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The Effect of Spirituality in Quality of Life of Hemodialysis Patients

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Abstract

This study aimed to assess the effect of spirituality on quality of life of end-stage renal disease patients undergoing hemodialysis (HD). A cross-sectional study was carried out in six HD Units. The sample consisted of 367 patients averaging 61.8 years of age. For the measuring of spirituality and the quality of life, the FACIT-Sp-12 and the Missoula Vitas Quality of Life Index-15, respectively, were completed. Social and demographic data were, also, collected. Spirituality and its dimensions such as Meaning in Life and Peace had a positive effect on Global QoL, Symptoms, Interpersonal and in Well-being. Spirituality can have a positive effect on the QoL of HD patients. Therefore, in the context of the holistic approach of the individual, health systems can include spiritual evaluation and care of HD patients.

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References

  • Agli, O., Bailly, N., & Ferrand, C. J. (2017). Validation of the functional assessment of chronic illness therapy-spiritual well-being (FACIT-Sp12) on French old people. Journal of Religion and Health, 56(2), 464–476.

    Article  PubMed  Google Scholar 

  • Alikari, V., Sachlas, A., Giatrakou, S., Stathoulis, J., Fradelos, E., Theofilou, P., et al. (2017). Fatigue in arthritis: a multidimensional phenomenon with impact on quality of life. In P. Vlamos (Ed.), GeNeDis 2016. Advances in experimental medicine and biology (vol. 987, pp. 243–256).

  • Bai, M., & Lazenby, M. (2015). A systematic review of associations between spiritual well-being and quality of life at the scale and factor levels in studies among patients with cancer. Journal of Palliative Medicine, 18(3), 286–298.

    Article  PubMed  PubMed Central  Google Scholar 

  • Bragazzi, N., & Del Puente, G. (2013). Chronic kidney disease, spirituality and religiosity: a systematic overview with the list of eligible studies. Health Psychology Research, 1(2), 26.

    Article  Google Scholar 

  • Canada, A., Murphy, P., Fitchett, G., Peterman, A., & Schover, L. (2008). A 3-factor model for the FACIT-Sp. Psycho-Oncology, 17(9), 908–916.

    Article  PubMed  Google Scholar 

  • Cella, D. F., Tulsky, D. S., Gray, G., Sarafian, B., Linn, E., Bonomi, A., et al. (1993). The functional assessment of cancer therapy scale: development and validation of the general measure. Journal of Clinical Oncology, 11(3), 570–579.

    Article  CAS  PubMed  Google Scholar 

  • Cheawchanwattana, A., Chunlertrith, D., Saisunantararom, W., & Johns, N. (2014). Does the spiritual well-being of chronic hemodialysis patients differ from that of pre-dialysis chronic kidney disease patients? Religions, 6(1), 14–23.

    Article  Google Scholar 

  • Clark, E. M., Williams, B. R., Huang, J., Roth, D. L., & Holt, C. L. (2018). A longitudinal study of religiosity, spiritual health locus of control, and health behaviors in a national sample of African Americans. Journal of Religion and Health, 57, 2258–2278.

    Article  PubMed  PubMed Central  Google Scholar 

  • Davison, S. N., & Jhangri, G. S. (2010). Existential and religious dimensions of spirituality and their relationship with health-related quality of life in chronic kidney disease. Clinical Journal of the American Society of Nephrology, 5(11), 1969–1976.

    Article  PubMed  PubMed Central  Google Scholar 

  • Davison, S. N., & Jhangri, G. S. (2013). The relationship between spirituality, psychosocial adjustment to illness, and health-related quality of life in patients with advanced chronic kidney disease. Journal of Pain and Symptom Management, 45(2), 170–178.

    Article  PubMed  Google Scholar 

  • De Campos, R. J. D. S., Lucchetti, G., Lucchetti, A. L. G., da Rocha Ribeiro, T. C., Chebli, L. A., Malaguti, C., et al. (2019). The impact of spirituality and religiosity on mental health and quality of life of patients with active Crohn’s disease. Journal of Religion and Health. https://doi.org/10.1007/s10943-019-00801-1.

    Article  Google Scholar 

  • Ebrahimi, H., Ashrafi, Z., Eslampanah, G., & Noruzpur, F. (2014). Relationship between spiritual well-being and quality of life in hemodialysis patients. Journal of Nursing and Midwifery Sciences, 1(3), 41–48.

