The Direct and Indirect Effect of Spirituality and Self-Care on Quality of Life Among Patients with Chronic Kidney Failure

Johan Budhiana; Asita  Elengoe; Mohamed Saefulaman Mohamed  Said

doi:10.33755/jkk.v11i1.796

Authors

Johan Budhiana STIKES Sukabumi
Asita Elengoe Lincoln University College Malaysia
Mohamed Saefulaman Mohamed Said Lincoln University College Malaysia

DOI:

https://doi.org/10.33755/jkk.v11i1.796

Keywords:

Chronic kidney failure, hemodialysis, path analysis, quality of life, self-care, Sekarwangi Hospital, spirituality

Abstract

Aims: Chronic kidney failure (CKF) is a significant global health issue, with profound impacts on patients' quality of life (QoL). Self-care and spirituality have been identified as key determinants influencing QoL among CKF patients undergoing hemodialysis. However, the interactive effects of these factors remain underexplored, particularly in Indonesia.

Objective: This study aims to investigate the direct and indirect effects of spirituality and self-care on QoL among CKF patients undergoing hemodialysis at Sekarwangi Hospital, Sukabumi Regency.

Methods: A correlational research design was employed, involving 71 CKF patients undergoing routine hemodialysis. Participants were selected using purposive sampling based on inclusion criteria. Data were collected using validated instruments: the Hemodialysis Patients’ Self-Care Measurement Scale (HPSCMS), Spiritual Well-Being Scale (SWBS), and Kidney Disease Quality of Life Short Form (KDQOL-SF™ v1.3). Path analysis was conducted to assess the direct and indirect effects of spirituality and self-care on QoL.

Results: Spirituality exhibited a significant direct effect on QoL (β = 0.381, p < 0.001) and an indirect effect through self-care (β = 0.384), with a total effect of 0.765. Self-care also had a significant direct effect on QoL (β = 0.547, p < 0.001). Higher spirituality and better self-care practices were associated with improved QoL in CKF patients.

Conclusion: The findings underscore the importance of spirituality and self-care in enhancing QoL among CKF patients undergoing hemodialysis. Integrating spiritual support and promoting self-care behaviors into patient care could significantly improve outcomes. Future interventions should adopt a holistic approach, addressing both physical and spiritual dimensions of care.

References

Manalu N V. Dukungan Keluarga Terhadap Kualitas Hidup Pasien Gagal Ginjal Kronik Yang Menjalani Terapi Di Rs Advent Bandar Lampung. Angewandte Chemie International Edition. 2021;6(11):951–2.

Kovesdy CP. Epidemiology of chronic kidney disease: an update 2022. Kidney Int Suppl (2011). 2022;12(1):7–11.

Sitanggang TW, Anggraini D, Utami UW. Hubungan Antara Kepatuhan Pasien Menjalani Terapi Hemodialisa Dengan Kualitas Hidup Pasien Gagal Ginjal Kronis Di Ruang Hemodialisa RS. Medika BSD Tahun 2020. Medikes (Media Informasi Kesehatan). 2021;8(1):129.

Girsang RT, Novizar R. Hubungan Psychological Intervention Dengan Peningkatan Kualitas Hidup Pada Penderita Gagal Ginjal Kronik Yang Menjalani Terapi Hemodialisa. Jurnal Penelitian Keperawatan Medik. 2020;3(1):44–51.

Chayati N, Destyanto AA. Mekanisme Koping Dengan Kualitas Hidup: Studi Korelasi Pada Pasien Yang Menjalani Terapi Hemodialisa Di Rs Pku Muhammadiyah Yogyakarta. Journal of Innovation Research and Knowledge. 2021;1(2):115–24.

Yulianto A, Wahyudi Y, Marlinda. Mekanisme Koping dengan Tingkat Depresi Pada Pasien Gagal Ginjal Kronik Pre Hemodialisa. Jurnal Wacana Kesehatan. 2019;4(2):436–44.

Sitanggang TW, Anggraini D, Utami WM. Hubungan antara kepatuhan pasien menjalani terapi hemodialisa dengan kualitas hidup pasien gagal ginjal kronis di ruang hemodialisa RS. Medika BSD tahun 2020. Jurnal Medikes (Media Informasi Kesehatan). 2021;8(1):129–36.

Pratama AS, Pragholapati A, Nurrohman I. Mekanisme Koping pada Pasien Gagal Ginjal Kronik yang menjalani Hemodialisis di Unit Hemodialisa RSUD Bandung. Jurnal Smart Keperawatan. 2020;7(1):18.

Siagian N. Kualitas Hidup Pada Pasien Gagal Ginjal Kronik (Ggk) Di Wilayah Kerja Puskesmas Karyawangi Kecamatan Parongpong Kabupaten Bandung Barat. Jurnal Skolastik Keperawatan. 2020;6(1):10–5.

Putri E, Alinni, Indrawati. Hubungan Dukungan Keluarga dan Kebutuhan Spiritual Dengan Tingkat Kecemasan Pasien Gagal Ginjal Kronik Dalam Menjalani Terapi Hemodialisis di RSUD Bangkinang. Jurnal Ners. 2020;4(23):47–55.

Sinurat S, Barus M, Siregar BA. Hubungan Self Care Dengan Kualitas Hidup Pada Pasien Dengan Penyakit Gagal Jantung. Jurnal Online Keperawatan Indonesia. 2021;4(2):136–44.

Chan CKY, Cockshaw W, Smith K, Holmes-Truscott E, Pouwer F, Speight J. Social support and self-care outcomes in adults with diabetes: The mediating effects of self-efficacy and diabetes distress. Results of the second diabetes MILES–Australia (MILES-2) study. Diabetes Res Clin Pract. 2020;166:108314.

Prastiwi D, Martyastuti NE, Isrofah I, Alisyahbana B. Self-care management education increase quality of life of patient with chronic kidney disease undergoing hemodilysis. Media Keperawatan Indonesia. 2022;5(1):28–32.

Buulolo D. Quality of Life Ditinjau Dari Spiritual Well-Being Pada Mahasiswa Kependetaan Di Sekolah Tinggi Theologia Injili Indonesia Medan-Sumatera Utara. Jurnal Psikologi Universitas HKBP Nommensen. 2019;6(1):21–7.

Ardiansyah G, Purwandari H, Wahyuni RT. spiritual well being with quality of life in diabetes mellitus patient in working area Tanjunganom Health Center of Nganjuk Regency. Journal of Vocational Nursing. 2020;1(1):6–10.

Pilger C, Santos ROP dos, Lentsck MH, Marques S, Kusumota L. Spiritual well-being and quality of life of older adults in hemodialysis. Rev Bras Enferm. 2017;70(4):689–96.

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. Florence Nightingale J Nurs. 2020;28(3):243.

Organization WH. WHO guidelines on physical activity and sedentary behaviour. World Health Organization; 2020.

Bhatnagar A. Environmental Determinants of Cardiovascular Disease. CIRCRESAHA. 2017;121(2):162–80.

Hamid N, Dehghanizadeh Z. The relationship between spirituality, organizational commitment and general health with job performance of clinical nurses. 2010;1(2):20–8.

Fashi F, Khaledi-Paveh B, Jalali R, Hashemian A. Relationship between spiritual intelligence and self-care of hemodialysis patients. Global J Health Sci. 2016;9(24).

Nguyen TTN, Liang SY, Liu CY, Chien CH. Self-care self-efficacy and depression associated with quality of life among patients undergoing hemodialysis in Vietnam. PLoS One. 2022;17(6):e0270100.