Articles

Relationship Between Spiritual Health and Stress, Depression, and Anxiety in Hemodialysis Patients

Abstract

Background: Chronic diseases confront the patients with questions about the meaning and purpose of life. This study aimed to determine the relationship between spiritual health and stress, depression, and anxiety in hemodialysis patients of Birjand Special Diseases Center in 2019.

Methods: In this descriptive-analytical cross-sectional study, using the census method, all dialysis patients referred to Birjand Special Diseases Center, Iran, were enrolled. A three-part questionnaire was used to collect information in this study. The first part deals with patient demographic information (age, gender, marital status, degree, occupation, duration of dialysis per week, and medical history), the second part includes the DASS21 standard questionnaire and the third part includes the Ellison-Palutzian spiritual health standard questionnaire. Data analysis was performed by the Mann-Whitney, ANOVA and Pearson correlation coefficient.

Results: In this study, 119 hemodialysis patients were studied, of which 77 (64.7%) were male. The mean depression, anxiety and stress of the participants in the study were 18.8 ± 7.52, 16.43 ± 7.13 and 19.36 ± 8.31, respectively. The mean spiritual health of the patients studied was 82.37 ± 12.12. The results showed that there was a significant (P<0.05) inverse relationship between spiritual health and depression, anxiety and stress in the patients studied.

Conclusion: The findings showed patients with higher spiritual health scores experienced less anxiety, stress and depression. So that, more focus should be on improving the spiritual health of hemodialysis patients by medical staff in the process of admitting and dealing with them in hospitals and medical centers.

1. Jung H-Y, Jeon Y, Park Y, Kim YS, Kang S-W, Yang CW, et al. Better quality of life of peritoneal dialysis compared to hemodialysis over a two-year period after dialysis initiation. Scientific reports. 2019;9(1):1-10.
2. Day WK. Chronic Kidney Disease 2020 [Available from: https://www.worldkidneyday.org/facts/chronic-kidney-disease/.
3. Nakamoto H, Kobayashi T, Noguchi T, Kusano T, Ashitani K, Imaeda H, et al. Prevalence and Severity of Itching in Patients with End-Stage Renal Disease: Treatment with Nalfurafine Hydrochloride. Blood purification. 2019;47(2):45-9.
4. Saunderson C. End of Life “A Nurses Guide to Compassionate Care “; Psychological, Spiritual and Cultural Care. Lippincott, Williams & Wilkins; 2007.
5. ISNA. Dialysis centers leave hospitals 2019 [cited 2020. Available from: https://www.isna.ir/news/97012609210/.
6. Iso N. Tehran: Iranian society of nephrology; 2014. Available from: Iranian society of nephrology.
7. Flanigan MJ. Role of sodium in hemodialysis. Kidney international. 2000;58:S72-S8.
8. Griva K, Lam KF, Nandakumar M, Jo-an HN, McBain H, Newman SP. The effect of brief self-management intervention for hemodialysis patients (HED-SMART) on trajectories of depressive and anxious symptoms. Journal of psychosomatic research. 2018;113:37-44.
9. Theofilou P. Quality of life and mental health in hemodialysis and peritoneal dialysis patients: the role of health beliefs. International urology and nephrology. 2012;44(1):245-53.
10. Barzegar H, Jafari H, Charati JY, Esmaeili R. Relationship between duration of dialysis and quality of life in hemodialysis patients. Iranian Journal of Psychiatry and Behavioral Sciences. 2017;11(4).
11. Preljevic VT, Østhus TBH, Os I, Sandvik L, Opjordsmoen S, Nordhus IH, et al. Anxiety and depressive disorders in dialysis patients: association to health-related quality of life and mortality. General hospital psychiatry. 2013;35(6):619-24.
12. Büssing A, Koenig HG. Spiritual needs of patients with chronic diseases. Religions. 2010;1(1):18-27.
13. Dhar N, Chaturvedi S, Nandan D. Spiritual health scale 2011: Defining and measuring 4th dimension of health. Indian journal of community medicine: official publication of Indian Association of Preventive & Social Medicine. 2011;36(4):275.
14. Asadzandi M. Effect of spiritual health (Sound Heart) on the other dimensions of health at different levels of prevention. Clinical Journal of Nursing Care and Practice. 2018;2(1):018-24.
15. Lovibond PF, Lovibond SH. The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour research and therapy. 1995;33(3):335-43.
16. Sahebi A, Asghari MJ, Salari R. Validation of depression anxiety and stress scale (DASS-21) for an Iranian population. 2005.
17. Seyed FN, Rezaei M, Givari A, Hosseini F. Prayer and spiritual well-being in cancer patients. 2006.
18. Ashrafi z, Ebrahimi H, Sarafha J. The relationship between hemodialysis adequacy and quality of life and spiritual wellbeing in hemodialysis patients. Journal of Clinical Nursing and Midwifery. 2014;3.
19. Jeong K, Heo J, Tae Y. Influence of Spiritual health and Fatigue on Depression in Breast Cancer Patients. Asian Oncology Nursing. 2014;14(2).
20. Shahgholian N, Mardanian Dehkordi L. Spiritual Health in Patients undergoing Hemodialysis. Iran Journal of Nursing. 2016;29(103):60-7.
21. Dehbashi F, Sabzevari S. The Study of Spiritual Health and Hope in Patients Referred to Hemodialysis Centers in Zahedan. Journal of Medical Ethics. 2014;8(30):77-97.
22. Musarezaie A. The relationship between spiritual wellbeing with stress, anxiety, and some demographic variables in women with breast cancer referring to the specialized cancer treatment center in Isfahan, Iran. 2012.
23. Ghanbari Afra L, Zaheri A. Relationship of Anxiety, Stress, and Depression with Spiritual Health in Patients with Acute Coronary Artery Disease. J Educ Community Health. 2017;4(2):28-34.
24. Safavi M, Fesharaki M, Oladrostam N, Fatahi Y. An investigation of the relationship between spiritual health and depression, anxiety, and stress in patients with heart failure. Health, Spirituality and Medical Ethics. 2016;3(2):2-7.
25. Sadeghifar J, Mehrabian T. Prediction of Depression, Anxiety and Stress Based on Spiritual Components in Patients on Hemodialysis. IJPN. 2016;4(5):45-51.
26. Flint KM, Fairclough DL, Spertus JA, Bekelman DB. Does heart failure-specific health status identify patients with bothersome symptoms, depression, anxiety, and/or poorer spiritual well-being? European Heart Journal-Quality of Care and Clinical Outcomes. 2019;5(3):233-41.
27. Soudagar S, Rambod M. Prevalence of stress, anxiety and depression and their associations with spiritual well-being in patients with diabetes. 2018.
28. Hosseini AFS, Davati A, Garshasbi A. The relationship between spiritual health and depression in pregnant women referrals of Mostafa Khomeini hospital. 2019.
29. Hashemi Fesharaki M, Shahgholian N, Kashani F. Effect of stress inoculation training on the levels of stress, anxiety, and depression in hemodialysis patients. Journal of Urmia Nursing And Midwifery Faculty. 2016;14(1):88-99.
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IssueVol 4, No 4 (2020) QRcode
SectionArticles
DOI https://doi.org/10.18502/htaa.v4i4.6864
Keywords
stress anxiety depression spiritual health Hemodialysis

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1.
Fanoodi A, Aramjoo H, Moosavian Khorasani SH, Saberi A, Ashrafipour M, Ramazani A. Relationship Between Spiritual Health and Stress, Depression, and Anxiety in Hemodialysis Patients. Health Tech Ass Act. 2021;4(4).