Articlegreen2012

Evaluation of spiritual well-being in haemodialysis patients.

Abilio Reig-Ferrer · María Dolores Arenas Jiménez · Rosario Ferrer‐Cascales · María Dolores Fernández-Pascual · Natalia Albaladejo-Blázquez · Vanesa de la Fuente

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Religion, Spirituality, and Psychology Dialysis and Renal Disease Management Workplace Spirituality and Leadership

Abstract

INTRODUCTION: Spirituality can be defined as a personal search for meaning and purpose in life that may or may not encompass religion. In this article we report on the development and testing of an instrument for measuring spiritual well-being within a sample of haemodialysis patients. MATERIAL AND METHOD: The main instrument, a 21-item Meaning in Life Scale (MiLS), comprises four scales: Life Perspective, Purpose and Goals, Confusion and Lessened Meaning, Harmony and Peace, and Benefits of Spirituality. A total score for spiritual well-being is also produced. We also used the following variables: clinical (time on haemodialysis, modified Charlson comorbidity index), sociodemographic (age, gender), and self-assessments of health, quality of life (general and recent), personal happiness, religiosity, and belief in the afterlife. A cross-sectional study was carried out on 94 haemodialysis patients. RESULTS: This study demonstrates that the MiLS-Sp is a psychometrically sound measure of spiritual well-being for dialysis patients (reliability, validity) as they manage the complex demands of a chronic illness. Spiritual well-being was significantly associated with various quality of life variables, health status, personal happiness, or religiosity in patients on dialysis. There was no relationship between spirituality scores and comorbidity, HD duration, gender, or age. Spiritual well-being is relatively low in dialysis patients. CONCLUSION: Spirituality may play an important role on psychological well-being, quality of life, and self-rated health for patients on haemodialysis. Spiritual well-being in these patients is relatively low. Results suggest that assessing and addressing spiritual well-being in dialysis patients may be helpful in clinical practice.

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References

1970Back-Translation for Cross-Cultural Research 1946Man's Search for Meaning 2002Measuring spiritual well-being in people with cancer: The functional assessment of chronic illness therapy—spiritual well-being scale (FACIT-Sp)2007Religiousness and Spiritual Support Among Advanced Cancer Patients and Associations With End-of-Life Treatment Preferences and Quality of Life 2002A Biopsychosocial-Spiritual Model for the Care of Patients at the End of Life 2001Religion and Coping with Serious Medical Illness 2004Discussing Spirituality With Patients: A Rational and Ethical Approach 1997Assessing quality of life

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2013Chronic kidney disease, spirituality and religiosity: a systematic overview with the list of eligible studies 2019The Relationship Between Observing Religious Beliefs and Suffering in Hemodialysis Patients 2014The Santa Clara Strength of Religious Faith Questionnaire (SCSORF): A Validation Study on Iranian Muslim Patients Undergoing Dialysis 2019A View of Spirituality and Spiritual Care in a Sample of Spanish Nurses 2021

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