Korean J Adult Nurs.  2022 Dec;34(6):592-601. 10.7475/kjan.2022.34.6.592.

The Effects of Spiritual Well-being on Self-care Practices in People Undergoing Hemodialysis: The Mediating Effect of Hope

• Kim BK
• Oh PJ

• KMID: 2537653
• DOI: http://doi.org/10.7475/kjan.2022.34.6.592

Abstract

Purpose
This study investigated the effects of spiritual well-being on the self-care practices of people undergoing hemodialysis with hope as a mediator.
Methods
Using convenience sampling, 126 people undergoing hemodialysis were recruited from April 17th to July 15th, 2022 for a cross-sectional survey. Data were collected using the Spiritual Well-Being Scale, Hope Scale, and Self-Care practices Scale and analyzed using descriptive statistics and Pearson’s correlation coefficient. In addition, multiple regression analysis was performed to analyze the mediating effect using Baron and Kenny’s three-step method.
Results
The mean scores for spiritual well-being, hope, and self-care practices were 75.67, 51.37, and 128.82 respectively. There were significant correlations between the three variables. In step 1, spiritual well-being had a statistically significant positive effect on hope (β=.59, p<.001) (R²=37.8%). In step 2, spiritual well-being had a significant positive effect on self-care practices (β=.31, p<.001) (R²=14.6%). In step 3, the direct effect of spiritual well-being on self-care practices was not significant when the mediating variable hope was introduced; hope was observed to have a complete mediating effect (β=.36, p<.001) on the relationship between spiritual well-being and self-care practices (Sobel test: Z=3.18, p<.001).
Conclusion
Based on these results, hope enhancement can help in self-care practices, and hope can also be promoted through spiritual well-being resources. Thus, it is necessary to develop a holistic nursing program that includes spiritual care to promote spiritual well-being and hope for improving self-care practices in people undergoing hemodialysis.

Keyword

Renal dialysis; Self-care; Hope; Spirituality