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Spiritual-Cultural Needs as the Main Causative Factor of Death Anxiety in Iranian COVID-19 Patients: A Qualitative Study

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Abstract

COVID-19 patients have been reported to more than likely experience a variety of difficult physical and psychological problems. This qualitative study aims to perceive psychological experiences in COVID-19 patients in Iran. The study method is qualitative, with a conventional content analysis approach adopted. Purposive sampling was applied to 20 COVID-19 patients admitted to medical wards at hospitals in Tehran, Iran. Additionally, data were collected using semi-structured interviews. All data were analyzed based on the method proposed by Lindgren et al. (Int J Nurs Stud 108:103632, 2020). Data analysis identified the main theme to be “death fear and anxiety” with five main categories. These categories included the feelings of death panic and apprehension, uncertainty and ambiguity, fear of abandonment, fear of an unknown future for the family, and fear of unmet spiritual–cultural needs. Accordingly, the patients’ experiences of COVID-19 contraction were unique. Against this backdrop, understanding COVID-19 patients’ complexities, experiences, beliefs, and attitudes about anxiety and death, can lead to an  improved awareness and understanding of the psychological consequences of COVID-19 by executive decision-makers, healthcare personnel and mental health professionals.

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Data Availability

The datasets generated and analyzed in the qualitative study are not publicly available to honor the participants' individual privacy. However, they will be partially available by the corresponding author upon request.

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Acknowledgements

We would like to acknowledge all of the participants who contributed to the completion of this study. This project was fully supported by Baqiyatallah University of Medical Sciences, Tehran, Iran. In addition, we would like to extend thanks to the “Clinical Research Development Department of Baqiyatallah Hospital of Medical Sciences, Tehran, Iran.

Funding

This study received no specific grant from any funding agency.

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Authors

Contributions

EH, MSM, and AP were involved in conceptualization and design phases of the study. EH contributed to the interviews. In addition, MSM and AP were involved in the qualitative analysis. Furthermore, EH, MSM, and AP interpreted the data. Additionally, EH, MSM, and AP drafted the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Akram Parandeh.

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The authors have no conflicts of interest to declare.

Ethical Approval

All procedures followed in studying human participants were in accordance with the ethical standards of the University of Puget Sound IRB as well as the 1964 Helsinki declaration and its subsequent amendments or comparable ethical standards. This article does not contain any studies on animals, which might have been performed by any of the authors.

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Heidaranlu, E., Moayed, M.S. & Parandeh, A. Spiritual-Cultural Needs as the Main Causative Factor of Death Anxiety in Iranian COVID-19 Patients: A Qualitative Study. J Relig Health 63, 817–837 (2024). https://doi.org/10.1007/s10943-023-01972-8

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  • DOI: https://doi.org/10.1007/s10943-023-01972-8

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