KMAN Publication Inc. (KMANPUB) Psychology of Woman Journal 3041-8615 7 Serial Number 25 2026 01 01 The Effectiveness of Spiritual Self-Care on Death Anxiety and Hope for Life in Cardiac Patients The Effectiveness of Spiritual Self-Care on Death Anxiety and Hope for Life in Cardiac Patients 1 11 10.61838/kman.pwj.4406 EN Journal Article 2025 05 17 <p><strong>Objective:</strong> This study aimed to investigate the effectiveness of a structured spiritual self-care program in reducing death anxiety and enhancing hope for life among female patients with cardiovascular disease.</p> <p><strong>Methods and Materials:</strong> The research employed a quasi-experimental pretest–posttest design with a control group and a three-month follow-up. The statistical population consisted of female patients referred to the cardiology ward of Sina Hospital in Semnan in 2024. A total of 45 participants were recruited through convenience sampling and randomly assigned to three groups (two intervention groups and one control group). Inclusion and exclusion criteria were strictly applied, and participants provided written informed consent. Data were collected using the Templer Death Anxiety Scale and the Miller Hope Scale. The intervention included structured sessions of spiritual self-care practices such as prayer, gratitude, patience, and reflection. Data analysis was conducted using repeated-measures analysis of variance (ANOVA) with Greenhouse–Geisser corrections through SPSS version 26.</p> <p><strong>Findings:</strong> The results revealed significant between-group differences for both dependent variables. Results showed that spiritual self-care significantly reduced death anxiety (Wilks’ Lambda = 0.235, F(2,27) = 43.9, p &lt; .001, η² = 0.765) and significantly increased hope for life (F(1,28) = 88.8, p &lt; .001, η² = 0.760) in the intervention groups compared to the control group. Pairwise comparisons confirmed that these improvements were sustained at the three-month follow-up, indicating the stability of intervention effects.</p> <p><strong>Conclusion:</strong> The findings suggest that spiritual self-care interventions are effective in reducing existential distress and fostering hope among cardiac patients. Incorporating spiritual self-care into cardiac rehabilitation and psychological support programs may enhance holistic patient care and improve long-term psychological resilience.</p> https://journals.kmanpub.com/index.php/psywoman/article/download/4406/9015