Hemşirelik Bakımında Hemodiyaliz Tedavisi Alan Hastaların Ruh Sağlığını Geliştirmede Manevi Müdahalelerin Etkinliği: Bir Meta Analiz Çalışması

Yıl 2024, , 281 - 291, 27.09.2024

Mustafa Durmuş , Ömer Taşçı , Ayşe Okanlı , Mine Ekinci

https://doi.org/10.17049/jnursology.1416289

Öz

Amaç: Bu çalışmada hemodiyaliz tedavisi alan hastalarda ruhsal iyi oluş ile anksiyete ve depresyon arasındaki ilişkiyi meta-analiz yöntemiyle araştırma amacıyla yapılmıştır.

Yöntemler: Verilerin toplanmasında Pubmed, Cochrane Central Register of Controlled Trials (CENTRAL), Web of Science, EBSCOhost ve ProQuest veritabanları kullanıldı. 5 Nisan 2022'de tüm veritabanları son kez incelendi ve toplam 5 çalışma bu meta analize dahil edildi. Etki büyüklüğü Cohen'in r korelasyon katsayısı etki genişliği sınıflandırmasına göre değerlendirilmiştir. Heterojenliği test etmek için I2 testleri hesaplandı.

Bulgular: Bu çalışmada ruhsal iyi oluşun depresyonu azaltmadaki etkisinin negatif ve geniş etki düzeyinde olduğu bulunmuştur. Ayrıca manevi iyi oluşun kaygıyı azaltma üzerindeki etkisinin negatif ve orta düzeyde olduğu araştırılmıştır. Her iki analizde de I2 > 50 olduğundan analiz sürecinin yürütülmesinde rastgele etkiler modeli kullanılmıştır.

Sonuç: Bu meta-analizde, hemodiyaliz tedavisi alan hastalarda ruhsal iyi oluşun depresyon üzerinde büyük, anksiyete üzerinde ise orta düzeyde etkisinin olduğu bulunmuştur. Yüksek düzeyde manevi iyilik, hemodiyaliz hastalarında anksiyete ve depresyon görülme sıklığını azaltabilir. Ayrıca hemodiyaliz tedavisi gören hastalara verilecek manevi bakımın anksiyete ve depresyon düzeylerini azaltacağı söylenebilir.

Anahtar Kelimeler

Kaygı, Depresyon, Meta-analiz, Hemşirelik, Maneviyat

The Effectiveness of Spiritual Interventions in Improving the Mental Health of Patients Receiving Hemodialysis Treatment in Nursing Care: A Meta-Analysis Study

Öz

Objective: The aim of this study is to investigate the relationship between spiritual well-being and anxiety and depression in patients receiving hemodialysis treatment through meta-analysis method.

Methods: Pubmed, the Cochrane Central Register of Controlled Trials (CENTRAL), Web of Science, EBSCOhost, and ProQuest databases were used to gather the data. All databases were reviewed for the last time on April 5, 2022, and a total of 5 studies were included in this meta-analysis. Effect size was evaluated according to Cohen's r correlation coefficient effect width classification. I2 tests were calculated to test heterogeneity.

Results: It was found that the effect of spirituality on reducing depression was negative and at a large effect level. Moreover, it was investigated that the effect of spiritual well-being on reducing anxiety was negative and moderate. Since I2 > 50 in both analyses, random effects model was used for carrying out the process of analysis.

Conclusion: It was found that spiritual well-being had a great effect on depression and moderate effect on anxiety in patients receiving hemodialysis treatment. High levels of spiritual well-being can reduce the incidence of anxiety and depression in hemodialysis patients. In addition, it can be indicated that spiritual care offered to patients receiving hemodialysis treatment would reduce the level of anxiety and depression.

