Influence of Spiritual Coping and Social Support on the Mental Health and Quality of Life of the Saudi Informal Caregive

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Influence of Spiritual Coping and Social Support on the Mental Health and Quality of Life of the Saudi Informal Caregivers of Patients with Stroke Nahed Alquwez1 · Abdulrahman M. Alshahrani2 

© Springer Science+Business Media, LLC, part of Springer Nature 2020

Abstract The research explored the influence of spiritual coping and social support on mental health and quality of life (QOL) of informal caregivers of stroke survivors in Saudi Arabia. The respondents were frequently using religious coping strategies than existential coping strategies. The respondents received higher support from significant others and lowest support from friends. The majority of the respondents had mild to moderate depression, while more than one-third had mild to severe anxiety. Psychological health received the highest QOL, while physical health received the poorest  QOL. Spiritual coping and social support significantly influenced the informal caregivers’ mental health and QOL. Keywords  Informal caregivers · Mental health · Quality of life · Social support · Spiritual coping

Introduction Stroke as a major cerebrovascular disease is one of the top causes of mortality and long-term disability globally (Robert and Zamzami 2014). Given the neurologic deficits and disabilities that occur after recovery from this pathology, mental alterations, such as depression, anxiety, negativism, and stress, may arise (Rachpukdee et al. 2013. These changes cause notable burden on caregivers and affect their quality of life (QOL). Rendering care to stroke patients could be extremely tedious and * Abdulrahman M. Alshahrani [email protected] Nahed Alquwez [email protected] 1

Nursing Department, College of Applied Medical Sciences, Shaqra University, Dawadmi, Saudi Arabia

2

Department of Medicine (Neurology), College of Medicine, Shaqra University, Shaqra, Saudi Arabia



13

Vol.:(0123456789)



Journal of Religion and Health

challenging (Tsai et al. 2015). Changes that may occur in stroke survivors and caregivers require proactive skills for coping with the consequences of unexpected life events. Seeking social support and using spiritual measures are psychological and behavioral efforts for managing distress associated with stroke. Positive coping mechanisms relieve anxiety and depression and improve strength and mental health (Yu et  al. 2013). In developed countries, some investigations have been carried out on stroke and its various aspects in terms of consequences in stroke survivors and family members. However, data are limited in the Middle East, specifically in Saudi Arabia. The utilization of spiritual coping, the availability of social support for the caregivers, and how these variables influence mental health and QOL have not been investigated in the country.

Background Stroke is the primary neurological problem worldwide, affecting approximately 15 million people per annum (World Health Organization [WHO] 2014). In Saudi Arabia, the number of patients affected with health problem is continuously growing with an annual prevalenc