Assessment of psychological distress in end stage renal disease: is it spirituality related?

Abstract

Abstract
 Introduction. Patients undergoing hemodialysis (HD) are faced with bearing this burden and report poor mental health. Spirituality can be a key factor in managing these problems among HD patients.
 Aim. This cross-sectional study aimed at exploring possible factors that are associated with psychological distress among HD patients and testing its relation to spirituality.
 Methods. HD patients were recruited from six dialysis units in Greece. Psychological distress was assessed using the scale Symptom Check List 90-R and spirituality using the Facit Sp-12 questionnaire. In addition, a special design questionnaire regarding demographic, social, and clinical characteristic was administrated.
 Results. According to the results, factors such age, gender, marital status and area of residence are associated with psychological distress, while dimensions of spirituality such Meaning in Life and Peace can have a positive influence on psychological distress.
 Conclusion. This study highlights the vital role of spirituality, which can act as a mechanism for managing stressful situations. In particular, this study highlights the positive effect of the meaning and purpose of life, as well as the role of peace and harmony.

Relationship of symptom stress, care needs, social support, and meaning in life to quality of life in patients with heart failure from the acute to chronic stages: a longitudinal study

“…Leeming, Murray and Kendall [ 23 ] reported that worsening HF caused the loss of independent living ability and patients’ meaning in life followed by loss of happiness and impaired quality of life. Although most studies demonstrated that the stronger meaning in life is, the better patients are able to face the stress of death and the better their quality of life, these studies assessed meaning in life at the end stage of diseases [ 16 , 24 , 25 ]. Our study revealed that the correlation between the presence of meaning in life and quality of life was also present in patients not at the end of life or who did not have advanced HF.…”

Religion and Spiritual Health in Patients With and Without Depression Receiving Hemodialysis: A Cross-Sectional Correlational Study

“…Several variables contribute to a lower health-related quality of life in patients with ESRD, including decreased physical function and social activities; increased risk of psychological distress; and symptom distress such as frailty, restless legs, itching skin, and fatigue (Ng et al, 2021). Moreover, the lifelong dialysis treatments needed to sustain the life of patients with ESRD significantly affect their physical and mental functions (Fradelos et al, 2021). According to a recent report, Taiwan had the highest prevalence of dialysis (3,593 per million population) and the second-highest incidence of treated ESRD (525 per million population) in the world in 2020 (U.…”

A espiritualidade e religiosidade de pessoas em tratamento hemodialítico: revisão integrativa

“…O estresse pode estar relacionado ao fato de serem submetidos a um regime medicamentoso complicado e a várias restrições alimentares, mudanças em seu papel na comunidade, família e casal, problemas socioeconômicos. A ansiedade pode estar presente devido a um sentimento de incerteza em relação ao futuro, de culpa, que combinam com a natureza incurável da doença (Fradelos et al, 2021).…”

“…de depressão, e demonstrou também que a espiritualidade reduz vários deste sintomas (Fradelos et al, 2021;Santos et al, 2017).…”

“…Uma das formas de manejo desses problemas é a espiritualidade e a religiosidade Os métodos de enfrentamento de religiosidade e espiritualidade positivos podem estar associados a uma melhor percepção da vida, menor tempo de hospitalização, diminuição da mortalidade e melhora da função imunológica ). Em um estudo utilizando o instrumento Whooqol-Srpb-Bref com 165 pacientes DRCT brasileiros foi evidenciado altos índices (81%) de qualidade de vida no domínio espiritualidade e religiosidade e crenças pessoais, isto pode ser explicado pelo fato de a maioria dos pacientes declararem (51%) possuir alguma religião (Fradelos et al, 2021;Leimig et al, 2018;Santos et al, 2017).…”