Spiritual Well-Being and Needs Among Patients with End-Stage Renal Disease, Faculty of Medicine Vajira Hospital, Navamindradhiraj University

Main Article Content

Benyapa Muksiritipanun
Khachee Pongsathonviboon
Ampun Jensuwan
Yupha Wongrostrai
Boontiva Soowit

Abstract

     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.

Article Details

How to Cite
Muksiritipanun, B., Pongsathonviboon, K., Jensuwan, A., Wongrostrai, Y., & Soowit, B. (2018). Spiritual Well-Being and Needs Among Patients with End-Stage Renal Disease, Faculty of Medicine Vajira Hospital, Navamindradhiraj University. Journal of Research in Nursing-Midwifery and Health Sciences, 38(1), 63–76. Retrieved from https://he02.tci-thaijo.org/index.php/nur-psu/article/view/117392
Section
Original Articles

References

1. Dhanakijcharoen P. Current situation of chronic kidney disease in Thailand. Journal of the Department of Medical Services. 2015; (Sep-Oct): 5-18. Thai.

2. Medical Records Department Vajira Hospital, Navamindradhiraj University. [internet] 2015 [cited 2018 Mar 12]. Available from: http://www.vajira.ac.th/b/index.php/2015-07-07-09-33-26/2017-05-05-11-14-40

3. Trakarnvanich T. Management of acute complication in hemodialysis. In: Jiranuntawat T, Changsirikulchai S, Trakarnvanich T, et al, editors. Comprehensive review of dialysis. Bangkok: Text and Journal public; 2007. Thai.

4. Tongprateep T. Nurse: Being with the dying. Bangkok: Chulalongkorn University Printing House; 2010. Thai.

5. Wasi P. Onthe road of life: Mental health and spiritual health. Local Doctors. 2000; 22(261): 41-6. Thai.

6. Berggren TP, Griggs MJ. Spiritual in aging: Spiritual need or spiritual journey?. J Gerontol Nurs. 1995; 21(3):5-10.

7. Khattamon N. Spiritual well-being of senior adults with lung cancer [thesis]. [Chiangmai]: Chiangmai University; 2003. Thai.

8. Lorraine MW. Spirituality suffering and illness: Ideas for healing. Canada: F.A. Davis; 2005.

9. Kinawong S, Khoenpetch P. Spiritual happiness of patients at terminal stage. Chiangrai Medical Journal. 2016; 8(1):131-37. Thai.

10. Prekbunjun S. Spiritual experience of patients with end stage of renal failure [thesis].[Bangkok]: Chulalongkorn University; 2004. Thai. 136 p.

11. Tanttitrakul W, Thanasilp S. Factors related to spiritual well-being of terminal cancer patients. Journal of Bureau Alternative Medicine. 2009; 2(3):27-35. Thai.

12. Balthip Q, Chailangka P, Chuaprapaisilp A. AIDS patients’ needs during dying process. Songklanagarind J Nurs. 2000; 20(1):33-44. Thai.

13. Hermann CP. Spiritual needs of dying patients: A qualitative study. Oncol Nurs Forum. 2001; 28(1): 67-72.

14. Phomkaewngam S, Namwong A. The spiritual well-being of community-dwelling Thai older people with chronic illness. Journal of Nursing and Health Care. 2017; 35(3): 204-13. Thai.

15. Kaewmanee C, Nantachaipan P, Sittisombut S. Spiritual needs of persons with cholangiocarcinoma.Nursing Journal of the Ministry of Public Health. 2014; 24(3):15-28. Thai.

16. Kaufman R, Rojas AM, Mayer H. Needs assessment: A user’s guide. Englewood Cliffs NJ: Educational Technology Publications; 1993.

17. Wongwanich S. Needs assessment research. 2 nd ed. Bangkok: Chulalongkorn University Printing House; 2007. Thai.

18. Clark CC. Health promotion in communities: Holistic and wellness approaches. New York: Springer Publishing Company; 2002.

19. Anansawat S. Spiritual care of end-stage patients. Bangkok: Tana Press; 2009. Thai.

20. Onsri P. Role of nurses toward taking care of patients with the end of life based on religious beliefs. Journal of The Royal Thai Army Nurses. 2014; 15(2):39-43. Thai.