Anahtar Kelimeler

Anxiety, Depression, Meta-analysis, Nursing, Spirituality

Kaynakça

• 1. Romagnani P, Remuzzi G, Glassock R, Levin A, Jager KJ, Tonelli M, et al. Chronic kidney disease. Nature reviews Disease primers. 2017;3(1):1-24. https://doi.org/10.1038/nrdp.2017.88
• 2. Salar A, KermanSaravi F, Navidian A, Taheri B. The effect of a family-centered empowerment model on quality of life in dialysis patients. Payesh. 2018;17(2):179-90.
• 3. Minooei MS, Ghazavi Z, Abdeyazdan Z, Gheissari A, Hemati Z. The effect of the family empowerment model on quality of life in children with chronic renal failure: Children’s and parents’ views. Nephro-urology monthly. 2016;8(4). https://doi.org/10.5812/numonthly.36854
• 4. Sarı O. Chronic renal failure with social dimensions. Bitlis Eren University Journal of Social Sciences Institute. 2015;4(2):72–80.
• 5. Niu H-y, Liu J-f. The psychological trajectory from diagnosis to approaching end of life in patients undergoing hemodialysis in China: A qualitative study. International Journal of Nursing Sciences. 2017;4(1):29-33. https://doi.org/10.1016/j.ijnss.2016.10.006
• 6. Avdal EU, Ayvaz I, Uran BNO, Yildirim JG, Sofulu F, Pamuk G. Opinions of hemodialysis and peritoneum patients regarding depression and psychological problems which they experience: A qualitative study. Journal of infection and public health. 2020;13(12):1988-92. https://doi.org/10.1016/j.jiph.2020.02.041
• 7. Orhan FO, Ozer A, Sayarlioglu H, Dogan E, Altunoren O, Akman O, et al. Temperament and character profiles of hemodialysis and peritoneal dialysis patients. Klinik Psikofarmakoloji Bülteni-Bulletin of Clinical Psychopharmacology. 2011;21(3):201-9.
• 8. Semaan V, Noureddine S, Farhood L. Prevalence of depression and anxiety in end-stage renal disease: A survey of patients undergoing hemodialysis. Appl Nurs Res . 2018;43:80-85. https://doi.org/10.1016/j.apnr.2018.07.009
• 9. Mosleh H, Alenezi M, 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). https://doi.org/10.7759/cureus.6668
• 10. Karaca S, Çinar S, Bahçebasi ZB. The perspective from the patients: The effects of peritoneal dialysis on life and mental symptoms. MÜSBED. 2012;2(4):169-174
• 11. 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. International urology and nephrology. 2018;50(1):143-154. https://doi.org/10.1007/s11255-017-1738-0
• 12. 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. https://doi.org/10.1186/s12889-019-6796-z
• 13. Ravaghi H, Behzadifar M, Behzadifar M, Taheri Mirghaed M, Aryankhesal A, Salemi M, et al. Prevalence of depression in hemodialysis patients in Iran a systematic review and meta-analysis. Iranian Journal of Kidney Diseases. 2017;11(2).
• 14. 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.
• 15. Murgia C, Notarnicola I, Rocco G, Stievano A. Spirituality in nursing: A concept analysis. Nursing Ethics. 2020;27(5):1327-43. https://doi.org/10.1177/0969733020909534
• 16. Okhli A, Hojjati H, Sadeghloo A, Molaei A, Shahrabady S. The relationship between observing religious beliefs and suffering in hemodialysis patients. J Relig Health. 2019:1-11. https://doi.org/10.1007/s10943-019-00887-7
• 17. Koenig HG. Research on religion, spirituality, and mental health: A review. The Canadian Journal of Psychiatry. 2009;54(5):283-91.
• 18. Koenig HG. Spirituality and mental health. International journal of applied psychoanalytic studies. 2010;7(2):116-22. https://doi.org/10.1002/aps.239
• 19. Koenig HG. Religion and mental health: Research and clinical applications: Academic Press; 2018.
• 20. Davison SN, Jhangri GS. Existential and religious dimensions of spirituality and their relationship with health-related quality of life in chronic kidney disease. Clinical Journal of the American Society of Nephrology. 2010;5(11):1969-76.
