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Hoang VL, Green T, Bonner A. Examining social support, psychological status and health-related quality of life in people receiving haemodialysis. J Ren Care 2021; 48:102-111. [PMID: 34041850 DOI: 10.1111/jorc.12380] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2020] [Revised: 03/29/2021] [Accepted: 04/20/2021] [Indexed: 12/11/2022]
Abstract
BACKGROUND Being on haemodialysis can lead to many burdens on patients' lives. Social support for patients is crucial; however, whether social support affects health outcomes including both depression, anxiety and health-related quality of life is not well understood. OBJECTIVES To explore the relationship between social support, psychological status and health-related quality of life of people undergoing haemodialysis. DESIGN A cross-sectional study. PARTICIPANTS Convenience sampling recruited 388 patients from one dialysis centre. MEASUREMENTS Survey data collected included demographic and clinical data, the Medical Outcomes Social Support Survey, Depression Anxiety Stress Scales and Short-Form Health Survey 36. Multiple linear regression was used to determine the direct and mediation effects of social support on health outcomes. RESULTS Participants' ages ranged from 19 to 84 years and most had undergone haemodialysis for more than 5 years (53.2%). Overall, there was a moderate level of social support, and although tangible support was high, emotional-oriented support functions were missing. Participants reported a high level of anxiety, moderate levels of depression, mild levels of stress and impaired physical and mental health. Greater social support independently and positively affected mental health, and also reduced the negative influences of depression on the mental health component but not the physical health component. Social support, depression, anxiety and participation in social groups explained 48% of the variance in mental health. CONCLUSIONS People undergoing haemodialysis require both tangible and emotional social support. When there is enough social support, there are positive effects on reducing depression and improving mental, but not physical health.
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Affiliation(s)
- Van Lan Hoang
- School of Nursing, Queensland University of Technology, Brisbane, Australia.,College of Health Sciences, VinUniversity, Hanoi, Vietnam
| | - Theresa Green
- School of Nursing and Midwifery, University of Queensland, Brisbane, Australia.,Surgical Treatment and Rehabilitation Service, Metro North Hospital and Health Service, Brisbane, Australia
| | - Ann Bonner
- School of Nursing, Queensland University of Technology, Brisbane, Australia.,School of Nursing and Midwifery, Griffith University, Brisbane, Australia.,Kidney Health Service, Metro North Hospital and Health Service, Brisbane, Australia
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Nair D, Cavanaugh KL, Wallston KA, Mason O, Stewart TG, Blot WJ, Ikizler TA, Lipworth LP. Religion, Spirituality, and Risk of End-Stage Kidney Disease Among Adults of Low Socioeconomic Status in the Southeastern United States. J Health Care Poor Underserved 2021; 31:1727-1746. [PMID: 33416749 DOI: 10.1353/hpu.2020.0129] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
Abstract
BACKGROUND Religiosity, encompassing spirituality and religious practices, is associated with reduced disease incidence among individuals of low socioeconomic status and who self-identify as Black. We hypothesized that religiosity associates with reduced end-stage kidney disease (ESKD) risk among Black but not White adults of low socioeconomic status. DESIGN Cox models of religiosity and ESKD risk in 76,443 adults. RESULTS Black adults reporting high spirituality had reduced ESKD risk after adjusting for demographic characteristics [Hazard Ratio (HR) .82 (95% Confidence Interval (CI)) (.69-.98)], depressive symptoms, social support, and tobacco use [HR .81 (CI .68-.96)]. When clinical covariates were added, associations between spirituality and ESKD were slightly attenuated and lost significance [HR .85 (CI .68-1.06)]. Associations were not demonstrated among White adults. CONCLUSIONS Spirituality associates with reduced ESKD risk among Black adults of low socioeconomic status independent of demographic, psychosocial, and behavioral characteristics. Effect modification by race was not statistically significant.