21. Soowit B, Panasakunkan S. Relationship between perception, attitude and nursing practice by applying buddhist principles in spiritual care for patients who received palliative care, Faculty of Medicine Vajira Hospital, Navamindradhiraj University. Kuakarun Journal of Nursing. 2014; 21(1):52-70. Thai.

22. Krejcie RV, Morgan DW. Determining sample size for research activities. Educ Psychol Meas. 1970; 30(3): 607-10.23. Jirawatanakut S. Qualitative research in health science. 3rd ed. Bangkok: Witayapat; 2010. Thai.

23. Jirawatanakut S. Qualitative research in health science. 3rd ed. Bangkok: Witayapat; 2010. Thai.

24. Pimrote S. How to assess spiritual domain? In: Juangpanich U. et al, editors. In spiritual of patients, how to assess spiritual end of life patients. Bangkok: Thai Palliative Care Society; 2015.

25. Narkdee K. Impact of meditation on spiritual changes of persons with HIV and AIDS in Surin province [thesis]. [Khon Kaen]: Khon Kaen University; 2001. 76 p. Thai.

26. Chorbchai B. The spiritual needs of the elderly with cancer [thesis]. [Khon Kaen]: Khon Kaen University; 1993. Thai.

27. Sukmak V. Nursing care for mental and psychosocial health. Mahasarakham: Mahasarakham University; 2013. Thai.

28. Richards N. Forgiveness. Ethics. 1988; 99(1):77-97.

29. Enright RD, Rique J. The Enright forgiveness inventory sampler set manual, instrument, and scoring guide. Menlo Park, CA: Mind Garden. 2004.

30. Hall BA. Spirituality in terminal illness: An alternative view of theory. J Holist Nurs. 1997; 15(1):82-96. doi:10.1177/089801019701500108

31. Sinnott JD. The importance of feeling whole: Learning to “Feel Connected,” community, and adult development. In: Hoare C, editor. Handbook of adult development and learning. New York: Oxford University Press; 2006:381-406.

32. Balthip Q, Petchruschatachart U, Piriyakoontorn S, et al. Achieving peace and harmony in life: Thai Buddhists living with HIV/AIDS. Int J Nurs Pract. 2013; 19(2):7-14. Thai.

33. Lertjitlakha C. Need and spiritual well-being care of terminal patients. In: Chankunuprakran P, editor. Gather knowledge of end-of-life patient care. Bangkok: Office of Veterans Affairs Publishing; 2006:30-51

34. Bloom A. Buddhism and healing [internet]. Hawaii: Buddhist Study Center [cited 2017 Apr 4]. Available from: http://bschawaii.org/shindharmanet/healing/

35. Kubler-Ross E. On death and dying. New York: Macmillan Puplishing; 1969.

36. Sahapattana P. Buddhist principles for mental healing in end-stage patients doctor of philosophy (Buddhist studies) [dissertation]. [Bangkok]: Mahamakut Buddhist University; 2009. Thai.

37. Kusoom W, Larpcharoenwong N. The quality of life among patients with end-stage renal disease undergoing various renal replacement therapies. Vajira Medical Journal. 2004; 48(2):107-15. Thai.

38. Evan RW, Manninen DL, Garrison LP, et al. The quality of life of patients with end stage renal disease. N Engl J Med. 1985;312(9):553-9. doi:10.1056/NEJM198502283120905

39. Ngammoh N, Wirojratana V, Jitramontree N. Relationship between basic factors, religious belief, religious practice, perception of life, and gerotranscendence in end-stage chronic renal failure patients. Thai Journal of Nursing Council. 2015; 30(1):58-71. Thai.

40. Sungsing K, Hatthakit U, Aphichato A. Cancer patient’s experiences in using meditation for self-healing. Songkla Med J. 2007; 25(1):39-48. Thai.

41. Sedestrom KE, Maltinson IM. Patient’ s spiritual coping strategies: A study of nurse and patient perspectives. Oncol Nurs Forum. 1987; 14(2):41-6.