Research Article

The Relationship Between Spiritual Well-Being, Adherence to the Disease, and Comfort Level in Hemodialysis Patients

Volume: 10 Number: 2 August 30, 2025

The Relationship Between Spiritual Well-Being, Adherence to the Disease, and Comfort Level in Hemodialysis Patients

Abstract

Purpose: This study was conducted to examine the spiritual well-being, adherence to the disease and comfort levels of individuals receiving hemodialysis treatment and to determine the relationship between the three variables. Methods: This study was conducted with 180 patients who were receiving treatment in hemodialysis units and met the study criteria. The study data were collected using the Introductory Information Form, Spiritual Well-Being Scale, End-Stage Renal Disease Adherence Questionnaire, and Hemodialysis Comfort Scale. To analyse the data, descriptive statistics, Mann-Whitney U test, Kruskal Wallis test Pearson’s correlation and multivariate linear regression analysis were utilised. Results: The total mean score of the Spiritual Well-Being Scale was determined as 109.44±17.15, the total mean score of the End-Stage Renal Disease Adherence Questionnaire was determined as 1029.03±160.84, and the total mean score of the Hemodialysis Comfort Scale was determined as 24.89±6.78, and a positive, weakly significant (p<0.05) relationship was obtained between the mean scores of the three scales. Conclusion: It was determined that the spiritual well-being, adherence to the disease, and comfort levels of patients undergoing hemodialysis were at a moderate level, and as the level of spiritual well-being increased in individuals, their adherence to the disease and comfort levels increased.

Keywords

Supporting Institution

There is no financial support from any institution/organization related to the study.

Ethical Statement

The study was performed in line with the principles of the Declaration of Helsinki and approved by the Cumhuriyet University Clinical Research Ethics Board (decision no: 2023-06/61).

Thanks

We would like to thank the institution staff who provided all kinds of support during the conduct of the study and the hemodialysis patients who volunteered to participate.

References

  1. Abatay, S. N., & Akyol, A. D. (2024). Investigation of the relationship between compliance with fluid control and disease symptoms in individuals receiving hemodialisis treatment. Journal of Nephrology Nursing, 19(1), 1-17. DOI:10.47565/ndthdt.2024.78
  2. Acar, D., & Güneş, Z. (2018). Factors affecting therapeutic compliance in patients with chronic renal failure: anxiety, depression, illness perception. Health Prim Care, 2(3), 1-6. DOI:10.15761/hpc.1000137
  3. Akça, N. K., (2024). Baykan, S. The relationship between pain and comfort in patients receiving hemodialysis. Journal of Nephrology Nursing, 19(2), 63-72. DOI:10.47565/ndthdt.2024.83
  4. Aker, S., & Yüksel, S. (2016). Determining the factors that determine treatment compliance among hypertensive patients undergoing hemodialysis: A qualitative study. Journal of Human Sciences, 13(3), 4389-4404. DOI:10.14687/jhs.v13i3.3940
  5. Akgöl, J., Kazan, E. D., Kazan, S., & Tunca, O. (2023). Evaluation to treatment adherence, rational drug use in hemodialysis patients and predictive factors on dialysis adequacy. Kahramanmaraş Sütçü İmam University Medical Journal, 18(1), 153-162. DOI:10.17517/ksutfd.1176552
  6. Al-Ghabeesh, S. H., Rayan, A., Hattab, F., & Jarrar, Y. (2022). Mindfulness and psychological distress among hemodialysis patients. Psychology, Health & Medicine, 27(4), 917–924. DOI:10.1080/13548506.2021.1960395
  7. Arıcı, H., & Kavradım, S. T. (2023). Comfort in cardiovascular disease. Akdeniz Nursing Journal, 2(1), 32-39. DOI:10.59398/ahd.1268478
  8. Arslan, S., & Avcı, S. (2024). Spirituality and spiritual care in nursing. Journal of General Health Sciences, 6(1), 182-193.

Details

Primary Language

English

Subjects

​Internal Diseases

Journal Section

Research Article

Early Pub Date

August 20, 2025

Publication Date

August 30, 2025

Submission Date

March 10, 2025

Acceptance Date

June 2, 2025

Published in Issue

Year 2025 Volume: 10 Number: 2

APA
Kılıç, A. N., & Özkan Tuncay, F. (2025). The Relationship Between Spiritual Well-Being, Adherence to the Disease, and Comfort Level in Hemodialysis Patients. Instıtute of Health Sciences Journal, 10(2), 111-119. https://doi.org/10.51754/cusbed.1654966
AMA
1.Kılıç AN, Özkan Tuncay F. The Relationship Between Spiritual Well-Being, Adherence to the Disease, and Comfort Level in Hemodialysis Patients. J Cumhuriyet Univ Health Sci Inst. 2025;10(2):111-119. doi:10.51754/cusbed.1654966
Chicago
Kılıç, Ayşe Nur, and Fatma Özkan Tuncay. 2025. “The Relationship Between Spiritual Well-Being, Adherence to the Disease, and Comfort Level in Hemodialysis Patients”. Instıtute of Health Sciences Journal 10 (2): 111-19. https://doi.org/10.51754/cusbed.1654966.
EndNote
Kılıç AN, Özkan Tuncay F (August 1, 2025) The Relationship Between Spiritual Well-Being, Adherence to the Disease, and Comfort Level in Hemodialysis Patients. Instıtute of Health Sciences Journal 10 2 111–119.
IEEE
[1]A. N. Kılıç and F. Özkan Tuncay, “The Relationship Between Spiritual Well-Being, Adherence to the Disease, and Comfort Level in Hemodialysis Patients”, J Cumhuriyet Univ Health Sci Inst, vol. 10, no. 2, pp. 111–119, Aug. 2025, doi: 10.51754/cusbed.1654966.
ISNAD
Kılıç, Ayşe Nur - Özkan Tuncay, Fatma. “The Relationship Between Spiritual Well-Being, Adherence to the Disease, and Comfort Level in Hemodialysis Patients”. Instıtute of Health Sciences Journal 10/2 (August 1, 2025): 111-119. https://doi.org/10.51754/cusbed.1654966.
JAMA
1.Kılıç AN, Özkan Tuncay F. The Relationship Between Spiritual Well-Being, Adherence to the Disease, and Comfort Level in Hemodialysis Patients. J Cumhuriyet Univ Health Sci Inst. 2025;10:111–119.
MLA
Kılıç, Ayşe Nur, and Fatma Özkan Tuncay. “The Relationship Between Spiritual Well-Being, Adherence to the Disease, and Comfort Level in Hemodialysis Patients”. Instıtute of Health Sciences Journal, vol. 10, no. 2, Aug. 2025, pp. 111-9, doi:10.51754/cusbed.1654966.
Vancouver
1.Ayşe Nur Kılıç, Fatma Özkan Tuncay. The Relationship Between Spiritual Well-Being, Adherence to the Disease, and Comfort Level in Hemodialysis Patients. J Cumhuriyet Univ Health Sci Inst. 2025 Aug. 1;10(2):111-9. doi:10.51754/cusbed.1654966

IMPORTANT NOTE: Please note that the name and website of our journal have recently changed. Authors who wish to submit new manuscripts must do so through our updated platform at https://dergipark.org.tr/en/pub/ejmhs

The Journal of Sivas Cumhuriyet University Institute of Health Sciences is an international, peer-reviewed scientific journal published by Sivas Cumhuriyet University, Institute of Health Sciences.