[Spiritual well-being and religious coping strategies among hemodialysis patients]

Spiritual wellbeing and religious activities have been known as important sources to cope with chronic disease induced problems. The aim of this study was to determine the spiritual wellbeing status and religious coping among hemodialysis patients. In this descriptive and analytical study, 95 hemodialysis patients from Qom Kamkar-Arabnia and Valiasr hospitals were selected via convenience sampling methods. Ellison and Paloutzian spiritual wellbeing scale and Pargament religious coping scale were used as date gathering tools. Data analysis was done in SPSS v.16 software environment with descriptive statistical tests, Pearson correlation coefficient, independent t-test and one way ANOVA. In all tests, level of significance was considered less than 0.05. Mean and standard deviations of spiritual wellbeing, positive and negative religious coping scores were 91.98 +/- 15.09, 23.38 +/- 4.17 and 11.46 +/- 4.34 respectively. 52.6 percent of patients had higher than mean score in spiritual wellbeing scale. 53.6 percent of patients showed higher than mean score in positive religious coping and the portion about negative religious coping was 37.9 percent. Spiritual wellbeing had significant correlation with positive religious coping [r=0.463, P<0.001] and There were no reveres significant correlations between spiritual wellbeing and negative religious ones [r=-0.430, P<0.001]. There was no significant difference between two genders in spiritual wellbeing status and religious coping. With age increasing, the spiritual wellbeing score increased and this relation was statistically significant [r=0.326, P<0.01]. Our finding indicated that spiritual wellbeing of hemodialysis patients was in partially favorite level and according to the positive effect of efficient religious coping strategies, focuses on religious coping reinforcement in routine patients care, and could improve spiritual wellbeing and psychological aspect of life quality