    Article  Google Scholar 

  • Fanakidou, I., Zyga, S., Alikari, V., Tsironi, M., Stathoulis, J., & Theofilou, P. (2018). Mental health, loneliness, and illness perception outcomes in quality of life among young breast cancer patients after mastectomy: the role of breast reconstruction. Quality of Life Research, 27(2), 539–543.

    Article  PubMed  Google Scholar 

  • Farahaninia, M., Jadidi, A., Janmohammadi, S., & Haghani, H. (2013). Relationship between spiritual well-being and quality of life among elderly people residing in kahrizak senior house. European Psychiatry, 28, 1.

    Article  Google Scholar 

  • Finkelstein, F. O., West, W., Gobin, J., Finkelstein, S. H., & Wuerth, D. (2007). Spirituality, quality of life and the dialysis patient. Nephrology Dialysis Transplantation, 22, 2432–2434.

    Article  Google Scholar 

  • Fouka, G., Plakas, S., Taket, A., Boudioni, M., & Dandoulakis, M. (2012). Health-related religious rituals of the Greek Orthodox church: their uptake and meanings. Journal of Nursing Management, 20(8), 1058–1068.

    Article  PubMed  Google Scholar 

  • Fradelos, E. C., Tzavella, F., Koukia, E., Tsaras, K., Papathanasiou, I. V., Aroni, A., et al. (2016). The translation, validation and cultural adaptation of functional assessment of chronic illness therapy-spiritual well-being 12 (facit-sp12) scale in Greek language. Materia Socio-Medica, 28(3), 229–234.

    Article  PubMed  PubMed Central  Google Scholar 

  • Jafari, N., Farajzadegan, Z., Loghmani, A., Majlesi, M., & Jafari, N. (2014). Spiritual well-being and quality of life of Iranian adults with type 2 diabetes. Evidence-Based Complementary and Alternative Medicine: eCAM, 2014, 619028. https://doi.org/10.1155/2014/619028.

    Article  Google Scholar 

  • Johnson, B. D., Bormann, J. E., & Glaser, D. (2015). Validation of the functional assessment of chronic illness therapy-spiritual well-being scale in veterans with PTSD. Spirituality in Clinical Practice, 2(1), 25–35.

    Article  Google Scholar 

  • Kaliampos, A., & Roussi, P. (2017). Religious beliefs, coping, and psychological well-being among Greek cancer patients. Journal of Health Psychology, 22(6), 754–764.

    Article  PubMed  Google Scholar 

  • Ko, B., Khurana, A., Spencer, J., Scott, B., Hahn, M., & Hammes, M. (2007). Religious beliefs and quality of life in an American inner-city haemodialysis population. Nephrology Dialysis Transplantation, 22(10), 2985–2990.

    Article  Google Scholar 

  • Lin, H. R., & Bauer-Wu, S. M. (2003). Psycho-spiritual well-being in patients with advanced cancer: an integrative review of the literature. Journal of Advanced Nursing, 44(1), 69–80.

    Article  PubMed  Google Scholar 

  • Martinez, B., & Custodio, R. (2014). Relationship between mental health and spiritual wellbeing among hemodialysis patients: a correlation study. Sao Paulo Medical Journal, 132(1), 23–27.

    Article  PubMed  Google Scholar 

  • Munoz, A. R., Salsman, J. M., Stein, K. D., & Cella, D. (2015). Reference values of the functional assessment of chronic illness therapy-spiritual well-being: a report from the American Cancer Society’s studies of cancer survivors. Cancer, 121(11), 1838–1844.

    Article  PubMed  Google Scholar 

  • Mystakidou, K., Tsilika, E., Prapa, E., Smyrnioti, M., Pagoropoulou, A., & Lambros, V. (2008). Predictors of spirituality at the end of life. Canadian Family Physician Medecin de Famille Canadien, 54(12), 1720-1721.e5.

    PubMed  PubMed Central  Google Scholar 

  • Patel, S., Shah, V., Peterson, R., & Kimmel, P. (2002). Psychosocial variables, quality of life, and religious beliefs in ESRD patients treated with hemodialysis. American Journal of Kidney Diseases, 40(5), 1013–1022.

