Relationships between death depression, spiritual well-being, and quality of life in hemodialysis patients: structural equivalence modeling

KOÇAK Y., ZİNCİR H., UZDİL N.

Psychology, Health and Medicine, 2026 (SCI-Expanded, SSCI, Scopus) identifier identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Basım Tarihi: 2026
  • Doi Numarası: 10.1080/13548506.2026.2680337
  • Dergi Adı: Psychology, Health and Medicine
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, CINAHL, Educational research abstracts (ERA), EMBASE, MEDLINE, Psycinfo, SportDiscus, Academic Search Ultimate (EBSCO), Social Science Premium Collection (ProQuest), Biomedical Reference Collection: Corporate Edition (EBSCO), Health Research Premium Collection (ProQuest), Psychology & Behavioral Sciences Collection (EBSCO), Sociology Database (ProQuest), Sociology Source Ultimate (EBSCO)
  • Anahtar Kelimeler: Death, death depression, hemodialysis, quality of life, spiritual well-being
  • Erciyes Üniversitesi Adresli: Evet

Özet

This study aimed to evaluate spiritual well-being, death depression, and quality of life levels in hemodialysis patients and the relationship between them. This descriptive and correlational study involved 215 patients undergoing hemodialysis. The Death Depression Scale score was 52.70 ± 19.46, and the Spiritual Well-Being Scale score was 24.99 ± 8.11. There was a weak negative correlation between the patients’ DDS-R scores and their FACIT-Sp and SF-36 scores (p < 0.05). When the fit values of the model established with the DDS-R, FACIT-Sp, and SF-36 variables were examined, CMIN = 153.678, DF = 82, CMIN/DF = 1.874, RMSEA = 0.064, CFI = 0.907, TLI = 0.881, SRMR = 0.071, and GFI = 0.914 were obtained. These values indicate an acceptable model fit according to commonly recommended thresholds.The effect of DDS-R on SF-36 was found to be statistically significant (β = -0.564; p < 0.001). The impact of FACIT-Sp on SF-36 was found to be statistically significant (β = 0.263; p < 0.001). The DDS-R score accounts for 17.9% of the variance in the FACIT-Sp score. The DDS-R score and FACIT-Sp score predict 51.3% of the SF-36 score. The results demonstrate the importance of a holistic nursing approach. Research should be increased on factors affecting spiritual well-being and the concept of death depression in hemodialysis patients.