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Published in: Journal of Religion and Health 3/2022

07-01-2021 | Original Paper

The Effect of Spirituality in Quality of Life of Hemodialysis Patients

Authors: Evangelos C. Fradelos, Victoria Alikari, Konstantinos Tsaras, Ioanna V. Papathanasiou, Foteini Tzavella, Dimitris Papagiannis, Sofia Zyga

Published in: Journal of Religion and Health | Issue 3/2022

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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.
Literature
go back to reference 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.CrossRefPubMed 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.CrossRefPubMed
go back to reference 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). 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).
go back to reference 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.CrossRefPubMedPubMedCentral 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.CrossRefPubMedPubMedCentral
go back to reference 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.CrossRef 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.CrossRef
go back to reference 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.CrossRefPubMed 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.CrossRefPubMed
go back to reference 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.CrossRefPubMed 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.CrossRefPubMed
go back to reference 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.CrossRef 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.CrossRef
go back to reference 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.CrossRefPubMedPubMedCentral 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.CrossRefPubMedPubMedCentral
go back to reference 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.CrossRefPubMedPubMedCentral 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.CrossRefPubMedPubMedCentral
go back to reference 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.CrossRefPubMed 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.CrossRefPubMed
go back to reference 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.CrossRef 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.CrossRef
go back to reference 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.CrossRef 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.CrossRef
go back to reference 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.CrossRefPubMed 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.CrossRefPubMed
go back to reference 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.CrossRef 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.CrossRef
go back to reference 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.CrossRef 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.CrossRef
go back to reference 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.CrossRefPubMed 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.CrossRefPubMed
go back to reference 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.CrossRefPubMedPubMedCentral 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.CrossRefPubMedPubMedCentral
go back to reference 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.CrossRef 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.CrossRef
go back to reference Kaliampos, A., & Roussi, P. (2017). Religious beliefs, coping, and psychological well-being among Greek cancer patients. Journal of Health Psychology, 22(6), 754–764.CrossRefPubMed Kaliampos, A., & Roussi, P. (2017). Religious beliefs, coping, and psychological well-being among Greek cancer patients. Journal of Health Psychology, 22(6), 754–764.CrossRefPubMed
go back to reference 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.CrossRef 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.CrossRef
go back to reference 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.CrossRefPubMed 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.CrossRefPubMed
go back to reference 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.CrossRefPubMed 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.CrossRefPubMed
go back to reference 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.CrossRefPubMed 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.CrossRefPubMed
go back to reference 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.PubMedPubMedCentral 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.PubMedPubMedCentral
go back to reference 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.CrossRefPubMed 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.CrossRefPubMed
go back to reference 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.CrossRefPubMed 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.CrossRefPubMed
go back to reference 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. 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.
go back to reference 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.CrossRef 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.CrossRef
go back to reference 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.CrossRefPubMed 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.CrossRefPubMed
go back to reference 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., 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.
go back to reference Theofilou, P., Kapsalis, F., & Panagiotaki, H. (2012). Greek version of MVQOLI-15: translation and cultural adaptation. International Journal of Caring Sciences, 5, 289–294. Theofilou, P., Kapsalis, F., & Panagiotaki, H. (2012). Greek version of MVQOLI-15: translation and cultural adaptation. International Journal of Caring Sciences, 5, 289–294.
go back to reference 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.CrossRef 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.CrossRef
go back to reference 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.CrossRefPubMed 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.CrossRefPubMed
go back to reference 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.CrossRefPubMed 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.CrossRefPubMed
go back to reference 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.CrossRef 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.CrossRef
go back to reference 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.CrossRefPubMed 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.CrossRefPubMed
Metadata
Title
The Effect of Spirituality in Quality of Life of Hemodialysis Patients
Authors
Evangelos C. Fradelos
Victoria Alikari
Konstantinos Tsaras
Ioanna V. Papathanasiou
Foteini Tzavella
Dimitris Papagiannis
Sofia Zyga
Publication date
07-01-2021
Publisher
Springer US
Published in
Journal of Religion and Health / Issue 3/2022
Print ISSN: 0022-4197
Electronic ISSN: 1573-6571
DOI
https://doi.org/10.1007/s10943-020-01153-x

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