Association between religiosity and happiness in patients with chronic kidney disease on hemodialysis

Abstract

Objectives: Religiosity/spirituality (R/S) seems to be a relevant factor in chronic diseases adaptation, but there is a lack of studies involving chronic kidney disease (CKD). This study aimed to investigate the association between R/S and happiness among CKD patients on hemodialysis and whether Sense of Coherence (SC) mediates this possible association. Methods: This was a cross-sectional study in two renal replacement therapy centers in Brazil, involving 161 adults on hemodialysis. Linear regressions were performed to evaluate the association between R/S (predicting variable measured with Duke Religious Index - DUREL) and happiness (outcome variable), adjusted for sociodemographic, clinical, and some laboratory variables. Later, SC was added to the model to test the possible mediating effect. Results: Most patients (91.20%) reported some religious affiliation. Private Religiosity (PR) (β = 0.53; 95% CI = 0.01 a 1.06), Intrinsic Religiosity (IR) (β = 0.48; 95% CI = 0.18 a 0.79), and SC (β = 0.11; 95% CI = -0.09 a 0.15) correlated with higher levels of happiness, controlling for clinical and sociodemographic variables. When SC was included in the model, IR (β = 0.34; 95% CI = 0.07 to 0.60) and SC (β = 0.11; 95% CI = 0.08 to 0.14) remained significantly. No clinical or sociodemographic variable correlated with happiness. Conclusions: Patients on hemodialysis showed high levels of R/S, which correlated with higher happiness levels. Clinical and sociodemographic variables were not correlated with patients' happiness. Psychosocial variables such as R/S and SC are potential key targets for interventions to promote better survival quality among CKD patients.

Associação entre resiliência, religiosidade e adesão terapêutica em pacientes submetidos à hemodiálise

“…There was a high-level rating of religious involvement in the three measured dimensions, reconfirming the results from the other similar samplings 11 . Therefore, it is crucial to emphasize high levels of religiosity are commonly associated with an improved quality of life (psychological, social, and environmental).…”

“…It is a dynamic experience of resistance and positive adaptation regarding adversities, capable of propitiating strategies by the patient to overcome, making him or her cease to be a passive observer and thus seek his or her resources and surroundings to resolve conflicts 8,9 . They are commonly associated with approaching the sacred and transcendent in religiosity constituted as an organized system of beliefs, rituals, symbols, and practices 10,11 .…”

Factors Associated with Happiness among Malaysian Elderly

“…The study found that happiness was negatively correlated with the number of comorbidities and having depressive symptoms [ 39 ]. Interestingly, a study in Brazil among people with end-stage renal failure undergoing hemodialysis showed that even though they suffered from chronic kidney diseases, a high level of religiosity led to higher happier [ 40 ].…”

Fenomena Intervensi Harapan Terhadap Kebahagiaan Pada Pasien Penyakit Ginjal Tahap Akhir Dengan Hemodialisis

“…Pasien dalam kondisi kronis yang tetap dapat menjalani kehidupan dengan bahagia akan menurunkan persepsi negatif terhadap penyakitnya, menurunkan angka depresi, meningkatkan support sosial, kesehatan, koping yang lebih adaptif, meningkatkan kualitas hidup dan kepuasan terhadap kehidupan mereka. Penerimaan diri yang baik pada pasien dalam kondisi kronis juga berdampak positif terhadap tingkat religiusitas pasien sehingga pasien akan lebih dekat dengan Tuhan (Siqueira, Fernandes, & Moreira-Almeida, 2018). Kepuasan hidup dan kebahagiaan yang tinggi pada pasien hemodialisis juga berdampak baik tehadap kesejahteraan hidup, kesehatan psikologis, humor dan mood positif pada pasien hemodialisis (Sousa et al, 2019).…”