The Effect of Spirituality on Quality of Life of Patients with Chronic Kidney Disease and Its Correlation with the Mental Health Status and Cognitive Perception for Their Illness. Study Protocol

Evangelos Fradelos; Foteini Tzavella; Eumorfia Koukia; Sofia Zyga

doi:10.4236/oalib.1101783

Home > Journals > Biomedical & Life Sciences | Business & Economics > OALibJ

Open Access Library Journal > Vol.2 No.8, August 2015

The Effect of Spirituality on Quality of Life of Patients with Chronic Kidney Disease and Its Correlation with the Mental Health Status and Cognitive Perception for Their Illness. Study Protocol ()

Evangelos Fradelos^1*, Foteini Tzavella¹, Eumorfia Koukia², Sofia Zyga¹

¹Department of Nursing, Faculty of Human Movement and Quality of Life, University of Peloponnese, Sparta, Greece.
²Faculty of Nursing, University of Athens, Athens, Greece.

DOI: 10.4236/oalib.1101783 PDF HTML XML 1,123 Downloads 2,052 Views Citations

Abstract

Background: Patients who suffer from chronic renal disease face problems in many aspects of their life, problems that are physical, social as well as mental, such as stress, anxiety, depression. Patients with Chronic Kidney Disease (CKD) exhibit a number of spiritual needs, which relate to and influence the psychological adaptation to the illness. Aim: The aim of the present study is to investigate spirituality and spiritual needs of patients with CKD and the possible relation between spirituality, quality of life, mental health and perceptions of their illness. Moreover, the possible differences in spirituality, mental health, Quality of Life (QoL) and perceptions for the disease among End Stage Renal Disease (ESRD) patients and patients suffering by third and fourth stage CKD will be assessed. Method: 300 patients diagnosed with 3^rd, 4^th stage and ESRD undergoing Hemodialysis (HD) treatment will be recruited to participate in this study. Each subject’s spiritual wellbeing, QoL, mental health status and illness perception will be measured using the following instruments: 1) The Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being Scale (FACIT-Sp-12), 2) The Depression, Anxiety, Stress Scale-DASS-21, 3) The Illness Perception Questionnaire, 4) The Quality of Life Index SF-36. Results: Patients’ spiritual well-being is expected to be related to their QoL, mental health and illness perception.

Keywords

CKD Patient, Spiritual Wellbeing, Quality of Life, Mental Health, Illness Perceptions

Share and Cite:

Fradelos, E. , Tzavella, F. , Koukia, E. and Zyga, S. (2015) The Effect of Spirituality on Quality of Life of Patients with Chronic Kidney Disease and Its Correlation with the Mental Health Status and Cognitive Perception for Their Illness. Study Protocol. Open Access Library Journal, 2, 1-7. doi: 10.4236/oalib.1101783.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1]	NKF.K/DOQI (2002) Clinical Practice Guidelines for Chronic Kidney Disease: Evaluation, Classification, and Stratification. American Journal of Kidney Diseases, 9, S1-S266.
[2]	Jha, V., Garcia-Garcia, G., Iseki, K., et al. (2013) Chronic Kidney Disease: Global Dimension and Perspectives. Lancet, 382, 260-272. http://dx.doi.org/10.1016/S0140-6736(13)60687-X
[3]	Schieppati, A. and Remuzzi, G. (2005) Chronic Renal Disease as a Public Health Problem: Epidemiology, Social, and Economic Implications. Kidney International Supplements, 68, 7-10. http://dx.doi.org/10.1111/j.1523-1755.2005.09801.x
[4]	Finkelstein, O.F., Wuerth, D. and Finkelstein, H.S. (2009) Health Related Quality of Life and the CKD Patient: Challenges for the Nephrology Community. Kidney International, 76, 946-952. http://dx.doi.org/10.1038/ki.2009.307
[5]	Theofilou, P. (2012) The Relation of Social Support to Mental Health and Locus of Control in Chronic Kidney Disease. Journal of Renal Nursing, 4, 18-22. http://dx.doi.org/10.12968/jorn.2012.4.1.18
[6]	Theofilou, P. (2013) Association of Insomnia Symptoms with Kidney Disease Quality of Life Reported by Patients on Maintenance Dialysis. Psychology, Health & Medicine, 18, 70-78. http://dx.doi.org/10.1080/13548506.2012.674144
[7]	Theofilou, P., Aroni, A., Tsironi, M. and Zyga, S. (2013) Measuring Pain Self-Efficacy and Health Related Quality of Life among Hemodialysis Patients in Greece: A Cross-Sectional Study. Health Psychology Research, 1, e30, 160-161. http://dx.doi.org/10.4081/hpr.2013.e30
[8]	Theophilou, P. (2010) Psychiatric Disorders in Chronic Periodic Hemodialysis. Rostrum of Asclepius, 9, 420-440.
[9]	Gerogianni, S., Babatsikou, F., Gerogianni, G,. Grapsa, E., Vasilopoulos, G., Zyga, S. and Koutis, Ch. (2014) Concerns of Patients on Dialysis: A Research Study. Health Science Journal, 8, 423-437.
[10]	Tsiamis, G., Alikari, V., Fradelos, E., Papapetrou, S. and Zyga, S. (2015) Assessment of Quality of Life and Fatigue among Haemodialysis Patients. American Journal of Nursing Science. Special Issue: Mental Health Care: Aspects, Challenges and Perspectives, 4, 66-73.
[11]	De Santo, G.N., Perna, A., El Matri, A., De Santo, M.R. and Cirillo, M. (2010) Survival Is Not Enough. Journal of Renal Nutrition, 22, 211-219. http://dx.doi.org/10.1053/j.jrn.2011.10.010
[12]	Eckardt, K., Coresh, J., Devuyst, O., Johnson, J.R., Köttgen, A., Levey, S.A. and Levin, A. (2013) Evolving Importance of Kidney Disease: From Subspecialty to Global Health Burden. The Lancet, 382, 158-169. http://dx.doi.org/10.1016/S0140-6736(13)60439-0
[13]	Loghman, M.A. (2013) Medication Noncompliance in Patients with Chronic Disease: Issues in Dialysis and Renal Transplantation. American Journal of Managed Care, 9, 155-171.
[14]	Martsolf, D.S. and Mickley, J.R. (1998) The Concept of Spirituality in Nursing Theories: Differing World-Views and Extent of Focus. Journal of Advanced Nursing, 27, 294-303. http://dx.doi.org/10.1046/j.1365-2648.1998.00519.x
[15]	Greenberg, D. (2003) Spirituality in Medicine: Does It Fit? Penn Pulse, 99, 1-7.
[16]	Zullig, K.J., Ward, R.M. and Horn, T. (2009) The Association between Perceived Spirituality, Religiosity and Life Satisfaction: The Mediating Role of Self-Rated Health. Social Indicators Research, 79, 255-274. http://dx.doi.org/10.1007/s11205-005-4127-5
[17]	Davison, N.S. and Jhangri, S.G. (2010) Existential and Supportive Care Needs among Patients with Chronic Kidney Disease. Journal of Pain and Symptom Management, 40, 838-843. http://dx.doi.org/10.1016/j.jpainsymman.2010.03.015
[18]	Davison, N.S. and Jhangri, S.G. (2013) The Relationship between Spirituality, Psychological Adjustment to Illness, and Health-Related Quality of Life in Patients with Advanced Chronic Kidney Disease. Journal of Pain and Symptom Management, 45, 170-178. http://dx.doi.org/10.1016/j.jpainsymman.2012.02.019
