DEPRESSION AND SPIRITUAL WELL-BEING OF HEMODIALYSIS PATIENTS: A SECTIONAL STUDY

Abstract

Aim: This study was designed to determine the relationship between depression and spirituality in hemodialysis patients in a dialysis center. Material and Method: The research is in the type of descriptive research. The current study was conducted with 74 patients hemodialysis. Ethics committee approval and institutional permission were obtained before starting the study. The data of the study was collected by applying “Personal Information Form”, “Beck Depression Inventory” and “Spiritual Well-Being Scale”. The data were collected face to face using the questionnaire method. In the analysis of the data, descriptive statistics, t-test, Anova test and correlation analysis were used. Results: More than half of the patients were 51 years and over (54.1%) and 60.8% were male. When the Beck Depression Inventory's scores were analyzed according to the cut-off point, it was found that 58.1% of the patients showed depressive symptoms. In the study, BDI mean score was 19.27±7.31, SWBS mean score was 18.74±10.8 (Subscales: Peace 5.70±3.52, Meaning 6.27±3.67, Faith 6.75±3.97). The results of this study revealed that there is a negative significant relationship between mental well-being and depression (p<0.05). Conclusion: As the moral well-being level of patients receiving hemodialysis treatment increases, their depressive symptoms decrease. Therefore, assessing spiritual health and integrating spiritual care into daily practice can help improve the quality of care and achieve better health outcomes.

Keywords

• hemodialysis
• depression
• spiritual well being

HEMODİYALİZ HASTALARINDA DEPRESYON VE MANEVİ İYİ OLUŞ: KESİTSEL BİR ÇALIŞMA

Abstract

Amaç: Bu çalışma, bir diyaliz merkezindeki hemodiyaliz hastalarında depresyon ve manevi iyilik hali arasındaki ilişkiyi belirlemek amacıyla yapılmıştır. Gereç ve Yöntem: Araştırma betimsel araştırma türündedir. Mevcut çalışma 74 hemodiyaliz hastası ile gerçekleştirilmiştir. Çalışmaya başlamadan önce etik kurul onayı ve kurum izni alınmıştır. Araştırmanın verileri “Kişisel Bilgi Formu”, “Beck Depresyon Envanteri” ve “Manevi İyi Oluş Ölçeği” kullanılarak yüz yüze toplanmıştır. Verilerin analizinde betimsel istatistikler, t-testi, Anova testi ve korelasyon analizi kullanılmıştır. Bulgular: Hastaların yarısından fazlası 51 yaş ve üzerindeydi (%54,1) ve %60,8'i erkekti. Beck Depresyon Envanteri puanları kesme noktasına göre incelendiğinde hastaların %58,1'inin depresif belirtiler gösterdiği saptanmıştır. Çalışmada depresyon puan ortalaması 19,27±7,31, manevi iyi oluş puan ortalaması 18,74±10,8'dir (Alt ölçekler: Huzur 5,70±3,52, Anlam 6,27±3,67, İnanç 6,75±3,97). Bu çalışmanın sonuçları manevi iyilik hali ile depresyon arasında negatif yönde anlamlı bir ilişki olduğunu ortaya koymuştur (p<0.05). Sonuç: Hemodiyaliz tedavisi alan hastaların moral iyilik düzeyi arttıkça depresif belirtileri azalmaktadır. Bu nedenle, ruhi sağlığı değerlendirmek ve manevi bakımı günlük uygulamaya entegre etmek, bakım kalitesini artırmaya ve daha iyi sağlık sonuçları elde etmeye yardımcı olabilir.

