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This descriptive research aimed to study spiritual well-being and needs among 86 outpatients with end-stage renal disease who underwent renal replacement therapy at Kidney and Hemodialysis Unit at Faculty of Medicine Vajira Hospital, Navamindradhiraj University. The Needs Assessment of Spiritual Well-Being in the patients with end-stage renal disease, with content validity index was = 1 and reliability coefficient was = .76, was used as research instrument. Data were analyzed using frequency distributions, percentage, mean, standard deviation, and the needs was set by using the Prioritization Needs Index (PNIModified).
The results showed that the overall spiritual well-being needs in the patients with end-stage renal disease were high (M=3.75, SD=0.69) and all components of spiritual well-being were also high. The first component was happiness and peace from goodness which showed the highest mean score (M=4.01, SD=0.70), followed by the mean scores of mindfulness, meditation and intellect, the third component (M=3.87, SD=0.73), and the second component of joyful working and living (M=3.52, SD=0.62) respectively. Moreover, the result of need index revealed the top three ranking needs including 1) patients felt confused, anxious and unhappy once they realized illness (PNIModified=0.20), 2) patients thought that having lots of money helps them to reduce suffering from their illness (PNIModified=0.16), and 3) patients thought that meditation practice to promote strength mind and calm mind can help them feel better (PNIModified=0.12). Health care teams could concern and understand needs of patients in order to assist them deal with their suffering and spiritual well-being with maintaining quality of life until the end of their life.
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