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Current Psychiatry Research and Reviews


ISSN (Print): 2666-0822
ISSN (Online): 2666-0830

Research Article

The Effect of a Spiritual Care on Hope in Patients Undergoing Hemodialysis: A Randomized Controlled Trial

Author(s): Khodayar Oshvandi, Shilla Amini , Abbas Moghimbeigi and Efat Sadeghian*

Volume 16, Issue 1, 2020

Page: [68 - 75] Pages: 8

DOI: 10.2174/2666082216666200316142803

Price: $65


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 hemodialysis.

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.

Keywords: Spirituality, hope, chronic renal insufficiencies, hemodialysis, nursing, chronic disease, protectionist care.

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Graphical Abstract
Dhondup T, Qian Q. Electrolyte and acid-base disorder in chronic kidney diseaese and end stage kidney failure. Blood Purif 2017; 43(1-3): 179-88.
[] [PMID: 28114143]
Shafiee MA, Chamanian P, Shaker P, Shahideh Y, Broumand B. The impact of hemodialysis frequency and duration on blood pressure management and quality of life in end-stage renal disease patients. Health care (Don Mills) 2017; 5(52): 1-9.
Daugirdas JT, Blake PG TS. Handbook of dialysisLippincott Williams & Wilkins; 2012. Feb 20
Marvi A, Bayazi MH, Rahmani MAK D. Studying the effect of cognitive behavioral group training on depression in hemodialysis patients. Procedia Soc Behav Sci 2011; 30: 1831-6.
Rahimipour M, Shahgholian N, Yazdani M. Effect of hope therapy on depression, anxiety, and stress among the patients undergoing hemodialysis. Iran J Nurs Midwifery Res 2015; 20(6): 694-9.
[] [PMID: 26793255]
Aghajani M, Mirbagher Ajorpaz N, Kafaei Atrian M, et al. Effect of self - care education on quality of life in patients with primary hypertension: comparing lecture and educational package. Nurs Midwifery Stud 2013; 2(4): 71-6.
[] [PMID: 25414882]
Movahedi M, Movahedi Y, Farhadi A. Effect of hope therapy training on life expectancy and general health in cancer patients. J Holistic Nurs Midwifery 2015; 25(2): 84-92.
Ottaviani AC, Souza EN, Drago NdeC, de Mendiondo MS, Pavarini SCI, Orlandi FdeS. Hope and spirituality among patients with chronic kidney disease undergoing hemodialysis: a correlational study. Rev Lat Am Enfermagem 2014; 22(2): 248-54.
[] [PMID: 26107832]
Benzein EG, Berg AC. The level of and relation between hope, hopelessness and fatigue in patients and family members in palliative care. Palliat Med 2005; 19(3): 234-40.
[] [PMID: 15920938]
Herth KA, Cutcliffe JR. The concept of hope in nursing 6: research/education/policy/practice. Br J Nurs 2002; 11(21): 1404-11.
[] [PMID: 12514475]
Werner S. Subjective well-being, hope, and needs of individuals with serious mental illness. Psy Res 2012; 196(2-3): 214-9.
[] [PMID: 22382051]
Pak MHM, Ahmadi F, Anoosheh M. Spiritual beliefs and quality of life: A qualitative research about diabetic adolescent girls’ perception. Koomesh 2011; 12(2): 144-51.
Ben-Arye E, Ben-Arye Y, Barak Y. Eva between anxiety and hope: integrating anthroposophic music therapy in supportive oncology care. Health Psychol Res 2015; 3(3): 2199.
[] [PMID: 26973967]
van Dulmen S, Sluijs E, van Dijk L, de Ridder D, Heerdink R, Bensing J. Patient adherence to medical treatment: a review of reviews. BMC Health Serv Res 2007; 7(55): 55.
[] [PMID: 17439645]
Holloway M, Adamson S, McSherry W, Swinton J. Spiritual care at the end of life: a systematic review of the literature. London: Department of Health 2011.
Farahaninia M, Abbasi M, Givari A, Haghani H. Nursing students’ spiritual well-being and their perspectives towards spirituality and spiritual care perspectives. Iran J Nurs 2006; 18(44): 7-14.
Younas A. Spiritual care and the role of advanced practice nurses. Nurs Midwifery Stud 2017; 6(1)e40072