• 21. Momeni Ghale-Ghasemi T, Musarezaie A, Moeini M, Naji Esfahani H. The effect of spiritual care program on ischemic heart disease patients' anxiety, hospitalized in CCU: a clinical trial. Journal of Research in Behavioural Sciences. 2012;10(6):554-64.
• 22. Hosseini M, Salehi A, Fallahi Khoshknab M, Rokofian A, Davidson PM. The effect of a preoperative spiritual/religious intervention on anxiety in Shia Muslim patients undergoing coronary artery bypass graft surgery: a randomized controlled trial. JHN. 2013;31(3):164-72. https://doi.org/10.1177/0898010113488242
• 23. Torabi F, Sajjadi M, Nourian M, Borumandnia N, Farahani AS. The effects of spiritual care on anxiety in adolescents with cancer. Supportive & Palliative Care in Cancer. 2017;1(1). https://doi.org/10.22037/spc.v1i1.11007
• 24. Mutmainnah M, Afiyanti Y. The experiences of spirituality during pregnancy and child birth in Indonesian muslim women. Enfermeria clinica. 2019;29:495-9. https://doi.org/10.1016/j.enfcli.2019.04.074
• 25. Roman NV, Mthembu TG, Hoosen M. Spiritual care–‘A deeper immunity’–A response to Covid-19 pandemic. African Journal of primary health care and family medicine. 2020;12(1):1-3. https://doi.org/10.1016/j.enfcli.2019.04.074
• 26. Santos PR, Capote Júnior JRFG, Cavalcante Filho JRM, Ferreira TP, dos Santos Filho JNG, da Silva Oliveira S. 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(1):1-8. https://doi.org/10.1186/s12882-017-0619-1
• 27. 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(1):277-88. https://doi.org/10.1007/s10943-018-00750-1
• 28. Aghajani M, Afaze MR, Morasai F. The effect of spirituality counseling on anxiety and depression in hemodialysis patients. Evidence based care. 2014;3(4):19-28. https://doi.org/10.22038/ebcj.2013.2016
• 29. 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(1):345-54. https://doi.org/10.1007/s10943-016-0281-0
• 30. 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. https://doi.org/10.1016/j.comppsych.2017.08.004
• 31. Vincensi BB. Interconnections: spirituality, spiritual care, and patient-centered care. Asia-Pacific journal of oncology nursing. 2019;6(2):104-10. https://doi.org/10.4103/apjon.apjon_48_18
• 32. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. Systematic reviews. 2021;10(1):1-11. https://doi.org/10.1136/bmj.n71
• 33. Lee DS, Abdullah KL, Subramanian P, Bachmann RT, Ong SL. An integrated review of the correlation between critical thinking ability and clinical decision‐making in nursing. Journal of Clinical Nursing. 2017;26(23-24):4065-79. https://doi.org/10.1111/jocn.13901
• 34. Bae SH. Intensive care nurse staffing and nurse outcomes: a systematic review. Nursing in Critical Care. 2021;26(6):457-66. https://doi.org/10.1111/nicc.12588
• 35. Cogaltay N, Boz A. Influence of school leadership on collective teacher efficacy: a cross-cultural meta-analysis. Asia Pacific Education Review. 2022:1-21. https://doi.org/10.1007/s12564-022-09754-9
• 36. Lim J-Y, Kim G-M, Kim E-J. Factors Associated with Job Stress among Hospital Nurses: A Meta-Correlation Analysis. International Journal of Environmental Research and Public Health. 2022;19(10):5792. https://doi.org/10.3390/ijerph19105792
• 37. Cogaltay N, Karadag E. Introduction to meta-analysis. Leadership and organizational outcomes: Springer; 2015. p. 19-28. https://doi.org/10.1007/978-3-319-14908-0_2
• 38. Cohen J. Statistical power analysis for the behavioral sciences. Lawrence Erlbaum Associates. Hillsdale, NJ. 1988:20-6.
• 39. Higgins JP, Thomas J, Chandler J, Cumpston M, Li T, Page MJ, et al. Cochrane handbook for systematic reviews of interventions: John Wiley & Sons; 2019.
