Abstract
Background and Objectives: In the care and treatment of patients in need of dialysis, spiritual experiences as a method of problem-solving in crises and problems can facilitate adaptation to dialysis. This study investigated the mediating role of spiritual experiences with ego strength on the adaptation to dialysis. Methods: The statistical population included all patients in need of dialysis referred to the Educational-Research Center of Abu Ali Sina Hospital in Shiraz City, Iran, in 2019. Out of them, 120 patients were selected by a convenience sampling method. The study data were collected through the Daily Spiritual Experiences Scale (DSES), ego strength, and adaptation to disease. Then, the obtained data were analyzed based on structural equations in Amos v. 21 software. Results: The findings showed that ego strength is significant with spiritual experiences and adaptation to dialysis. But the relationship between spiritual experiences and adaptation to dialysis is not significant. Also, the direct and indirect effects of the variables showed that ego strength as a predictor variable and spiritual experiences as a mediating variable could predict adaptation to dialysis (P<0.01). But the ego strength through spiritual experiences cannot predict adaptation to dialysis. Conclusion: According to the research findings, ego strength can predict disease adaptation in dialysis patients, but daily spiritual experiences cannot lead to disease adaptation in dialysis patients.
Highlights
C hronic renal failure is an irreversible and usually progressive decrease [1]
The findings showed that ego strength is significant with spiritual experiences and adaptation to dialysis
According to the research findings, ego strength can predict disease adaptation in dialysis patients, but daily spiritual experiences cannot lead to disease adaptation in dialysis patients
Summary
The burden of chronic diseases such as Chronic renal failure is one of the greatest challenges to health systems in the 21st century. The frequency of treatment for kidney replacement varies in different geographical areas, the most common method used in most patients is hemodialysis [3]. While dialysis treatment can compensate for kidney failure, this method of therapy disrupts patients’ daily activities and can be a stressor that affects the psychosocial health of patients [4]. Dialysis patients face many challenges in dealing with the stresses of chronic illness [5], and they need to adapt to the psychological, physical, and social dimensions of coping with the disease. In the care and treatment of patients in need of dialysis, spiritual experiences as a method of problem-solving in crises and problems can facilitate adaptation to dialysis. This study investigated the mediating role of spiritual experiences with ego strength on the adaptation to dialysis
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