Journal of Traditional Medical Complementary Therapies

.: ORIGINAL RESEARCH
The Mediating Role of Self-Efficiency and Resilience in the Effect of Spiritual Care on Psychological Well-Being in Hemodialysis Patients: Descriptive Research
Hemodiyaliz Hastalarında Manevi Bakımın Psikolojik İyi Oluş Üzerindeki Etkisinde Özyeterlilik ve Dayanıklılığın Aracı Rolü: Tanımlayıcı Araştırma
Kevser Sevgi ÜNAL ASLANa
aDepartment of Nursing, Korkut Ata University Faculty and Health Sciences, Osmaniye, Türkiye
J Tradit Complem Med. 2022;5(3):236-44
doi: 10.5336/jtracom.2022-89806
Article Language: EN
Full Text
ABSTRACT
 Objective: This study was planned to be descriptive to investigate the mediating role of self-efficiency and resilience in the effect of spiritual care on psychological well-being in individuals receiving hemodialysis treatment. Material and Methods: The study has been completed with 207 dialysis patients who matched the research criteria. Confirmatory factor analysis, correlation, and reliability analysis have been performed in the data's statistical evaluation. The structural equation model for hypothesis testing and the bootstrap technique for mediation testing have been used. Results: In this study conducted with hemodialysis patients, it has been determined that spiritual care has a positive effect on psychological well-being, self-efficacy, and resilience. Moreover, it has been determined that self-efficacy and resilience had a partial mediating role in the effect of spiritual care on psychological well-being. By meeting the spiritual care needs of patients receiving hemodialysis treatment, the psychological well-being, self-sufficiency and resilience levels of the patients can be increased. Conclusion: It has been determined that to increase the psychological well-being, self-efficacy, and resilience of these patients, the spiritual care needs that support holistic care should be met. It can be suggested that nurses who have primary responsibility in the treatment and follow-up of dialysis patients should be aware of these factors and plan appropriate nursing activities that will minimize their negative effects on the individual.

Keywords: Hemodialysis patients; spiritual care; psychological well-being; self-efficiency; resilience
ÖZET
 Amaç: Bu çalışma, hemodiyaliz tedavisi alan hastalarda manevi bakımın psikolojik iyi oluş üzerindeki etkisinde öz yeterlilik ve dayanıklılığın aracı rolünü araştırmak üzere tanımlayıcı olarak planlanmıştır. Gereç Yöntemler: Çalışma, araştırma kriterlerine uyan 207 diyaliz hastası ile tamamlanmıştır. Verilerin istatistiksel olarak değerlendirilmesinde doğrulayıcı faktör analizleri, korelasyon ve güvenilirlik analizleri yapılmıştır. Hipotez testleri için yapısal eşitlik modeli, aracılık testi için ise bootstrap tekniği kullanılmıştır. Bulgular: Hemodiyaliz hastalarında yapılan bu çalışmada, manevi bakımın psikolojik iyi oluş, öz yeterlilik ve dayanıklılık üzerinde pozitif yönde etkisi olduğu belirlenmiştir. Ayrıca manevi bakımın, psikolojik iyi oluş üzerindeki etkisinde öz yeterlilik ve dayanıklılığının kısmi aracı rolü olduğu belirlenmiştir. Bu hastaların psikolojik iyi oluşlarını, öz yeterlilik ve dayanıklıklarını artırmak için holistik bakımı destekleyen manevi bakıma gereksinimlerinin karşılanması gerektiği belirlenmiştir. Hemodiyaliz tedavisi gören hastaların ruhsal bakım ihtiyaçlarını karşılayarak, hastaların psikolojik iyi oluşu, kendine yeterliliği ve dayanıklılık düzeyleri artırılabilir. Sonuç: Hemodiyaliz tedavisi alan hastaların manevi bakım ihtiyaçları karşılanarak, hastaların psikolojik iyilik hâli, kendine yeterlilik ve dayanıklılık düzeyleri artırılabilir. Diyaliz hastalarının tedavisinde ve takibinde öncelikli sorumluluğu olan hemşirelerin bu faktörlerin farkında olmaları ve birey üzerindeki olumsuz etkilerini en aza indirecek uygun hemşirelik faaliyetlerini planlamaları önerilebilir.

Anahtar Kelimeler: Hemodiyaliz hastaları; manevi bakım; psikolojik iyi oluş; öz-yeterlilik; dayanıklılık
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