The relationship between spiritual well-being and stress coping strategies in hemodialysis patients

Background and Objectives: Spiritual well-being has been recognized as an important resource to cope with illness and life stresses. The aim of this study is to determine the Spiritual well-being status as well as stress coping strategies in hemodialysis patients. Methods: This descriptive-analysis study included ۹۵ randomly selected patients undergoing treatments with hemodialysis in hemodialysis centers of Qom hospitals. Data collection instruments were the Spiritual Well-Being Scale and Jalowiec Coping Scale Data were analyzed via SPSS ۱۶ software, by using descriptive statistics, Pearson correlation coefficient and independent t-test. Results: The mean and standard deviation score of spiritual well-being of patients were ۹۱.۹۸±۱۵.۰۹ while the mean and standard deviation of existential and religious well-being were ۵۰.۷۶±۸.۰۶ and ۴۱.۲۲±۸.۹۱, respectively. ۵۲.۶% got scores higher than the average score in spiritual well-being. The most common coping strategies in patients were Evasive and Supportant copings. Spiritual well-being and problem-oriented coping strategies had a significant positive correlation (r = ۰.۴۱, p = ۰.۰۰۸). But there was no significant relationship between spiritual well-being and emotion-focused coping strategies. Conclusion: Results showed that hemodialysis patients mostly use emotion-oriented strategies when facing disease and treatment’s challenges. There was a positive relation between spiritual well-being and problem-oriented coping strategies; therefore, in order to increase levels of coping with the disease, the care plan should be written with an emphasis on patients' spiritual needs.

Keywords:

Compatibility , Hemodialysis , Spiritual Well-Being , Spirituality , Stress Coping.