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Alshraifeen A, Al‐Rawashdeh S, Alnuaimi K, Alzoubi F, Tanash M, Ashour A, Al‐Hawamdih S, Al‐Ghabeesh S. Social support predicted quality of life in people receiving haemodialysis treatment: A cross-sectional survey. Nurs Open 2020; 7:1517-1525. [PMID: 32802372 PMCID: PMC7424448 DOI: 10.1002/nop2.533] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2020] [Revised: 04/05/2020] [Accepted: 05/04/2020] [Indexed: 12/25/2022] Open
Abstract
Aims To examine levels of social support and quality of life (QOL) and to examine the association between social support and QOL in patients receiving haemodialysis (HD) treatment. Design A cross-sectional study. Method social support and QOL were measured using the Multidimensional Scale of Perceived social Support (MSPSS) and the World Health Organization QOL-BREF questionnaires, respectively. A convenience sample of 195 patients receiving HD from different dialysis units across Jordan completed the questionnaires. Results Respondents scored highest on the social relationships domain of QOL (55.5 SD 21.4) compared with the lowest mean scores of the physical and environmental domains (48.6 SD 20.4; 46.2 SD 17.3, respectively). social support had a positive significant association with quality of life. Multiple linear regression identified age and social support as influencing factors, explaining 24.6% of the total variance in the social domain of quality of life.Understanding the relationship between social support and QOL in patients receiving HD may provide guidance to the healthcare providers, family members and social services about the importance of social support to this group of patients.
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Affiliation(s)
- Ali Alshraifeen
- Adult Health Nursing DepartmentFaculty of NursingThe Hashemite UniversityZarqaJordan
| | - Sami Al‐Rawashdeh
- Department of Community and Mental HealthFaculty of NursingThe Hashemite UniversityZarqaJordan
| | - Karimeh Alnuaimi
- Department of Maternal and Child HealthFaculty of NursingJordan University of Science and TechnologyIrbidJordan
| | - Fatmeh Alzoubi
- Department of Community and Mental Health NursingFaculty of NursingJordan University of Science and TechnologyIrbidJordan
| | - Muath Tanash
- Adult Health Nursing DepartmentFaculty of NursingThe Hashemite UniversityZarqaJordan
| | - Ala Ashour
- Adult Health Nursing DepartmentFaculty of NursingThe Hashemite UniversityZarqaJordan
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Burlacu A, Artene B, Nistor I, Buju S, Jugrin D, Mavrichi I, Covic A. Religiosity, spirituality and quality of life of dialysis patients: a systematic review. Int Urol Nephrol 2019; 51:839-850. [PMID: 30919258 DOI: 10.1007/s11255-019-02129-x] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2019] [Accepted: 03/11/2019] [Indexed: 01/11/2023]
Abstract
PURPOSE End-stage renal disease (ESRD) patients often report a combination of disturbing physical symptoms and psychological distress which result in significantly reduced quality of life (QoL). Coping with a chronic disease is a complex matter involving also the family and a multi-disciplinary team. Recently, observational studies suggested that spirituality (S) and religiosity (R) are two important determinants in coping with a chronic/terminal disease. Both concepts were studied in various settings, involving ESRD and QoL. This systematic review aims to synthesize all instruments used to assess R/S, to examine the strategies evaluating QoL of dialysis patients and to analyse their correlations. METHODS In accordance with the PRISMA, a systematic search was conducted in PubMed and SCOPUS (between Jan 1980-Dec 2018, PROSPERO number CRD42019116837). Eligible studies included patients on dialysis therapy, religiously/spiritually assessed and contained QoL evaluation. RESULTS Of the initial 311 studies, 261 papers were excluded. Consequently, 50 papers with a total 9265 patients were available for inclusion. From a list of 177 R/S scales available worldwide, we identified 24 tools. We organized all QoL parameters into 10 classes. In all studies, R/S variables were positively correlated with at least one QoL variable. CONCLUSIONS In this systematic review, we synthesized the studies involving R/S assessment in dialysis patients and their benefit on QoL. R/S has a positive impact on most QoL parameters in 5D-CKD. We suggest that nephrology guidelines on palliative care and/or elderly should include specific recommendations on R/S support and opportunities for integrated specific therapies.
