Abstract
Aim:Spiritual well-being is known as a main resource for adjustment and coping when confronted with stressful situations such as managing a chronic disease. The aim of this study is to determine the very relationship between spiritual well-being and quality of life in hemodialysis patients.Methods:A convenience sample of 95 patients with end-stage renal disease who were referred to main hemodialysis centers were included from December 2012 to June 2013. Data was collected by using a socio-demographic questionnaire, the SF-36 quality of life scale, and the spiritual wellbeing scale. Descriptive analysis, Pearson’s correlation and logistic regression analysis were performed for statistical assessment.Results:The mean age of the patients evaluated was 50.4 (SD=15.72) years of age, and 61.1% of the patients were male. Both religious and existential domains of spiritual wellbeing were associated with bodily pain, vitality, social functioning and mental health (P<0.05). The results of multiple logistic regression showed that religious well-being was associated with better quality of life in both domains of physical (OR=1.17; p=0.01) and mental (OR=1.14; p=0.02) components after controlling for socio-demographic and clinical variables.Conclusion:Religious well-being should be considered important predictive factors for the better quality of life in hemodialysis patients. This indicates the need for psychosocial and spiritual supports in the care of these patients.
Highlights
End-stage renal disease (ESRD) is an important health problem worldwide (Santos & Arcanjo, 2012; Bayoumi et al, 2013)
The mean age of the patients evaluated was 50.4 (SD=15.72) years of age, and 61.1% of the patients were male. Both religious and existential domains of spiritual wellbeing were associated with bodily pain, vitality, social functioning and mental health (P
The results of multiple logistic regression showed that religious well-being was associated with better quality of life in both domains of physical (OR=1.17; p=0.01) and mental (OR=1.14; p=0.02) components after controlling for socio-demographic and clinical variables
Summary
End-stage renal disease (ESRD) is an important health problem worldwide (Santos & Arcanjo, 2012; Bayoumi et al, 2013). Patients with ESRD suffer from several physical and psychosocial complications and conventional treatment (hemodialysis) can impair quality of life (QoL) (Weisbord et al, 2005; Abdel-Kader et al, 2009). Many people experience spirituality as an important support while trying to cope with a chronic illness or life-threatening disease (Vallurupalli et al, 2011). One aspect of spirituality is spiritual wellbeing, the degree to which a person perceives or derives a sense of well-being from spiritual attitudes and strivings. Spiritual wellbeing is a barometer of how well a person copes with challenges and may play a role in health outcomes equal to or greater than spirituality it itself (Khanna et al, 2013)
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