Keywords

• hemodiyaliz
• depresyon
• manevi iyi oluş

References

1. 1-Rebollo Rubio A, Morales Asencio JM, Eugenia Pons Raventos M. Depression, anxiety and health-related quality of life amongst patients who are starting dialysis treatment. JORC. 2017;43(2):73-82.
2. 2- Romagnani P, Remuzzi G, Glassock R, Levin A, Jager KJ, Tonelli M, et al. Chronic kidney disease. Nat Rev Dis Primers. 2017;3(1):1-24.
3. 3-Bayin Donar G, Top M. A conceptual framework of quality of life in chronic kidney disease in Turkey: A patient-focused approach. Int J Health Plann Mgmt. 2020;35(6):1335-1350.
4. 4-Kramer A, Boenink R, Noordzij M, Bosdriesz JR, Stel VS, Beltrán P, et al. The ERA-EDTA Registry Annual Report 2017: A summary. CKJ. 2020;13(4):693-709.
5. 5-Li T, Liu T, Han J, Zhang M, Li Z, Zhu Q, et al. The relationship among resilience, rumination and posttraumatic growth in hemodialysis patients in North China. Psychol Health Med. 2018;23(4): 442-453.
6. 6-T.C. Ministry of Health and Turkish Nephrology Association Joint Report. Turkish Nephrology Society Registration System 2019 Summary Report. 2020. https://nefroloji.org.tr/uploads/folders/file/registry_2019.pdf.
7. 7-Topbaş E, Bingöl G. Psikososyal boyutu ile diyaliz tedavisi ve uyum sürecine yönelik hemşirelik girişimleri. Nefroloji Hemşireliği Dergisi. 2017;1(12):36-42.
8. 8-Tuna D, Ovayolu N, Kes D. Hemodiyaliz hastalarında sık karşılaşılan problemler ve çözüm önerileri. Nefroloji Hemşireliği Dergisi. 2018;13(1):17-25.

