risk Markers. International Journal of Psychosocial Rehabilitation., 20 (7). pp. 7878-7887. ISSN 1475-7192

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Abstract

Patienlr \pith coronary heart disea:;e (CHD) urulergoing h()$piktlizttion expeience tdi.nts strcssors. These stressors may increase expression of cardiovascular isk markcr molecules, resulting in b il.ling up atherosclercttic plaque. 'lhis studt ained al erploining the inluence of a mindhod.\. spiritual rrsing care on spiritaality and cardrovasculor itk markers. 'lhis study employed a prepolt- tcst quasi-erpcti entvithconl,nl grurp dcsigtt (.Hl) polients trealed ik vdiolts roofis ditided into thc tttttntl group ()L) re\por enl\) ittul thtt tt'c. Drnt grotlt /)l rtspondeUs) 'lhe vaiables of intercsl \t . t'. fie otut'&l d botlt pr t ,utd po"i i,rL. t ' i t ti ion. i htt ';l)it'i.t,Qlit) w us neasurcd rsing a queslio iquc, shile the cardiovasculor i.tk marktrs t+ere t.:sted rrsitrg cnzynte-ltnked immutoabsorbant assay from the respondcnts senot of venous blood vmple. lhe control group recei,ed a standqrd-nurcing intervenlion t,hilc the treatorcnt group received a mittd-hody-spiritual (MBS) nursing care for three rcspective days. I).rta collection took place in 2017 'L'he results shoryed that nind4ody-spiitual mtrsing care improves patients' rpiritualily (p : 0.000) and the cardiovascular risk markers, particularly ,/CAM-L and MCP-|, hut nol thc Hsp70 dnd eNOS. Additionally, pathway analysis shows that mind-bot$t-spiritual nursing care Jirsll), incrcases lhe CHD patients' spirittaltty, which, in lum, attenuates lhe exprcs$on of VCAM-l and Llcl\l thtough the inry)rovemenl of Hsp70 expression.'lhese findings indicate the mind-body-spiitual care's potential in pretenting the process oJ-further buikl-up o,falherosclerotic plaque in CHD pqtients. ll can he concbrded thqt MBS ttursing care plays an imporant ftrle in improving spiituality and thus lhe expression of cardiovasanhr risk narken .

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