Abstract
People with CKD depend on religion and spirituality to deal with their chronic illness, and those are essential means of coping for those living with chronic diseases. The present study aims to evaluate ESRD patients' spiritual wellbeing undergoing hemodialysis treatment and to identify critical variables associated with the spiritual wellbeing of those patients. Methods. A cross-sectional study was conducted, in which 367 patients undergoing HD participated. Patients were randomly selected from six HD units in various geographical areas of Greece. Data were collected through an anonymous self-completed questionnaire consisting of two parts. The first part contained questions regarding demographic, social, and clinical information such as age, gender, marital status, and duration of dialysis comorbidities. The second part assessed the patients' spiritual wellbeing with the use of the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being Scale-12. Multivariate analysis was performed to extract predictors or determinants of spiritual wellbeing of hemodialysis patients. Results. From the total of the 367 participants, 228 (62.1%) were males and 139 (37.9%) were females, and the mean age was 61.80 ± 15.11. Spiritual wellbeing had a mean value of 30.55 (SD = 8.22), which means that patients had a satisfactory spiritual wellbeing level. Multivariate analysis revealed that place of residence, marital status, educational level, and comorbidities could predict spiritual wellbeing in ESRD patients. Conclusions. There is much evidence in the literature supporting the positive effect of spirituality, health (physical and mental), and quality of life. Integration of spiritual wellbeing evaluation and spiritual care in everyday practice as a part of clinical care can increase the quality of the provided care and improve health outcome for patients undergoing hemodialysis.
Highlights
Common concerns for human worldwide include questions about life, death, the meaning of existence, and its role in the world. ose questions are usually addressed by religion and spirituality. e World Health Organization considers religion, spirituality, and personal beliefs as important concepts in the evaluation of a person’s quality of life [1].e concept of spirituality is not easy to be determined
To the best of our knowledge, there are no studies in Greece which investigate predicting factors of spiritual wellbeing among HD patients. erefore, the purpose of the present study is to investigate social, demographic, and clinical factors related to the spiritual wellbeing of patients with chronic kidney disease undergoing dialysis
A cross-sectional, correlational study design was used in this study. e study sample consisted of patients with end-stage kidney disease who underwent hemodialysis
Summary
Common concerns for human worldwide include questions about life, death, the meaning of existence, and its role in the world. ose questions are usually addressed by religion and spirituality. e World Health Organization considers religion, spirituality, and personal beliefs as important concepts in the evaluation of a person’s quality of life [1].e concept of spirituality is not easy to be determined. Harrison and Bernard argue that there are as many definitions of spirituality as those who are trying to define it. Researchers ascribe to spirituality the ability to help people give meaning to difficulties, illnesses, and even death. It is the last moment when people attempt to get out of the realm of uncertainty and gain a sense of wholeness. It is precisely this capacity of individuals to continuously search for healing and fulfilment, which Puchalski (2004) ascribes to spirituality as a human aspect [4]
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