Relationship between Spiritual Health and Stress, Depression, and Anxiety in Hemodialysis Patients

Background and Objectives: Chronic diseases confront the patients with questions about the meaning and purpose of life. This study aimed to determine the relationship between spiritual health and stress, depression, and anxiety in hemodialysis patients of Birjand Special Diseases Center in 2019. Methods: In this cross-sectional study, using the census method, all dialysis patients referred to Birjand Special Diseases Center, Iran, were enrolled. A three-part questionnaire was used to collect information in this study. The first part deals with patient demographic information (age, gender, marital status, degree, occupation, duration of dialysis per week, and medical history), the second part includes the DASS21 standard questionnaire and the third part includes the Ellison-Palutzian spiritual health standard questionnaire. Data analysis was performed by the Mann-Whitney, ANOVA and Pearson correlation coefficient. Results: In this study, 119 hemodialysis patients were studied, of which 77 (64.7%) were male. The mean depression, anxiety and stress of the participants in the study were 18.8 ± 7.52, 16.43 ± 7.13 and 19.36 ± 8.31, respectively. The mean spiritual health of the patients studied was 82.37 ± 12.12. The results showed that there was a significant (P