[19]	Deal, B. and Grassley, S.J. (2012) The Lived Experience of Giving Spiritual Care: Phenomenological Study of Nephrology Nurses Working in Acute and Chronic Hemodialysis Settings. Nephrology Nursing Journal, 39, 471-496.
[20]	Lin, H.-R. and Bauer-Wu, S.M. (2003) Psycho-Spiritual Well-Being in Patients with Advanced Cancer: An Integrative Review of the Literature. Journal of Advances Nursing, 44, 69-80. http://dx.doi.org/10.1046/j.1365-2648.2003.02768.x
[21]	Sodhi, R. and Manju, D.R. (2013) Spiritually and Mental Health among Normal and Chronic Disease Group. International Journal of Research Studies in Psychology, 2, 59-68. http://dx.doi.org/10.5861/ijrsp.2012.106
[22]	Koenig, H.G., Cohen, H.J., George, L.K., Hays, J.C., Larson, D.B. and Blazer, D.G. (1997) Attendance at Religious Services, Interleukin-6, and Other Biological Parameters of Immune Function in Older Adults. International Journal of Psychiatry in Medicine, 27, 233-250. http://dx.doi.org/10.2190/40NF-Q9Y2-0GG7-4WH6
[23]	Yates, J.W., Chalmer, B.J., St James, P., Follansbee, M. and McKegney, F.P. (1981) Religion in Patients with Advanced Cancer. Medical and Pediatric Oncology, 9, 121-128. http://dx.doi.org/10.1002/mpo.2950090204
[24]	Avramovic, Μ. and Stefanovic, S. (2012) Health-Related Quality of Life in Different Stages of Renal Failure. Artificial Organs, 36, 581-589. http://dx.doi.org/10.1111/j.1525-1594.2011.01429.x
[25]	Doenges, M.E., Moorhouse, M., Frances, M. and Alice, C. (2009) Deployment Guide in Nursing Care Plan. Pashalidis Publications, Athens.
[26]	Altman, G.D. (1991) Practical Statistics for Medical Research. Chapman & Hill, London.
[27]	Cella, D.F., Tulsky, D.S., Gray, G., Sarafian, B., Linn, E., Bonomi, A., et al. (1993) The Functional Assessment of Cancer Therapy Scale: Development and Validation of the General Measure. Journal of Clinical Oncology, 11, 570-579.
[28]	Peterman, A.H., Fitchett, G., Brady, M.J., Hernandez, L. and Cella, D. (2002) Measuring Spiritual Well-Being in People with Cancer: The Functional Assessment of Chronic Illness Therapy—Spiritual Well-Being Scale (FACIT-Sp). Annals of Behavioral Medicine, 24, 49-58. http://dx.doi.org/10.1207/S15324796ABM2401_06
[29]	Lovibond, S.H. and Lovibond, P.F. (1995) Manual for the Depression Anxiety Stress Scales. 2nd Edition, Psychology Foundation, Sydney.
[30]	Lyrakos, G.N., Arvaniti, C., Smyrnioti, M. and Kostopanagiotou, G. (2011) Translation and Validation Study of the Depression Anxiety Stress Scale in the Greek General Population and in a Psychiatric Patient’s Sample. European Psychiatry, 26, 1731. http://dx.doi.org/10.1016/S0924-9338(11)73435-6
[31]	Henry, J.D. and Crawford, J.R. (1995) The 21-Item Version of the Depression Anxiety Stress Scales (DASS-21): Normative Data and Psychometric Evaluation in a Large Non-Clinical Sample. British Journal of Clinical Psychology, 44, 227-239. http://dx.doi.org/10.1348/014466505X29657
[32]	Broadbent, E., Petrie, K.J., Main, J. and Weinman, J. (2006) The Brief Illness Perception Questionnaire. Journal of Psychosomatic Research, 60, 631-637. http://dx.doi.org/10.1016/j.jpsychores.2005.10.020
[33]	Karademas, C.E., Bakouli, A., Bastounis, A., Kallergi, F., Tamtami, P. and Theofilou, M. (2008) Illness Perceptions, Illness-Related Problems, Subjective Health and the Role of Perceived Primal Threat: Preliminary Findings. Journal of Health Psychology, 13, 1021-1029. http://dx.doi.org/10.1177/1359105308097967
[34]	Ware, J.E. and Sherbourne, C.D. (1992) The MOS 36-Item Short-Form Health Survey (SF-36). I. Conceptual Framework and Item Selection. Medical Care, 30, 473-483. http://dx.doi.org/10.1097/00005650-199206000-00002
[35]	Anagnostopoulos, F., Niakas, D. and Pappa, E. (2005) Construct Validation of the Greek SF-36. Health Survey Quality of Life Research, 8, 1959-1965. http://dx.doi.org/10.1007/s11136-005-3866-8
[36]	Alikari, V., Matziou, V., Tsironi, M., Theofilou, P. and Zyga, S. (2015) The Effect of Nursing Counseling on Improving Knowledge, Adherence to Treatment and Quality of Life of Patients Undergoing Hemodialysis. International Journal of Caring Sciences, 8, 514-518.