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The Relationship Between Spiritual Well-Being and Anxiety and Depression in Hemodialysis Patients

Year 2025, Volume: 5 Issue: 1, 9 - 21, 30.04.2025

Abstract

Abstract: The aim of this study is to determine the relationship between spiritual well-being, anxiety and depression levels of patients receiving hemodialysis treatment.The type of this research is descriptive and correlational. The research was carried out at Gaziantep University Şahinbey Research and Training Hospital’s Hemodialysis Unit between Septem-ber 26 and December 16, 2020. The sample of the study consisted of 83 patients receiving hemodialysis treatment, who met the inclusion criteria and agreed to participate in the study between the specified dates. The data were collected by using an information form, the Spir-itual Well-Being Scale (FACIT-SP), Beck Anxiety and Beck Depression Inventory. The cod-ing and evaluation of the data were carried out with SPSS 25 statistical analysis software. Number, percentile distributions, mean, independent groups t-test, Pearson Correlation and One Way Anova Variance analyses were used to evaluate the data. It was determined that the spiritual well-being levels of the participants and the subscales of the spiritual well-being scale, meaning, peace and belief levels were moderate. It was determined that the anxiety levels of the patients receiving hemodialysis treatment were moderate, and the depression levels were mild. A negative significant relationship was found between the levels of mean-ing, peace, faith, and spiritual well-being of the patients receiving hemodialysis treatment and anxiety and depression. It was determined that as the spirituality of the individuals in-creased, their anxiety and depression levels decreased.

Ethical Statement

Veri toplamaya başlamadan, Muş Alparslan Üniversitesi Bilimsel Araştırma ve Yayın Etiği Kurulu‘ndan onay alındı (sayı: 10879717-050.01.04). Etik kurul onayı ile araştırmanın amacı ve içeriği hakkında bilgi veren form Gaziantep Üniversitesi Şahinbey Araştırma ve Uygulama Hastanesi‘ne sunulup çalışma izni alındı . Hastalar araştırma konusunda sözel olarak bilgilendirildi. Araştırmaya katılmanın tamamen gönüllük esasına dayandığı, araştırmacı ile paylaşılacak kişisel bilgilerin korunacağı ifade edildi. İstedikleri zaman araştırmadan çekilebilecekleri açıklandı. Böylece "Bilgilendirilmiş Olur" "Özerklik", "Gizlilik ve Gizliliğin Korunması" etik ilkeleri yerine getirilip hastalardan sözel izin alındı.

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Hemodiyaliz Hastalarında Manevi İyi Oluş ile Anksiyete ve Depresyon Arasındaki İlişki

Year 2025, Volume: 5 Issue: 1, 9 - 21, 30.04.2025

Abstract

Özet: Bu araştırmanın amacı, hemodiyaliz tedavisi alan hastaların manevi iyi oluş, ank-siyete ve depresyon düzeyleri arasındaki ilişkiyi belirlemektir. Araştırma tanımlayıcı ve ilişki arayıcı türde yapıldı. Araştırma Gaziantep Üniversitesi Şahinbey Araştırma ve Uygu-lama Hastanesi Hemodiyaliz Ünitesinde 26 Eylül- 16 Aralık 2020 tarihleri arasında yürütüldü. Araştırmanın örneklemini belirtilen tarihler arasında araştırmaya alınma ölçütler-ine uyan ve çalışmaya katılmayı kabul eden hemodiyaliz tedavisi alan 83 hasta oluşturdu. Veriler, bilgi formu, Manevi İyi Oluş Ölçeği (FACIT-SP), Beck Anksiyete ve Beck Depre-syon Ölçeği kullanılarak toplandı. Verilerin değerlendirilmesi ve kodlanması bilgisayar or-tamında SPSS 24 paket programı aracılığıyla gerçekleştirilmiştir. Verilerin değerlendirilme-sinde; sayı, yüzdelik dağılımlar, ortalama, bağımsız gruplarda t testi, Pearson Korelasyon ve One Way Anova Varyans analizleri kullanılmıştır. Katılımcıların manevi iyi oluş ölçeği alt boyutlarından anlamda 7.73±2.38, barışta 7.42±2.74, inançta 8.86±3.84 ve toplam puan ortalamasının 24.02±8.22 olduğu belirlenmiştir. Hemodiyaliz tedavisi gören hastaların anksiyetede 17.12±11.96, depresyonda 15.60±11.44 toplam puan ortalamasının olduğu saptanmıştır. Bireylerin anlam, barış, inanç, manevi iyi oluş ve anksiyete düzeylerinin orta düzeyde, depresyon seviyelerinin ise hafif düzeyde olduğu belirlendi. Hemodiyaliz tedavisi gören hastaların maneviyat boyutlarında bulunan anlam, barış, inanç ve manevi iyi oluş düzeyleri ile anksiyete ve depresyon arasında negatif yönde anlamlı bir ilişki bulunmuştur. Bireylerin maneviyatları arttıkça anksiyete ve depresyon düzeylerinin azaldığı saptanmıştır.

