The Relationship between Spiritual Health and Resilience in Hemodialysis Patients

BACKGROUND AND OBJECTIVE: Chronic kidney disease is one of the major health problems in today's world that creates a threatening situation for the health and socioeconomic status of the affected person, his/her family and the whole society. Due to the fact that in chronic diseases, a spiritual crisis appears in the individual, this study was therefore conducted to investigate the effect of spiritual health on resilience in patients undergoing hemodialysis. METHODS: This cross-sectional study was performed on 130 patients undergoing hemodialysis in Shahid Beheshti Hospital in Babol in 2017-2018. Data were collected and analyzed using Spiritual Well Being Scale (SWBS) (Paloutzian & Ellison) with a score of 20-125 at three levels of low, medium and high, as well as Connor-Davidson Resilience scale (CD-RISC) with a score of 20-125 at three levels of low, medium and high. FINDINGS: In this study, 5 (3.8%) patients had low, 81 (62.3%) had medium and 44 (33.8%) had high spiritual health. The mean score of spiritual health was 87.80±21.12 and was at a medium level. Furthermore, 6 patients (4.6%) had low resilience, 95 patients (73.1%) had medium and 29 patients (22.3%) had high resilience. The mean total resilience score was 86.63±19.48 and was at a medium level. The relationship between spiritual health and resilience was direct and significant (p<0.001, r=0.62). CONCLUSION: The present study showed that spiritual health has a significant and positive relationship with resilience of patients undergoing hemodialysis treatment

The Experiences of Patients´ Close Relatives with Risk Factors of Gastric Cancer and Health-Therapeutic Personnel from the Determinants of Nutritional Behaviors: A Theory-based Qualitative Content Analysis

Introduction: Cancers are one of the most common causes of death at age groups above 50 years old that Life style modification has an important role in prevention of them. Diets are the most important factor at the risk of gastric cancer. The aim of present study was explanation of the Experiences of Patients&acute; Close Relatives with Risk Factors of Gastric Cancer and Health-Therapeutic Personnel from the Determinants of Nutritional Behaviors based on protection motivation theory. Methods: The present qualitative study was done with content analysis method application at Babol health-therapeutic centers covered by Babol University of Medical Sciences for eight months in 2013. semi-structure d face to face interview were used to collect the data with 9 participants from Patients&acute; Close Relatives with Risk Factors of Gastric Cancer and 19 participants from Health-Therapeutic Personnel. Data analysis and collection were simultaneously done by using the method of theory-based (directed or conductive) content analysis. Results:From data analysis 487initial codes and after integration,186 main codes were extracted .This codes were pasted at 2 pre-determined categories and 7 pre-determined sub-categories related to protection motivation theory(perceived sensitivity, perceived severity, reward, fear, perceived response-efficacy, self-efficacy and perceived cost-benefit). The most main perceived problem, was the low level of awareness, attitude and practice at people about nutritional risk factors related to gastric cancer and a result the low level of disease fear. Conclusion: The findings of present study are the indicator of effective determinants on nutritional behaviors that can help to health-therapeutic policy &ndash;makers to provide and approve the most appropriate solutions and strategies with aim of changing these determinants in order to reduce nutritional risk factors related to gastric cancer