Sara N. Davison|Gian S. Jhangri
The Relationship Between Spirituality, Psychosocial Adjustment to Illness, and Health-Related Quality of Life in Patients With Advanced Chronic Kidney Disease
University of Alberta|University of Alberta
spirituality may promote psychosocial adjustment illness may mechanism patients greater existential wellbeing ewb experience better healthrelated quality life hrql context lifelimiting illnessthis study explored relationship psychosocial adjustment illness ewb hrql patients advanced chronic kidney disease sought determine whether adjustment illness mediates relationship ewb hrqlthis cohort study 253 prevalent stage 4 5 chronic kidney disease dialysis patients participants completed spiritual wellbeing scale psychological adjustment illness scale paisselfreport kidney dialysis quality life short formpsychosocial adjustment illness highly correlated hrql accounting 29 27 variance physical mental hrql scores respectively although pais domains associated ewb ewb remained significant predictor hrql pais domains considered adjustment domains psychological distress extended family relationships appear mediate relationship ewb hrqladjustment domains psychological distress extended family relationships appears mediate beneficial effect ewb hrql spirituality however provides unique variance patients hrql independent psychosocial adjustment study testifies importance targeting psychosocial adjustment illness spirituality ways preserve enhance hrql predialysis dialysis patients