Cheraghi MA, Payne S, Salsali M. Spiritual aspects of end-of-life care for Muslim patients: experiences from Iran. Int J Palliat Nurs 2005; 11(9): 468-74.
[] [PMID: 16215525]
Fitchett G, Emanuel L, Handzo G, Boyken L, Wilkie DJ. Care of the human spirit and the role of dignity therapy: a systematic review of dignity therapy research. BMC Palliat Care 2015; 14(8): 8.
[] [PMID: 25844066]
Wright MC. The essence of spiritual care: a phenomenological enquiry. Palliat Med 2002; 16(2): 125-32.
[] [PMID: 11969143]
Kociszewski C. Spiritual care: a phenomenologic study of critical care nurses. Heart Lung 2004; 33(6): 401-11.
[] [PMID: 15597294]
Baljani E, Kazemi M, Amanpour E, Tizfahm T. Survey on relationship betweeen religion, spiritual wellbeing hope and qualiy of life in patients with cancer. Evidence Based Care 2011; 1(1): 51-62.
Oshvandi K, Amini S, Moghimbeigi A, Sadeghian E. The effect of spiritual care on death anxiety in hemodialysis patients with end-stage of renal disease: A Randomized Clinical Trial. J Hayat 2018; 23(4): 332-4.
Kharameh ZT, Asayesh H, Zamanian H, Bidgoli AS, Mirgheisari A, Sharififard F. Spiritual well-bing and religious coping strategies among hemodialysis patients. Iranian J Psychiatric Nurs 2013; 1(1): 48-54.
Afazel MR, Aghajani M, Morassaie F. The effects of spiritual counseling on the hope in hemodialysis patients: a clinical trial study. Life Sci J 2013; 10: 293-7.
Snyder C, Lopez S. Positive psychology: the scientific and practical explorations of human strengths. New York: Sage publication Inc 2007.
Acquah A, Boakye E. Applying faith development theory for the teaching of religious education: sharing knowledge to benefit religious educators. J of Phl. Cult Relig 2018; 36: 1-7.
Oshvandi K, Keshmiri K, Salavati M, Emkanjoo Z, Musavi S. Effectiveness of education based on orem’s self-care model in self-care activity of patients with implantable cardioverter defibrillators. Hayat. J Sch Nurs Midwifery 2013; 19(3): 47-55.
Ghaleghasemi TM, Musarezaie A, Moeini M, Esfahani HN. The effect of spiritual care program on ischemic heart disease patients’ anxiety, hospitalized in CCU: a clinical trial. J Res in Behav Sci 2012; 10(6): 554-64.
Touhy TA. Nurturing hope and spirituality in the nursing home. Holist Nurs Pract 2001; 15(4): 45-56.
[] [PMID: 12120495]
Mirbagher-Ajorpaz N, Aghajani M, Morsaee F, Zabolian Zh. The Relationship between hope and depression-anxiety in patients undergoing hemodialysis. J Health and Care 2016; 18(1): 55-62.
Soundy A, Benson J, Dawes H, Smith B, Collett J, Meaney A. Understanding hope in patients with Multiple Sclerosis. Physiotherapy 2012; 98(4): 344-50.
[] [PMID: 23122442]
Rippentrop A, Altmaier E, Burns C. The relationship of religiosity and spirituality to quality of life among cancer patients. J Clin Psychol Med Settings 2006; 13(29)
Sangestani G, Khatiban M, Pourolaja J, Oshvandi K. Influence of doula on the primiparous parturients’anxiety in the delivery ward. Hayat. J Sch Nurs Midwifery 2013; 19(4): 48-60.
Jafari E, Najafi M, Sohrabi F, Dehshiri G, Soleymani E, Heshmati R. Life satisfaction, spirituality well-being and hope in cancer patients. Procedia Soc Behav Sci 2010; 5: 1362-6.
Seligman ME, Csikszentmihalyi M. Positive psychology. An introduction. Am Psychol 2000; 55(1): 5-14.
[] [PMID: 11392865]
Baljani E, Khashabi J, Amanpour E, Azimi N. Relationship between spiritual well-being, religion, and hope among patients with cancer. J Hayat 2011; 17(3): 27-37.
Salimi T, Tavangar H. SHokripour S, Ashrafi H. The effect of spiritual self-care grouptherapy on life expectancy in patients with coronary artery disease: an educational trial. J Rafsanjan Uni Med Sci 2017; 15(10): 917-28.
Vellone E, Rega ML, Galletti C, Cohen MZ. Hope and related variables in Italian cancer patients. Cancer Nurs 2006; 29(5): 356-66.
[] [PMID: 17006108]

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