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. 2022 Jul;27(7):621-631.
doi: 10.1111/nep.14034. Epub 2022 Mar 10.

Spiritual well-being and its relationship with patient characteristics and other patient-reported outcomes in peritoneal dialysis patients: Findings from the PDOPPS

Areewan Cheawchanwattana  1 , Talerngsak Kanjanabuch  2   3   4   5 , Pongpratch Puapatanakul  2   4 , Surapong Narenpitak  6 , Guttiga Halue  7 , Kriang Tungsanga  2 , Sajja Tatiyanupanwong  8 , Pichet Lorvinitnun  9 , Suchai Sritippayawan  10 , Rutchanee Chieochanthanakij  11 , Somkanya Tungsanga  2 , Natanong Thamcharoen  2 , Krit Pongpirul  4   12   13 , Jenny I Shen  14 , David W Johnson  15   16   17 , Simon J Davies  18 , Fredric O Finkelstein  19 , Jeffrey Perl  20 , Bruce Robinson  21 ; Thailand PDOPPS Steering Groups
Affiliations

Spiritual well-being and its relationship with patient characteristics and other patient-reported outcomes in peritoneal dialysis patients: Findings from the PDOPPS

Areewan Cheawchanwattana et al. Nephrology (Carlton). 2022 Jul.

Abstract

Background: Spiritual well-being (SWB), an individual's understanding of the meaning and purpose of life, may help patients with chronic or terminal illnesses cope with their diseases. This study aimed to assess SWB in patients on peritoneal dialysis (PD), as well as its relationship with patient characteristics and patient-reported outcomes (PRO).

Methods: The data were obtained from questionnaires that formed part of the PD Outcomes and Practice Patterns Study (PDOPPS). Measures used in this study were SWB scores derived from the WHO quality of life, spirituality, religiousness and personal beliefs (WHOQOL-SRPB) tool including 32 items from eight facets; physical (PCS) and mental component summary (MCS) scores of the 12-Item Short-Form Health Survey (SF-12), Center of Epidemiologic Studies Depression Scale-10 (CES-D-10) scores, burden of kidney disease scores and functional status scores.

Results: Overall, 529 out of 848 participants (62%) completely responded to the questionnaires and were included in the analysis. Over two-thirds of PD patients (70%) had moderate or higher SWB scores. The SWB scores were significantly lower in patients with age >65 years and unemployed status. SWB scores positively correlated with higher PCS, MCS, burden of kidney disease scores and functional status scores, while negatively correlated with depression scores by CES-D-10 scale. Patients who reported significant depressive symptoms (CES-D-10 score ≥ 10) had significantly lower SWB scores.

Conclusion: Better SWB was significantly associated with better health-related QOL (HRQOL) and the absence of depressive symptoms. SWB may be an essential consideration in the delivery of high-quality PD.

Keywords: WHOQOL-SRPB; depression; health-related quality of life; peritoneal dialysis; spiritual well-being.

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References

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