Taheri-Kharameh Zahra, Zamanian Hadi, Montazeri Ali, Asgarian Azadeh, Esbiri Roya
Students Research Center, Department of Public Health, Hamadan University of Medical Sciences, Hamadan, IR Iran; School of Public Health, Qom University of Medical Sciences, Qom, IR Iran.
School of Public Health, Qom University of Medical Sciences, Qom, IR Iran.
Nephrourol Mon. 2016 Sep 20;8(6):e38009. doi: 10.5812/numonthly.38009. eCollection 2016 Nov.
Religious coping is known as a main resource influencing how individuals cope with the complications and stressors of chronic disease.
The aim of this study was to assess the relationship between religious coping and quality of life among hemodialysis patients.
This cross-sectional study was conducted in Qom, Iran, from June 2012 to July 2013. Ninety-five end-stage renal disease (ESRD) patients undergoing hemodialysis were selected via the convenience sampling method. Data were collected via a questionnaire comprising items on sociodemographic information, quality of life, the anxiety and depression scale, and religious coping. Following this, the data were analyzed using descriptive statistics and logistic regression analysis.
The mean age of patients was 50.4 (standard deviation [SD] = 15.7) years, and most were male (61%). The mean score for positive religious coping was 23.38 (SD = 4.17), while that for negative religious coping was 11.46 (SD = 4.34). It was found that 53.6% of patients had higher than the mean score of positive religious coping, while those with negative religious coping made up 37.9%. Negative religious coping was associated with worse quality of life, including physical functioning (odds ratio [OR] = 0.72; P = 0.009), role physical (OR = 0.79; P = 0.04), vitality (OR = 0.62; P = 0.005), social functioning (OR = 0.69; P = 0.007), and mental health (OR = 0.58; P = 0.01) after controlling for sociodemographic, clinical, and anxiety and depression variables.
The results indicated that patients with negative religious coping abilities were at risk of a suboptimal quality of life. Incorporating religious support in the care of hemodialysis patients may be helpful in improving quality of life in this patient population. Further longitudinal studies are needed to determine whether these associations are causal and the direction of effect.
宗教应对被认为是影响个体应对慢性病并发症和压力源方式的主要资源。
本研究旨在评估血液透析患者宗教应对与生活质量之间的关系。
本横断面研究于2012年6月至2013年7月在伊朗库姆进行。通过便利抽样法选取了95例接受血液透析的终末期肾病（ESRD）患者。通过一份包含社会人口学信息、生活质量、焦虑和抑郁量表以及宗教应对项目的问卷收集数据。随后，使用描述性统计和逻辑回归分析对数据进行分析。
患者的平均年龄为50.4岁（标准差[SD]=15.7），大多数为男性（61%）。积极宗教应对的平均得分为23.38（SD=4.17），而消极宗教应对的平均得分为11.46（SD=4.34）。发现53.6%的患者积极宗教应对得分高于平均分，而消极宗教应对得分高于平均分的患者占37.9%。在控制了社会人口学、临床以及焦虑和抑郁变量后，消极宗教应对与较差的生活质量相关，包括身体功能（比值比[OR]=0.72；P=0.009）、角色身体（OR=0.79；P=0.04）、活力（OR=0.62；P=0.005）、社会功能（OR=0.69；P=0.007）和心理健康（OR=0.58；P=0.01）。
结果表明，消极宗教应对能力的患者存在生活质量欠佳的风险。在血液透析患者的护理中纳入宗教支持可能有助于改善该患者群体的生活质量。需要进一步的纵向研究来确定这些关联是否具有因果关系以及影响方向。
