Abstract

Fear and anxiety caused by acute diseases, despair and sorrow resulting from chronic illness, are spiritual reactions which require care. Spiritual care should be done based on a training model. This study was conducted to design and validate "an Islamic religious spiritual health training model for patients." Content analysis was applied for health education models and motivation theories in this qualitative study. Based on the components of the spiritual care model of Sound Heart, compatible concepts were adopted and formulated to a model. Model was designed by using the three-step theory synthesis of Walker and Avant, in order to predispose the conversion of emotions derived from fear and sorrow to emotions filled with confidence and security, as well as behavioral adaptation to diseases. For problem-focused and emotion-focused adaptation, the disease should be introduced as a challenge through improving the patient's relationship with God and by developing courage and optimism. Patients can then reach Sound Heart and healthy behavior after improving relationships with themselves, people, and nature, using religious norms and development of commitment, control, and motivation. The patients' progress can be assessed by daily self-control. Spiritual consulters should act as mentor when performing and instructing spiritual health. They should make themselves competent and empowered for helping patients and managing their harmful emotions. The model emphasizes on: patient- and family-focused approach, self-care, home care, and engaging patients' logos.