• 40. Kepes S, Wang W, Cortina JM. Assessing Publication Bias: a 7-Step User’s Guide with Best-Practice Recommendations. Journal of Business and Psychology. 2022:1-26. https://doi.org/10.1007/s10869-022-09840-0
• 41. Alradaydeh MF, Khalil AA. The association of spiritual well‐being and depression among patients receiving hemodialysis. Perspectives in psychiatric care. 2018;54(3):341-7. https://doi.org/10.1111/ppc.12249
• 42. Musa AS, Pevalin DJ, Al Khalaileh MA. Spiritual well-being, depression, and stress among hemodialysis patients in Jordan. JHN. 2018;36(4):354-365. https://doi.org/10.1177/0898010117736686
• 43. 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. https://doi.org/10.1007/s10943-020-00988-8
• 44. Durmus Y. The relationship between spiritual well-being and anxiety and depression in hemodialysis patients. İstanbul: İstanbul Medeniyet University; 2020.
• 45. 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. FNJN. 2020;28(3):243. https://doi.org/10.5152/FNJN.2020.19061
• 46. Salari N, Kazeminia M, Abdi A, Abdolmaleki A, Abdoli N, Mohammadi M, et al. Effects of counselling and spiritual care program on anxiety in patients with chronic diseases: A systematic review and meta-analysis. Current Psychology. 2021:1-10. https://doi.org/10.1007/s12144-021-02263-9
• 47. Tirgari B, Khaksari M, Soltani Z, Mirzaee M, Saberi S, Bashiri H. Spiritual Well-being in Patients with Chronic Diseases: A Systematic Review and Meta-analysis. J Relig Health.. 2022:1-19. https://doi.org/10.1007/s10943-022-01595-5
• 48. Burlacu A, Artene B, Nistor I, Buju S, Jugrin D, Mavrichi I, et al. Religiosity, spirituality and quality of life of dialysis patients: a systematic review. International urology and nephrology. 2019;51(5):839-850. https://doi.org/10.1007/s11255-019-02129-x
• 49. Fradelos EC, Alikari V, Tsaras K, Papathanasiou IV, Tzavella F, Papagiannis D, et al. Assessment of psychological distress in end stage renal disease: is it spirituality related?. Medicine and pharmacy reports. 2021;94(1):79-87. https://doi.org/10.15386/mpr-1623
• 50. 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 haemodialysis patients. Hemodialysis International. 2017;21(1):125-132. https://doi.org/10.1111/hdi.12441
• 51. Vitorino LM, Soares RdCeS, Santos AEO, Lucchetti ALG, Cruz JP, Cortez PJO, et al. Two sides of the same coin: The positive and negative impact of spiritual religious coping on quality of life and depression in dialysis patients. JHN. 2018;36(4):332-340. https://doi.org/10.1177/0898010117725429
• 52. Huang CW, Wee PH, Low LL, Koong YLA, Htay H, Fan Q, et al. Prevalence and risk factors for elevated anxiety symptoms and anxiety disorders in chronic kidney disease: A systematic review and meta-analysis. General Hospital Psychiatry. 2021;69:27-40. https://doi.org/10.1016/j.genhosppsych.2020.12.003
• 53. Oyekçin DG, Gülpek D, Sahin EM, Mete L. Depression, anxiety, body image, sexual functioning, and dyadic adjustment associated with dialysis type in chronic renal failure. The International Journal of Psychiatry in Medicine. 2012;43(3):227-41. https://doi.org/10.2190/PM.43.3.c
• 54. Zhang M, Kim JC, Li Y, Shapiro BB, Porszasz J, Bross R, et al. Relation between anxiety, depression, and physical activity and performance in maintenance hemodialysis patients. Journal of renal nutrition. 2014;24(4):252-260. https://doi.org/10.1053/j.jrn.2014.03.002
• 55. Moodi V, Arian A, Moodi JR, Dastjerdi R. Effectiveness of Spiritual Therapy on Depression, Anxiety, and Stress in Hemodialysis Patients. Modern Care Journal. 2020;17(4) :e108879. https://doi.org/10.5812/modernc.108879