    Article  PubMed  Google Scholar 

  • Pilger, C., Santos, R. O. P. D., Lentsck, M. H., Marques, S., & Kusumota, L. (2017). Spiritual well-being and quality of life of older adults in hemodialysis. Revista Brasileira de Enfermagem, 70(4), 689–696.

    Article  PubMed  Google Scholar 

  • Raja LexshimiLeeNorhazirah, R. G. S. C. H. (2014). Spirituality and mental adjustment as coping strategies among women with breast cancer Malaysian. Journal of Public Health Medicine, 14(1), 1–9.

    Google Scholar 

  • Saisunantararom, W., Cheawchanwattana, A., Kanjanabuch, T., Buranapatana, M., & Chanthapasa, K. (2015). Associations among spirituality, health-related quality of life, and depression in pre-dialysis chronic kidney disease patients: An exploratory analysis in thai buddhist patients. Religions, 6(4), 1249–1262.

    Article  Google Scholar 

  • Sathvik, B. S., Parthasarathi, G., Narahari, M. G., & Gurudev, K. C. (2008). An assessment of the quality of life in hemodialysis patients using the WHOQOL-BREF questionnaire. Indian Journal of Nephrology, 18(4), 141–149. https://doi.org/10.4103/0971-4065.45288.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Tarakeshwar, N., Vanderwerker, L. C., Paulk, E., Pearce, M. J., Kasl, S. V., & Prigerson, H. G. (2006). Religious coping is associated with the quality of life of patients with advanced cancer. Journal of Palliative Medicine, 9(3), 646–657.

    Article  PubMed  Google Scholar 

  • Theofilou, P., Aroni, A., Ralli, M., Gouzou, M., & Zyga, S. (2013). Measuring health: related quality of life in hemodialysis patients. Psychometric properties of the Missoula-VITAS Quality of Life Index (MVQOLI-15) in Greece. Health Psychology Research, 1 (2):e17.

  • Theofilou, P., Kapsalis, F., & Panagiotaki, H. (2012). Greek version of MVQOLI-15: translation and cultural adaptation. International Journal of Caring Sciences, 5, 289–294.

    Google Scholar 

  • Tzounis, E., Kerenidi, T., Daniil, Z., Hatzoglou, C., Kotrotsiou, E., & Gourgoulianis, K. (2016). A qualitative content analysis of spirituality and religiosity amongst Greek COPD patients. Religions, 7(3), 22.

    Article  Google Scholar 

  • Wachelder, E. M., Moulaert, V. R. M. P., Van Heugten, C., Gorgels, T., Wade, D. T., & Verbunt, J. A. (2016). Dealing with a life changing event: The influence of spirituality and coping style on quality of life after survival of a cardiac arrest or myocardial infarction. Resuscitation, 109, 81–86.

    Article  CAS  PubMed  Google Scholar 

  • Yodchai, K., Dunning, T., Savage, S., & Hutchinson, A. (2016). The role of religion and spirituality in coping with kidney disease and haemodialysis in Thailand. Scandinavian Journal of Caring Sciences, 31(2), 359–367.

    Article  PubMed  Google Scholar 

  • Zullig, K., Ward, R., & Horn, T. (2006). The association between perceived spirituality, religiosity, and life satisfaction: The mediating role of self-rated health. Social Indicators Research, 79(2), 255–274.

    Article  Google Scholar 

  • Zyga, S., Alikari, V., Sachlas, A., Stathoulis, J., Aroni, A., Theofilou, P., & Panoutsopoulos, G. (2015). Management of pain and quality of life in patients with chronic kidney disease undergoing hemodialysis. Pain Management Nursing, 16(5), 712–720.

    Article  PubMed  Google Scholar 

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Correspondence to Evangelos C. Fradelos.

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Ethical Approval

To conduct the study, licenses were secured from the Authority for Personal Data Protection (Prot No: ΓΝ/ΕΞ/4670-3/04.08.2016) and the Scientific Councils of the Hospitals. Oral and written information was provided to patients about the aims and purposes of the work, the confidentiality, the anonymity of the answers and their right to interrupt at any time during the procedure.

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Fradelos, E.C., Alikari, V., Tsaras, K. et al. The Effect of Spirituality in Quality of Life of Hemodialysis Patients. J Relig Health 61, 2029–2040 (2022). https://doi.org/10.1007/s10943-020-01153-x

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