Background: The most common psychological problem in hemodialysis patients is low
hope. Hope is an important source of adaptation for the survival of the patients with a chronic disease.
Objective: This study aimed to evaluate the effect of spiritual care on hope in patients undergoing
Methods: In this randomized controlled trial conducted in Iran in 2017, 60 hemodialysis patients with
ending-stage of renal disease under hemodialysis treatment were randomly assigned into two experimental
(n=30) and control (n=30) groups. The spiritual care program consisting of protectionist care,
supporting the patient's rituals and using support systems was administered in four sessions of 60 minutes
individually, twice a week, morning or evening in hemodialysis ward. Snyder’s Hope Questionnaire
was completed before and after the intervention in both groups. Data were analyzed in SPSS
software version 16.
Results: Prior to the intervention, there was no significant difference between the experimental
and control groups (p=0.262); however, following the intervention, the difference was statistically
significant with regard to the mean scores of hope in the experimental (36.43 ± 3.37) and control
(35.20 ± 7.00) groups (p=0.04).
Conclusion: According to the findings of the present study, spiritual care promotes hope in Muslim
patients undergoing hemodialysis; therefore, nurses can adopt the spiritual care to this end.