Spiritual Well-Being, Psychological Well-Being, and Quality Of Life among Patients Undergoing Hemodialysis at West Bank, Palestine رسالة ماجستير

Abstract

Background: End-stage renal disease (ESRD) is a global health concern. Patients need long-term therapy. Hemodialysis is a common treatment measure for ESRD worldwide that exerts a great negative impact on a patient’s well-being and overall quality of life. Objectives: This study sought to assess the spiritual well-being (SWB), psychological well-being (PWB), and quality of life (QOL) among patients undergoing hemodialysis at the West Bank. Methods: A cross-sectional, descriptive correlational study was adopted. A convenience sample of 413 Palestinian patients receiving hemodialysis in eleven centers operating in the West Bank completed a structured, self-administered questionnaire. Data collected using Psychological Well-being Scale (PWBS), Spiritual Well-being Scale (SWBS), and World Health Organization Quality of Life- BREF (WHO QOL-BREF) during the period between March 28 and August 10, 2023. Results: The mean scores for SWB, PWB, and QOL were 90.1 (SD ± 13.0), 69.2 (SD± 8.6), and 11.8 (SD± 2.1), respectively. There was a significant positive association between QOL with psychological well-being, spiritual well-being, educational level, and marital status and a negative association with age. Multiple linear regression showed that spiritual well-being, psychological well-being, educational level, and marital status were the predictors for quality of life. Conclusion: Hemodialysis patients had a moderate level of SWB, high levels of PWB, and poor QOL. High level of SWB, high level of PWB, high level of education, and single/married were predictors for high-level QOL. Thus, spiritual care and counseling programs should be offered to hemodialysis patients to improve their quality of life.