Yodchai Kantaporn, Dunning Trisha, Savage Sally, Hutchinson Alison M
Medical Nursing Department, Faculty of Nursing, Prince of Songkla University, Songkla, Hatyai, Thailand.
School of Nursing and Midwifery, Faculty of Health and Centre for Nursing and Allied Health Barwon Health, Deakin University, Geelong, Victoria, Australia.
Scand J Caring Sci. 2017 Jun;31(2):359-367. doi: 10.1111/scs.12355. Epub 2016 Jun 21.
People with chronic kidney disease (CKD) face various problems including psychological, socioeconomic and physical effects associated with CKD and its treatment. They need to develop strategies to help them cope with CKD and life challenges. Religion and spirituality are important coping strategies, but their role in helping people cope with CKD and haemodialysis (HD) in Thailand is relatively unknown.
To investigate the role of religion and spirituality in coping with CKD and its treatment in Thailand.
An exploratory, qualitative approach was undertaken using semistructured individual interviews.
Purposive sampling was used to recruit participants. Face-to-face, in-depth individual interviews using open questions were conducted during January and February 2012. Interviews were audio-recorded and transcribed verbatim. Data were analysed using the framework method of qualitative data analysis.
Twenty people receiving HD participated: age range 23-77 years, mean 53.7 (±16.38 SD). Ten were women. Participants reported use of religious and spiritual practices to cope with CKD and its treatment, including religious and spiritual explanations for developing CKD, karmic disease, making merit, reading Dharma books, praying and chanting to save life and making a vow to Pran-Boon.
Religion and spirituality provide powerful coping strategies that can help Thai people with CKD overcome the associated distress and difficulties. Religion and spirituality cannot be separated in Thai culture because Thai people are both religious and spiritual.
慢性肾脏病（CKD）患者面临各种问题，包括与CKD及其治疗相关的心理、社会经济和身体影响。他们需要制定策略来帮助自己应对CKD和生活挑战。宗教和精神信仰是重要的应对策略，但它们在帮助泰国人应对CKD和血液透析（HD）方面的作用相对未知。
调查宗教和精神信仰在泰国人应对CKD及其治疗中的作用。
采用探索性定性研究方法，进行半结构化个人访谈。
采用目的抽样法招募参与者。2012年1月和2月期间，使用开放式问题进行面对面深入个人访谈。访谈进行录音并逐字转录。使用定性数据分析的框架方法对数据进行分析。
20名接受血液透析的患者参与研究，年龄范围为23 - 77岁，平均年龄53.7岁（标准差±16. .38）。其中10名是女性。参与者报告使用宗教和精神修行来应对CKD及其治疗，包括对患CKD的宗教和精神解释、业障病、积德、阅读佛法书籍、祈祷和诵经以挽救生命以及向Pran - Boon许愿。
宗教和精神信仰提供了强大的应对策略，可以帮助泰国CKD患者克服相关的痛苦和困难。在泰国文化中，宗教和精神信仰无法分开，因为泰国人既虔诚又有精神追求。