9. 9-Palmer S, Vecchio M, Craig JC, Tonelli M, Johnson DW, Nicolucci A, et al. Prevalence of depression in chronic kidney disease: systematic review and meta-analysis of observational studies. KI. 2013;84(1):179-191.
10. 10-Cukor D, Ver Halen N, Asher DR, et al. Psychosocial intervention improves depression, quality of life, and fluid adherence in hemodialysis. JASN. 2014;25(1):196-206.
11. 11-Fradelos EC. Spiritual well-being and associated factors in end-stage renal disease. TSWJ. 2021;9.
12. 12-Darvishi A, Otaghi M, Mami S. The effectiveness of spiritual therapy on spiritual well-being, self-esteem and self-efficacy in patients on hemodialysis. J Relig Health. 2020;59: 277-288.
13. 13-Martinez BB, Custodio RP. Relationship between mental health and spiritual wellbeing among hemodialysis patients: A correlation study. Sao Paulo Medical Journal. 2014; 132:23-27.
14. 14-Phelps AC, Maciejewski PK, Nilsson M, Balboni TA, Wright AA, Paulk ME, et al. Religious coping and use of intensive life-prolonging care near death in patients with advanced cancer. JAMA. 2009;301(11):1140-1147.
15. 15-Duran S, Avci D, Esim F. Association between spiritual well-being and resilience among Turkish hemodialysis patients. J Relig Health. 2020;1-13.
16. 16-Cruz JP, Colet PC, Alquwez N, Inocian EP, Al‐Otaibi RS, & Islam SMS. Influence of Religiosity and Spiritual Coping on Health‐related Quality of Life in Saudi Hemodialysis Patients. Hemodialysis International. 2017;21(1):125-132.
17. 17-Güzel A, Ergün G. Üniversite öğrencilerinde depresyon sıklığı ve ilişkili faktörler. Ankara Sağlık Bilimleri Dergisi. 2020;9(2):279-289.
18. 18-Aktürk Ü, Erci B, Araz M. Functional evaluation of treatment of chronic disease: validity and reliability of the Turkish version of the Spiritual Well-Being Scale. Palliative & Supportive Care. 2017;15(6):684.
19. 19- Sousa LMM, Antunes AV, Marques-Vieira CMA, Silva PCS, de Sousa Valentim OMM, José HMG. Subjective wellbeing, sense of humor and psychological health in hemodialysis patients. Enfermería Nefrológica. 2019;22(1):34-41.
20. 20-Alshraifeen A, Alnuaimi K, Al-Rawashdeh S, Ashour A, Al-Ghabeesh S, Al-Smadi A. Spirituality, anxiety and depression among people receiving hemodialysis treatment in Jordan: A cross-sectional study. J Relig Health. 2020;59(5):2414-2429.
21. 21-Fanoodi A, Aramjoo H, Khorasani SHM, Saberi A, Ashrafipour M, Ramazani A. Relationship between spiritual health and stress, depression, and anxiety in hemodialysis patients. HTA. 2020;4(4).
22. 22-Cınar S. Psychosocial adjustment and social support in hemodialysis patients. Turkiye Klinikleri J Nurs Sci. 2009;1(1):12-18.
23. 23-Ravaghi H, Behzadifar M, Behzadifar M, Taheri MM, Aryankhesal A, Salemi M, et al. Prevalence of depression in hemodialysis patients in Iran a systematic review and meta-analysis. IJKD. 2017;11: 90-98.
24. 24-Loureiro ACT, de Rezende Coelho MC, Coutinho FB, Borges LH, Lucchetti G. The influence of spirituality and religiousness on suicide risk and mental health of patients undergoing hemodialysis. Comprehensive Psychiatry. 2018;80: 39-45.
25. 25-Babamohamadi H, Sotodehasl N, Koenig HG, Al Zaben F, Jahani C, Ghorbani R. The effect of Holy Qur’an recitation on depressive symptoms in hemodialysis patients: A randomized clinical trial. J Relig Health. 2017;56: 345-354.
26. 26-Aghajani M, Afaze M, Morasai F. The effect of spirituality counseling on anxiety and depression in hemodialysis patients. EBCJ. 2014;(3):19-28.
27. 27-Gerogianni G, Lianos E, Kouzoupis A, Polikandrioti M, Grapsa E. The role of socio-demographic factors in depression and anxiety of patients on hemodialysis: An observational cross-sectional study. Int Urol Nephrol. 2018;50:143-154.
28. 28-Ganu VJ, Boima V, Adjei DN, Yendork JS, Dey ID, Yorke E, et al. Depression and quality of life in patients on long term hemodialysis at a national hospital in Ghana: A cross-sectional study. Ghana Med J. 2018; 52(1): 22-28.
29. 29-Khan A, Khan AH, Adnan AS, Sulaiman SAS, Mushtaq S. Prevalence and predictors of depression among hemodialysis patients: A prospective follow-up study. BMC Public Health. 2019;19(1):1-13.
30. 30-Semaan V, Noureddine S, Farhood L. Prevalence of depression and anxiety in end-stage renal disease: A survey of patients undergoing hemodialysis. Applied Nursing Research. 2018;3: 80-85.
