THE EFFECT OF SPIRITUALITY ON LONELINESS AND DEPRESSION IN HEMODIALYSIS PATIENTS: A CROSS-SECTIONAL STUDY

Year 2025, Volume: 9 Issue: 1, 67 - 85, 25.04.2025

Zümrüt Şahin , Şafak Aydin

Abstract

This study was conducted to determine the effects of spirituality on loneliness and depression in hemodialysis patients with 115 patients living in Kars between December 2022 and January 2023. The study was conducted as a cross-sectional study. It was determined that the mean spirituality score was higher (53.08±4.00), loneliness (10.36±2.01) and depression mean scores were lower (4.02±1.88) in those living with their spouses and children, and a statistically significant difference was found. There was a negative correlation analysis between the participants' Spirituality Index of Well-Being (SIWB) total score average and SIWB-self-efficacy score average with UCLA Loneliness Scale (UCLA) (r=-0.627, p<0.000) and Geriatric Depression Scale (GDS) (r=-0.524, p<0.000). There was a negative correlation analysis between the SIWB-life scheme score average with UCLA (r=-0.732, p<0.000) and GDS (r=-0.530, p<0.000). A statistically significant negative correlation was observed between SIWB and its sub-dimensions and the individuals' UCLA and GDS score averages (p<0.05). As a result of the regression analysis, a significant regression model (F= 28.66, p<0.001) and 29% of the variance in the dependent variable were found to be explained by the independent variables. It is recommended that research be planned regarding spiritual care in elderly patients receiving hemodialysis treatment.

Keywords

depression , hemodialysis , loneliness , Spirituality

HEMODİYALİZ HASTALARINDA MANEVİYATIN, YALNIZLIK VE DEPRESYONA ETKİSİ: KESİTSEL BİR ÇALIŞMA

Abstract

Bu araştırma, hemodiyaliz hastalarında maneviyatın, yalnızlık ve depresyona etkisini belirlemek amacıyla Aralık 2022-Ocak 2023 tarihleri arasında Kars’ta yaşayan 115 hasta ile yürütülmüştür. Araştırma kesitsel tiptedir. Katılımcılardan eş ve çocukları ile yaşayanlarda maneviyat puan ortalamasının yüksek (53.08±4.00), yalnızlık (10.36±2.01) ve depresyon puan ortalamalarının düşük olduğu (4.02±1.88) ve istatistiksel olarak anlamlı bir fark olduğu saptanmıştır. Katılımcıların Spiritüel İyilik Ölçeği (SİÖ) toplam puan ortalaması ve SİÖ-öz yeterlilik puan ortalaması ile UCLA Yalnızlık Ölçeği (UCLA) (r=-0.627, p<0.000) ve Geriatrik Despresyon Ölçeği (GDÖ) (r=-0.524, p<0.000) arasındaki negatif korelasyon vardır. SİÖ-yaşam şeması puan ortalaması ile UCLA (r=-0.732, p<0.000) ve GDS (r=-0.530, p<0.000) arasında negatif korelasyon analizi bulunmaktadır. SİÖ ve alt boyutları ile bireylerin UCLA ve GDÖ puan ortalamaları arasında negatif yönde istatistiksel olarak anlamlı bir ilişki gözlenmiştir (p<0.05). Hemodiyaliz hastalarında maneviyatın algılanan yalnızlık ve depresyon ile ilişkisinin incelendiği regresyon analizine göre (F= 28.66, p<0.001), bağımlı değişkendeki varyansın %29’u bağımsız değişkenler tarafından açıklanmaktadır. Hemodiyaliz tedavisi alan yaşlı hastalarda, manevi bakımı konusunda araştırmaların planlanması önerilir.

Keywords

depresyon , hemodiyaliz , yalnızlık , Maneviyat

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