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Affiliation(s)
- Alexandru Burlacu
- Department of Interventional Cardiology - Cardiovascular Diseases Institute, 'Grigore T. Popa' University of Medicine, Iasi, Romania
| | - Bogdan Artene
- Department of Interventional Cardiology - Cardiovascular Diseases Institute, 'Grigore T. Popa' University of Medicine, Iasi, Romania
| | - Ionut Nistor
- Department of Nephrology, 'Grigore T. Popa' University of Medicine, Iasi, Romania. .,Dialysis and Renal Transplant Center -‛C.I. Parhon' University Hospital, and'Grigore T. Popa', Nephrology Clinic, University of Medicine, Iasi, Romania.
| | - Smaranda Buju
- Department of Teacher Training, Asachi' Technical University, Iasi, Romania
| | - Daniel Jugrin
- Theology, Center for Studies and Interreligious and Intercultural Dialogue, University of Bucharest, Bucharest, Romania
| | - Ionut Mavrichi
- Sociology Department, Faculty of Theology, University of Bucharest, Bucharest, Romania
| | - Adrian Covic
- Dialysis and Renal Transplant Center -‛C.I. Parhon' University Hospital, and'Grigore T. Popa', Nephrology Clinic, University of Medicine, Iasi, Romania.,The Academy of Romanian Scientists (AOSR), Bucharest, Romania
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Al-Ghabeesh SH, Alshraifeen AA, Saifan AR, Bashayreh IH, Alnuaimi KM, Masalha HA. Spirituality in the Lives of Patients with End-Stage Renal Disease: A Systematic Review. JOURNAL OF RELIGION AND HEALTH 2018; 57:2461-2477. [PMID: 29671169 DOI: 10.1007/s10943-018-0622-2] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
The aim of this systematic review was to answer these questions: What does spirituality means to patients with end-stage renal disease (ESRD)? And are there associations between spirituality and the health outcomes and general well-being of patients with ESRD? Thirty-three studies met the review criteria. Meaning of spirituality for patients with ESRD and spirituality in the lives of patients with ESRD were the main themes emerged. There is growing evidence that suggests a positive relationship between spirituality and the health outcomes and well-being of ESRD patients. However, the evidence is incomplete and there is a need for further research to enhance our understanding of the role of spirituality in improving the health outcomes and well-being of ESRD patients.
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Affiliation(s)
| | - Ali Ahmad Alshraifeen
- Department of Adult Health, School of Nursing, Hashemite University, Abdallah Ghosheh Street, P.O. Box 330127, Zarqa, 13133, Az-Zarqa, Jordan.
| | | | | | - Karimeh Mousa Alnuaimi
- School of Nursing, Jordan University of Science and Technology, P.O. Box 3030, Irbid, 22110, Jordan
| | - Haya Ali Masalha
- Faculty of Arts, Al-Zaytoonah University of Jordan, Airport Street, Amman, Jordan
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African American Hemodialysis Patients' Perceptions of Faith and Nursing. J Christ Nurs 2017; 34:E56-E59. [PMID: 28902062 DOI: 10.1097/cnj.0000000000000442] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
Numerous quantitative studies have been conducted with African Americans (AAs) receiving hemodialysis. This article shares a portion of a larger qualitative study that explored the role spirituality plays in the lives of AAs undergoing hemodialysis for management of end-stage renal disease (ESRD). Interview questions centered on the roles of spirituality, health beliefs, and different social support systems used in coping. By understanding the perceptions of AAs with ESRD, nurses and other providers can offer better support.