31. 31-Burlacu A, Artene B, Nistor I, et al. Religiosity, spirituality and quality of life of dialysis patients: a systematic review. Int Urol Nephrol. 2019;51(5):839-850.
32. 32-Velosa T, Caldeira S, Capelas ML. Depression and spiritual distress in adult palliative patients: a cross-sectional study. Religions. 2017;8(8):156.
33. 33-Timmins F, Caldeira S. Understanding spirituality and spiritual care in nursing. Nursing Standard. 2017;31(22):50-57.
34. 34-Siwi AS, Rizqillah AF, Lestari A. Spirituality in Renal Failure Patients With Hemodialysis. Advances in Health Sciences Research, In 1st International Conference on Community Health (ICCH 2019). (pp. 188-191). Atlantis Press; 2020. Access: file:///C:/Users/Hp/Downloads/Spirituality_in_Renal_Failure_Patients_with_Hemodi.pdf.
35. 35-Senmar M, Razaghpoor A, Mousavi AS, Zarrinkolah F, Esmaeili F, Rafiei H. Psychological symptoms in patients on dialysis and their relationship with spiritual well-being. Florence Nightingale J Nurs. 2020;28(3):243-249.
36. 36-Frankl VE. İnsanın Anlam Arayışı. 11. Basım, İstanbul: Okuyan Us; 2017. ISBN-13: ‎ 978-6054054206.
37. 37-Musa AS, Pevalin DJ, Al Khalaileh MA. Spiritual well-being, depression and stress among hemodialysis patients in Jordan. JHN. 2018;36(4):354-365.
38. 38-Santos PR, Júnior JR, Cavalcante Filho J, Ferreira TP, Dos Santos FJ, Da Silva OS. Religious coping methods predict depression and quality of life among end-stage renal disease patients undergoing hemodialysis: a cross-sectional study. BMC Nephrology. 2017;18:197.
39. 39-El Filali A, Bentata Y, Ada N, Oneib B. Depression and anxiety disorders in chronic hemodialysis patients and their quality of life: A cross-sectional study about 106 cases in the northeast of Morocco. SJKDT. 2017;28(2): 341-8.
40. 40-Taheri-Kharameh Z. The relationship between spiritual well-being and stress coping strategies in hemodialysis patients. HSME. 2016;3(4);24-28.
41. 41-Fradelos EC, Alikari V, Tsaras K, Papathanasiou IV, Tzavella F, Papagiannis D, et al. The effect of spirituality in quality of life of hemodialysis patients. J Relig Health. 2021. https://doi.org/10.1007/s10943-020-01153-x. 42-Niu HY, Liu JF. The psychological trajectory from diagnosis to approaching end of life in patients undergoing hemodialysis in China: A qualitative study. IJNSS. 2017;4(1):29-33.
42. 43-Sarı Ö. Chronic renal failure with social dimensions. BEU.SBE.Derg. 2015;4:72-80.
43. 44-Avdal EU, Ayvaz İ, Uran BNÖ, Yildirim JG, Sofulu F, Pamuk G. Opinions of hemodialysis and peritoneum patients regarding depression and psychological problems which they experience: A qualitative study. JIPH. 2020;13(12):1988-1992.
44. 45-Moodi V, Arian A, Moodi JR, Dastjerdi R. Effectiveness of spiritual therapy on depression, anxiety, and stress in hemodialysis patients. Mod Care J. 2020;17(4):e108879.
45. 46-Tavassoli N, Darvishpour A, Mansour-Ghanaei R, Atrkarroushan Z. A correlational study of hope and its relationship with spiritual health on hemodialysis patients. JEHP. 2019;8:146.
46. 47-Scherer JS, Milazzo KC, Hebert PL, Engelberg RA, Lavallee DC, Vig EK, et al. Association between self-reported importance of religious or spiritual beliefs and end-of-life care preferences among people receiving dialysis. JAMA Network Open. 2021;4(8):e2119355.
47. 48-LoPresti MA, Dement F, Gold HT. End-of-life care for people with cancer from ethnic minority groups: a systematic review. AJHPM. 2016;33(3):291-305.
48. 49-Mosleh H, Alenezi M, Al johani S, Alsani A, Fairaq G, Bedaiwi R. Prevalence and factors of anxiety and depression in chronic kidney disease patients undergoing hemodialysis: a cross-sectional single-center study in Saudi Arabia. Cureus. 2020;12(1): Article e6668.
49. 50-Okhli A, Hojjati H, Sadeghloo A, Molaei A, Shahrabady S. The relationship between observing religious beliefs and suffering in hemodialysis patients. J Relig Health. 2019. https://doi.org/10.1007/s10943-019-00887-7.
50. 51-Pramesona BA, Taneepanichskul S. The effect of religious intervention on depressive symptoms and quality of life among Indonesian elderly in nursing homes: A quasi-experimental study. Clin Interv Aging. 2018;13:473.
51. 52-Durmuş M, Ekinci M. The effect of spiritual care on anxiety and depression level in patients receiving hemodialysis treatment: A randomized controlled trial. J Relig Health. 2021. https://doi.org/10.1007/s10943-021-01386-4.