Research Article

The Efficacy of Integrating Spirituality into Prenatal Care on Pregnant Women’s Sleep: A Randomized Controlled Trial

Table 1

Description of the content of spiritual counseling sessions.

Session 1(i) Welcome
(ii) Aims and objectives
(iii) Pretest with Insomnia Severity Index (ISI) and the Pittsburgh Sleep Quality Index (PSQI)
(iv) Defining of sleep, sleep quality, and preparing a list of stressful situations that affected sleep during pregnancy
(v) Discussing the important of sleep during pregnancy
(vi) Discussing the effect of stress on the body and sleep
(vii) Educating sleep health program and life style modification for managing sleep problems during pregnancy
(viii) Homework: writing the common pregnancy sleep problems and solutions

Session 2(i) Encouraging to express their common pregnancy sleep problems and reviewing the solutions
(ii) Discussing one’s attitude towards spiritual issues, the role of God, and religion in her life
(iii) Discussing one’s experiences of reading the Qur’an and listening to the sound of the Qur’an in her calming and the soul
(iv) Homework: writing the spiritual aspects of the pregnancy

Session 3(i) Talking about the spiritual aspects of pregnancy, childbearing, and God’s reward for pregnant women
(ii) Reciting of verses and hadiths about sleep and the role of sleep comfortably in peace of mind
(iii) Creating a spiritual environment with listening to the voice of the Quran in Surah Ar-Rahman (with the voice of Abdul Basit) for 5 min
(iv) Discussing of one’s feels after listening to the voice of the Quran
(v) Homework: listening to the voice of the Quran and relax their muscles with deep breathing for getting rid of the stress/twice daily for 10 to 15 minutes

Session 4(i) Reviewing the content of previous sessions and summarize members’ opinions
(ii) Blessings of God and the role of it in reinterpreting concept of pregnancy and overcoming the worrisome symptoms of pregnancy
(iii) Discussing of prayer therapy to reduce the worries, get rid of some symptoms of pregnancy and to increase hope, resilience
(iv) Homework: encouraging to create a daily spiritual space of time or place at home
(v) Writing the experience of participating in religious programs or doing spiritual issues

Session 5(i) Discussing one’s experiences of participating in religious programs or doing spiritual issues
(ii) Discussing on the role of charity, trust, recourse, patience, kindness, and forgiveness in managing emotions and life stressors
(iii) Discussing on the role of gratitude to God in enduring hardships, increasing hope and self-confidence, adapting, and accepting the situation
(iv) Encouraging to strengthen one’s inner hope, locus of control, and resilience
(v) Reciting the verses of Surah Maryam with the voices of the volunteer members with focusing its meaning
(vi) Homework: writing down situations that make you feel guilty or angry about yourself or others

Session 6(i) Discussing on one’s experiences of forgiveness in life and anger towards the guilty
(ii) Discussing the meaning of life with the birth of a baby
(iii) Listening to “nature’s music” the sound of birds, rivers and waterfalls with illustration hugging her baby
(iv) Encouraging to participate in charity, kindness, and forgiveness
(v) Homework: writing some strategies to cope with stress and improving sleep quality

Session 7(i) Reviewing their strategies to cope with stress and improving sleep quality
(ii) Designing a play of a stressful situation, charting a table of tensions, the severity of tension, behavior and attitudes, satisfaction with the coping method employed in those situations, and simple suggestions to cope with stress
(iii) Homework: listening to the voice of the Quran and relax their muscles with deep breathing for getting rid of the stress/twice daily for 10 to 15 minutes

Session 8(i) Reviewing the content of previous sessions and summarize members’ opinions
(ii) Discussing one’s experiences of spiritual self-awareness, problem-solving skills with a spiritual approach