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Abstract
Spirituality has been identified as an important dimension of quality-of-life. The objective of this study was to review the literature on quality-of-life and spirituality, their association, and assessment tools. A search was conducted of the keyterms 'quality-of-life' and 'spirituality' in abstract or title in the databases PsycINFO and PubMed/Medline between 1979-2005, complemented by a new search at PUBMED from 2006-2016. Quality-of-life is a new concept, which encompasses and transcends the concept of health, being composed of multiple domains: physical, psychological, environmental, among others. The missing measure in health has been defined as the individual's perception of their position in life in the context of culture and value system in which they live and in relation to their goals, expectations, standards, and concerns. There is consistent evidence of an association between quality-of-life and religiosity/spirituality (R/S), through studies with reasonable methodological rigour, using several variables to assess R/S (e.g. religious affiliation, religious coping, and prayer/spirituality). There are also several valid and reliable instruments to evaluate quality-of-life and spirituality. Further studies are needed, however, especially in Brazil. Such studies will provide empirical data to be used in planning health interventions based on spirituality, seeking a better quality-of-life. In the last 10 years, research is consistently growing about quality-of-life and spirituality in many countries, and also in many areas of health research.
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Affiliation(s)
- Raquel Gehrke Panzini
- a Department of Psychiatry, Universidade Federal do Rio Grande do Sul (UFRGS) , Porto Alegre-RS , Brazil
| | - Bruno Paz Mosqueiro
- a Department of Psychiatry, Universidade Federal do Rio Grande do Sul (UFRGS) , Porto Alegre-RS , Brazil
| | - Rogério R Zimpel
- a Department of Psychiatry, Universidade Federal do Rio Grande do Sul (UFRGS) , Porto Alegre-RS , Brazil
| | - Denise Ruschel Bandeira
- b Department of Psychology , Universidade Federal do Rio Grande do Sul (UFRGS) , Porto Alegre-RS , Brazil
| | - Neusa S Rocha
- a Department of Psychiatry, Universidade Federal do Rio Grande do Sul (UFRGS) , Porto Alegre-RS , Brazil
| | - Marcelo P Fleck
- a Department of Psychiatry, Universidade Federal do Rio Grande do Sul (UFRGS) , Porto Alegre-RS , Brazil
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8
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Black and Blue: Depression and African American Men. Arch Psychiatr Nurs 2016; 30:630-5. [PMID: 27654249 DOI: 10.1016/j.apnu.2016.04.007] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/17/2015] [Revised: 04/14/2016] [Accepted: 04/18/2016] [Indexed: 11/21/2022]
Abstract
Depression is a common mental disorder affecting individuals. Although many strides have been made in the area of depression, little is known about depression in special populations, especially African American men. African American men often differ in their presentation of depression and are often misdiagnosed. African American men are at greater risk for depression, but they are less likely to participate in mental health care. This article explores depression in African American by looking at environmental factors, sigma, role, and other unique to this populations, such as John Henryism. Interventions to encourage early screening and participation in care are also discussed.
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Rivera-Hernandez M. Religiosity, Social Support and Care Associated with Health in Older Mexicans with Diabetes. JOURNAL OF RELIGION AND HEALTH 2016; 55:1394-1410. [PMID: 26316196 PMCID: PMC4837086 DOI: 10.1007/s10943-015-0105-7] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
The main purpose of this study was to examine the relationships between religiosity, social support, diabetes care and control and self-rated health of people living in Mexico who have been diagnosed with diabetes. Structural equation modeling was used to examine these associations using the Mexican Health and Aging Study, a national representative survey of older Mexicans. Findings indicate that emotional support from one's spouse/partner directly affects diabetes care and control and health. Although there is no direct relationship between religiosity and health, religiosity was positively associated with diabetes care and control, but not significantly related to health.
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Affiliation(s)
- Maricruz Rivera-Hernandez
- Center for Gerontology and Healthcare Research, Brown University, 121 South Main Street, Box G-S121 (6), Providence, RI, 02912, USA.
