Spirituality and well being among elders: differences between elders with heart failure and those without heart failure

Mary T Quinn Griffin¹, Yi-Hui Lee², Ali Salman¹, Yaewon Seo¹, Patricia A Marin³, Randall C Starling³, Joyce J Fitzpatrick¹

¹Frances Payne Bolton School of Nursing Case Western Reserve University Cleveland, OH; ²College of Nursing and Health Wright State University Dayton, OH; ³Cleveland Clinic, Cleveland, Ohio

Abstract: Heart failure is a chronic debilitating disease that affects all aspects of a person’s life, including physical, mental and spiritual dimensions. The associations among these dimensions, and the relationship to overall health status, have not been clearly identified. The purpose of this quantitative, descriptive study was to explore differences between spirituality, depressive symptoms, and quality of life among elders with and without heart failure. A total of 44 elders with heart failure and 40 non-heart failure elders completed several questionnaires including: The Daily Spiritual Experiences Scale (DSES), Spirituality Index of Well-Being (SIWB), Center for Epidemiologic Studies Depression Scale (CES-D), and SF-12™ Health Survey. There were significant differences in the groups on gender and ethnicity; thus these variables were controlled in the analyses related to the dependent variables. After controlling for gender and ethnicity, there were significant differences in the physical component of quality of life and spiritual well-being. The heart failure patients had significantly lower physical quality of life but more spiritual well-being than the non-heart failure patients. There were no significant differences in daily spiritual experiences, mental component of quality of life, and depressive symptoms between the two groups.

Keywords: spiritual experience, spiritual well-being, heart failure, depressive symptoms, quality of life, elders