References

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  • Aydemir, Ç., Kasım, İ., Cebeci, S., Göka, E., & Tüzer, V. (2002). Quality of life and psychiatric symptoms in relatives of chro-nic kidney failure patients. Journal of Chrisis, 10(2): 29-39.
  • Bahar, A., Savaş, A. H., Yıldızgördü, E., Barlıoğlu, H. (2007). Anxiety, depression and sexual life of hemodialysis pa-tients. Anatolian Journal of Psychiatry, 8(4), 287.
  • Bahar, A. (2023). Depression And Spiritual Well-Being Of Hemodialysis Patients: A Sectional Study. Journal of Contempo-rary Medicine, 13(4), 593-598.
  • Baktıroğlu, G. (2010). Comparison of depression and anxiety levels of patients with chronic kidney disease undergoing and not undergoing hemodialysis (Master’s thesis, Maltepe University, Social Sciences Institute). Beck, A. T., Epstein, N., Brown, G., Steer, R. A. (1988). An inventory for measuring clinical anxiety: psychometric proper-ties. Journal of Consulting and Clinical Psychology, 56(6), 893. https://doi.org/10.1037/0022-006X.56.6.893
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  • Coresh, J., Selvin, E., Stevens, L. A., Manzi, J., Kusek, J. W., Eggers, P., Van Lente, F., & Levey, A.S (2007). Prevalence of chronic kidney disease in the United States. Jama, 298(17), 2038-2047. https://doi.org/10.1001/jama.298.17.2038
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  • Çınar, S. (2009). Determining of effective factors on psychosocial adjustment in hemodialysis patients. Journal of Nephrology Nursing, 6(1-2), 22-28.
  • Duran, S., Avci, D., & Esim, F. (2020). Association between spiritual well-being and resilience among turkish hemodialysis patients. Journal of Religion and Health, 1-13. https://doi.org/10.1007/s10943-020-01000-z
  • Durmuş, M., & Ekinci, M. (2021). The effect of spiritual care on anxiety and depression level in patients receiving hemodialysis treatment: a randomized controlled trial. Journal of Religion and Health, 1-15. https://doi.org/10.1007/s10943-021-01386-4
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  • Gürbüz, S., & Şahin, F. (2014). Sosyal bilimlerde araştırma yöntemleri. Seçkin Yayıncılık
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  • Hisli, N. (1989). A reliability and validity study of Beck Depression Inventory in a university student sample. J. Psychol., 7, 3-13.
  • Kara, B. (2007). Treatment adaptation in hemodialysis patients: A versatile approach. Gülhane Medical Journal, 49(2), 132-136.
  • Kılıç, H. F., Alpar, S. E. (2016). The effect of group training implemented on hemodialysis patients for their stress management, psychosocial adjustment and self care strengh. Journal of Human Sciences, 13(1), 754-767. https://doi.org/10.14687/ijhs.v13i1.3422
  • Ma, T. K. W., & Li, P. K. T. (2016). Depression in dialysis patients. Nephrology, 21(8), 639-646. https://doi.org/10.1111/nep.12742
  • Küçük, L. (2005). Mental problems frequently encountered in dialysis patients. Turkish Journal of Nephrology Dialysis and Transplantation, 14(4),166-170. 20
  • Loureiro, A., de Rezende Coelho, M. C., Coutinho, F. B., Borges, L. H., & Lucchetti, G. (2018). The influence of spirituality and religiousness on suicide risk and mental health of patients undergoing hemodialysis. Comprehensive psychiatry,80,39–45. https://doi.org/10.1016/j.comppsych.2017.08.004
  • Luchetti, G., Almeida, L. G. C. D., Granero, A. L. (2010). Spirituality for dialysis patients: Should the nephrologist address?. Brazilian Journal of Nephrology (Jornal Brasileiro de Nefrologia), 32(1),128–132. https://doi.org/10.1590/S0101-28002010000100020
  • Marthoenis, M., Syukri, M. Abdullah, A. Tandi, T.M.R., Putra, N., Laura, H., Setiawan, S., Sofyan, H., & Schouler-Ocak, M. (2021). Quality of life, depression and anxiety of patients undergoing hemodialysis: Significant role of acceptance of the illness. The International Journal of Psychiatry in Medicine, 56 (1), 40-50. https://doi.org/10.1177/0091217420913382
  • Martínez, B. B., & Custódio, R. P. (2014). Relationship between mental health and spiritual wellbeing among hemodialysis patients: a correlation study. Sao Paulo Medical Journal, 132(1), 23-27. https://doi.org/10.1590/1516-3180.2014.1321606
  • Musa, A. S., Pevalin, D. J., & Al Khalaileh, M. A. (2018). Spiritual well-being, depression, and stress among hemodialysis patients in Jordan. Journal of Holistic Nursing, 36(4), 354-365. https://doi.org/10.1177/0898010117736686
  • Özcan, Y., Utaş, C., Oymak, O., Baştürk, M., & Aslan, S. S. (1999). 9(2), 109-111. The Effect of Erythropoietin use on de-pression, anxiety and quality of life in patients on hemodialysis. Bulletin of Clinical Psychopharmacology, 9(2), 109-111.
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There are 51 citations in total.

Details

Primary Language English
Subjects Mental Health Nursing
Journal Section Research Article
Authors

Yusuf Durmuş 0000-0003-0326-8689

Ayşe Okanlı 0000-0003-3266-5077

Submission Date December 6, 2024
Acceptance Date March 24, 2025
Publication Date April 30, 2025
Published in Issue Year 2025 Volume: 5 Issue: 1

Cite

APA Durmuş, Y., & Okanlı, A. (2025). The Relationship Between Spiritual Well-Being and Anxiety and Depression in Hemodialysis Patients. Muş Alparslan Üniversitesi Sağlık Bilimleri Dergisi, 5(1), 9-21.