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Yodchai K, Dunning T, Savage S, Hutchinson AM. The role of religion and spirituality in coping with kidney disease and haemodialysis in Thailand. Scand J Caring Sci 2016; 31:359-367. [DOI: 10.1111/scs.12355] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2015] [Accepted: 03/19/2016] [Indexed: 01/18/2023]
Affiliation(s)
- Kantaporn Yodchai
- Medical Nursing Department; Faculty of Nursing; Prince of Songkla University; Songkla Hatyai Thailand
| | - Trisha Dunning
- School of Nursing and Midwifery; Faculty of Health and Centre for Nursing and Allied Health Barwon Health; Deakin University; Geelong Victoria Australia
| | - Sally Savage
- School of Nursing and Midwifery; Centre for Nursing and Allied Health Research, Barwon Health; Deakin University; Geelong Victoria Australia
| | - Alison M. Hutchinson
- School of Nursing and Midwifery; Deakin University; Geelong Victoria Australia
- Centre for Nursing Research; Deakin University and Monash Health Partnership, Monash Health; Clayton Victoria Australia
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Ju C, Zhang B, You X, Alterman V, Li Y. Religiousness, social support and subjective well-being: An exploratory study among adolescents in an Asian atheist country. INTERNATIONAL JOURNAL OF PSYCHOLOGY 2016; 53:97-106. [PMID: 27132797 DOI: 10.1002/ijop.12270] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2015] [Accepted: 03/02/2016] [Indexed: 11/06/2022]
Abstract
Few studies have focused on the relationships among religiousness, social support and subjective well-being in Chinese adolescent populations. This study tries to fill this gap. Using cluster sampling, we selected two groups: Group A, which included 738 Tibetan adolescents with a formal religious affiliation and represented adolescents from a religious culture, and Group B, which included 720 Han adolescents without a religious affiliation and represented adolescents from an irreligious culture. Structural equation modelling showed that only in Group A did social support mediate (partially) the relationship between religious experience and subjective well-being; furthermore, the results of a hierarchical regression analysis showed that only in Group A did social support moderate the relationship between religious ideology and subjective well-being. Possible explanations for the discrepancies between the findings obtained in this study and those obtained in previous studies are discussed.
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Affiliation(s)
- Chengting Ju
- School of Psychology, Shaanxi Normal University, Xi'an, China
| | - Baoshan Zhang
- School of Psychology, Shaanxi Normal University, Xi'an, China
| | - Xuqun You
- School of Psychology, Shaanxi Normal University, Xi'an, China
| | - Valeria Alterman
- Department of Management, University of Florida, Gainesville, FL, USA
| | - Yongkang Li
- School of Public Management, Yunnan University of Finance and Economics, Kumming, China
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Psychometric characteristics of the Muslim Religiosity Scale in Iranian patients with cancer. Palliat Support Care 2016; 14:612-620. [PMID: 27094931 DOI: 10.1017/s1478951516000237] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
OBJECTIVE Cancer is a leading cause of death worldwide. Religiosity is a factor that may help cancer patients to cope with their disease. The aim of the current study was to validate a Persian translation of the Muslim Religiosity Scale (MRS) in a population of Iranian patients with cancer. METHOD Two thousand patients were invited to participate in this multisite study, of whom 1,879 participated. Patients completed a demographic questionnaire, the MRS, and several scales, including the Patient Health Questionnaire-9, the Hospital Anxiety and Depression Scale, the Perceived Social Support Scale, and the SF-12 quality of life measure. Backward-forward translation was employed to develop a Persian-language version of the MRS. Cronbach's alpha and two-week test-retest reliability were also assessed. Convergent and discriminative validity as well as the factor structure of the scale were also examined. RESULTS The internal reliability (α) of the religious practices and beliefs subscales was 0.88 and 0.92, respectively. The intraclass correlation coefficient (ICC) was 0.92 (range = 0.75-1.0). The scale demonstrated solid convergent and discriminative validity. Factor analysis indicated two main factors, as predicted, with an appropriate goodness of fit (χ2 = 76.23, RMSEA = 0.065). Such factors as marital status, quality of life, social support, and self-efficacy were positively associated with MRS total score, while anxiety, depression, and suicide ideation had negative associations. SIGNIFICANCE OF RESULTS The MRS is a useful tool for assessing religiosity in Iranian patients with cancer and is associated with a number of important health outcomes.
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