The Effectiveness of Spiritual Education to Reduce Anxiety in Hemodialysis Patients: (A Systematic Literature Review)

Miftahul Rauzah; Ellyza Fazlylawati; Sri Jumiati; Nurul Amna; Yusrika Yusrika

doi:10.55606/ijhs.v6i2.7593

Authors

Miftahul Rauzah Universitas Abulyatama
Ellyza Fazlylawati Universitas Abulyatama
Sri Jumiati Universitas Abulyatama
Nurul Amna Universitas Abulyatama
Yusrika Yusrika Universitas Abulyatama

DOI:

https://doi.org/10.55606/ijhs.v6i2.7593

Keywords:

Anxiety, Chronic Kidney Disease, Hemodialysis Patients, Joanna Briggs Institute, Spiritual Education

Abstract

Chronic kidney disease (CKD) is a global health problem that affects millions of people, with hemodialysis as the primary therapy in the late stages of the disease. Hemodialysis patients often face anxiety due to physical, mental, and social changes. Spiritual support plays an important role in reducing anxiety and improving the quality of life. Objective: To evaluate the effectiveness of spiritual education in reducing anxiety in hemodialysis patients. Methods: Education using systematic observation of the literature review based on the guidance of the Joanna Briggs Institute (JBI). Literature review searches were conducted in various databases, PubMed, Google Scholar, BMC, ScienceDirect, Wiley Online Library, Breflands and ResearchGate. Using relevant keywords, resulting in 10 articles that are explained in depth. Results: Spiritual education was effective in reducing the anxiety of hemodialysis patients by improving understanding, providing meaning in life, and strengthening coping mechanisms. Supporting factors include nurse involvement, access to information, and family support. The obstacles found include limited resources and lack of awareness. Conclusion: Spiritual education contributes to improving the psychological well-being of hemodialysis patients. The role of nurses in providing a holistic approach is essential to help patients cope with physical, mental, and social challenges.

Downloads

Download data is not yet available.

References

Badria, L., & Fatmawati, F. (2023). Knowledge of the anxiety level of clients with chronic kidney failure. Jurnal Ilmiah Kesehatan Sandi Husada, 12(1), 288–293. https://doi.org/10.35816/jiskh.v12i1.1143

Bulut, T. Y., & Altay, B. (2023). The effect of spiritual care interventions on the spiritual well-being, loneliness, life expectancy, and life satisfaction of intensive care unit patients. Intensive and Critical Care Nursing, 77, 1–9. https://doi.org/10.1016/j.iccn.2023.103438

Dehghan, M., Namjoo, Z., Mohammadi Akbarabadi, F., Fooladi, Z., & Zakeri, M. A. (2021). The relationship between anxiety, stress, spiritual health, and mindfulness among patients undergoing hemodialysis: A survey during the COVID-19 outbreak in Southeast Iran. Health Science Reports, 4(4), 1–10. https://doi.org/10.1002/hsr2.461

Durmuş, M., & Ekinci, M. (2021). The effect of spiritual care on anxiety and depression level in patients receiving hemodialysis treatment: A randomized controlled trial. Journal of Religion and Health. https://doi.org/10.1007/s10943-021-01386-4

Durmus, M., Meta, B., & Study, A. (2024). The effectiveness of spiritual interventions in improving the mental health of patients receiving hemodialysis treatment in nursing care: A meta-analysis study. Journal of Nursingology, 27(3). https://doi.org/10.17049/jnursology.1416289

Elsera, C., Permata Sari, D., & Surya Mahendra, A. (2022). The effect of spiritual support on hemodialysis readiness of chronic kidney failure patients at Klaten Islamic Hospital. Proceedings of the Unimus National Seminar, 5, 481–495.

Hapsari Retno Agustiyowati, T., et al. (2023). Hemodialysis patients: Factors affecting adherence to treatment.

Manalu, L. O., et al. (2021). The effectiveness of health education provision on the anxiety level of chronic kidney failure patients who are hemodialysed at RSKG Mrs. Ra Habibie Bandung. Researchology, 6(1a), 70–75. https://doi.org/10.47028/j.risenologi.2021.61a.215

Moodi, V., Arian, A., Moodi, J. R., & Dastjerdi, R. (2020). Effectiveness of spiritual therapy on depression, anxiety, and stress in hemodialysis patients. Modern Care Journal, 17(4). https://doi.org/10.5812/modernc.108879

Najafi, K., Khoshab, H., Rahimi, N., & Jahanara, A. (2022). Relationship between spiritual health with stress, anxiety, and depression in patients with chronic diseases. International Journal of Africa Nursing Sciences, 17, Article 100463. https://doi.org/10.1016/j.ijans.2022.100463

Şanli, M. E., Dinç, M., Öner, U., Buluş, M., Çiçek, İ., & Doğan, İ. (2023). The role of spirituality in anxiety and psychological resilience of hemodialysis patients in Turkey. Journal of Religion and Health, 62(6), 4297–4315. https://doi.org/10.1007/s10943-023-01855-y

Suharyono, Dewi, Y. S., & Pratiwi, I. N. (2021). The effect of virtual reality-based rehabilitation in reducing pain intensity in postoperative orthopedic surgery patients: A systematic review. Forikes Journal of Voice Health Research, 12(7), 391–397.

Wang, X., Xia, F., & Wang, G. (2023). Mediating effect of anxiety and depression between family function and hope in patients receiving maintenance hemodialysis: A cross-sectional study. BMC Psychology, 11(1), 1–9. https://doi.org/10.1186/s40359-023-01169-4

Widyasari, P. R., Manangkot, M. V., & Juniartha, I. G. N. (2023). The relationship between spirituality levels and anxiety in chronic kidney failure patients undergoing hemodialysis therapy. Coping: Community of Publishing in Nursing, 11(4), 360. https://doi.org/10.24843/coping.2023.v11.i04.p14

Yuwono, T., & Ellina, A. D. (2025). Overcoming anxiety in hemodialysis patients with spiritual-based guided imagery therapy in the hospital. Jurnal Aisyah: Jurnal Ilmu Kesehatan, 4(1), 38–45. https://doi.org/10.55018/jakk.v4i1.70