Fatemeh Noghani - Associate Professor, Department of Psychiatric Nursing, Faculty of Nursing, Tehran University of Medical Sciences, Tehran, Iran
Peiman Fereidouni Sarijeh - MSc in Psychiatric Nursing, Faculty of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
hamid Sahrif Nia - Traditional and Complementary Medicine Research Center, Addiction Institute, Mazandaran University of Medical Sciences, Sari, Iran

Background: The problems such as depression, anxiety, hopelessness, stress and suicide in hemodialysis patients shows the need to support these patients to increase adaptation to the disease. Spiritual therapy introduces the person to the search for meaning, purpose, meaning in life, and the important beliefs and values.Aim: The present study was conducted with aim to determine the effect of spiritual therapy on hope and self-efficacy of hemodialysis patients.Method: This quasi-experimental study was performed in ۲۰۲۰ on ۱۰۰ patients undergoing hemodialysis in Amol, Iran. The subjects were randomly divided into case (n=۵۰) and control (n=۵۰) groups. The intervention was performed in case group as ۹ training sessions during ۵ weeks based on spiritual therapy. Snyder’s Hope and Scherer general self-efficacy standard questionnaires were used to collect data. Data were analyzed by SPSS (version ۱۸) and paired t-test, analysis of covariance and independent t-test. p<۰.۰۵ was considered statistically significant.Results: The mean scores of self-efficacy and hope showed a statistically significant difference before and after spiritual therapy in the case group (p=۰.۰۱۱, p=۰.۰۰۶, respectively). Also, the difference between the mean score of patients’ hope in the case and control groups was statistically significant after the intervention (p=۰.۰۰۶). Also, there was a significant difference between the case and control groups regarding self-efficacy after the intervention (p=۰.۰۱۱).Implications for Practice: Spiritual intervention can be done as an effective and cost-effective method in hemodialysis patients to increase the hope and self-efficacy of these patients.

Hope, Renal dialysis, Self-efficacy, Spirituality, Spiritual Therapies