HUBUNGAN SPIRITUAL WELL-BEING DAN PSYCHOLOGICAL WELL-BEING DENGAN RESILIENSI PASIEN HEMODIALISIS

Authors

  • Umi Setianingsih Universitas Islam Sultan Agung
  • Dwi Retno Sulistyaningsih Universitas Islam Sultan Agung
  • Indah Sri Wahyuningsih Universitas Islam Sultan Agung

DOI:

https://doi.org/10.62354/jurnalmedicare.v5i2.386

Abstract

Patients with chronic kidney disease undergoing long-term hemodialysis are exposed to sustained physical, psychological, and spiritual stressors that may adversely affect their adaptive capacity or resilience, thereby necessitating a comprehensive care approach that extends beyond clinical management to encompass holistic well-being. This cross-sectional correlational study examined the association between spiritual well-being, psychological well-being, and resilience among 99 hemodialysis patients at RSI Sultan Agung Semarang selected through purposive sampling. Data were collected using the FACIT-Sp-12, Psychological Well-Being Scale, and Connor–Davidson Resilience Scale and analyzed using the Gamma test. Most participants demonstrated moderate spiritual well-being (60.6%), high psychological well-being (88.9%), and good resilience (75.8%). Significant positive associations were found between spiritual well-being and resilience (r = 0.919; p = 0.001) and between psychological well-being and resilience (r = 0.903; p = 0.001). These results suggest that spiritual and psychological well-being are key factors associated with resilience in patients undergoing hemodialysis, underscoring the importance of integrating spiritual and psychological interventions into nursing care to strengthen patients’ ability to cope with long-term treatment.

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Keywords:

hemodialysis, psychological well-being, resilience, spiritual well being

References

Andhika, R., Afiatin, Supriyadi, R., Bandiara, R., Sukesi, L., Sudarmadi, A. P., Wahyudi, K., & Sofiatin, Y. (2025). One-year Survival of End-Stage Kidney Disease Patients Undergoing Hemodialysis in Indonesia. International Journal of Nephrology and Renovascular Disease, 18, 87–101. https://doi.org/10.2147/IJNRD.S508012

Avanji, F. S. I., Alavi, N. M., Akbari, H., & Saroladan, S. (2021). Self-Care and Its Predictive Factors in Hemodialysis Patients. Journal of Caring Sciences, 10(3), 153–159. https://doi.org/10.34172/jcs.2021.022

Bredle, J. M., Salsman, J. M., Debb, S. M., Arnold, B. J., & Cella, D. (2011). Spiritual Well-Being as a Component of Health-Related Quality of Life: The Functional Assessment of Chronic Illness Therapy—Spiritual Well-Being Scale (FACIT-Sp). 2(1)(Religions), 77-94. https://doi.org/10.3390/rel2010077

Duran, S., Avci, D., & Esim, F. (2020). Association Between Spiritual Well-Being and Resilience Among Turkish Hemodialysis Patients. Journal of Religion and Health, 59(6), 3097–3109. https://doi.org/10.1007/s10943-020-01000-z

Durmus, M., & Ekinci, M. (2022). The Effect of Spiritual Care on Anxiety and Depression Level in Patients Receiving Hemodialysis Treatment: a Randomized Controlled Trial. Journal of Religion and Health, 61. https://doi.org/10.1007/s10943-021-01386-4

Ebrahimi, A., Yadollahpour, M. H., Akbarzadeh Pasha, A., Seyedi-Andi, S. J., & Khafri, S. (2021). The relationship between spiritual health and resilience in hemodialysis patients. Journal of Babol University of Medical Sciences, 23(1), 135–141.

García-Martínez, P., Ballester-Arnal, R., Gandhi-Morar, K., Castro-Calvo, J., Gea-Caballero, V., Juárez-Vela, R., Saus-Ortega, C., Montejano-Lozoya, R., Sosa-Palanca, E. M., Gómez-Romero, M. D. R., & Collado-Boira, E. (2021). Perceived stress in relation to quality of life and resilience in patients with advanced chronic kidney disease undergoing hemodialysis. International Journal of Environmental Research and Public Health, 18(2), 1–10. https://doi.org/10.3390/ijerph18020536

Halloran, E. C. (2024). Adult Development and Associated Health Risks. Journal of Patient-Centered Research and Reviews, 11(1), 63–67. https://doi.org/10.17294/2330-0698.2050

Hasanah, W. I., & Sari, I. W. W. (2023). Hubungan antara Kesejahteraan Spiritual dengan Kualitas Hidup Pasien Penyakit Ginjal Kronik yang Menjalani Hemodialisis di Yogyakarta. Jurnal Formil (Forum Ilmiah) Kesmas Respati, 8(2), 117. https://doi.org/10.35842/formil.v8i2.487

Indonesian Renal Registry (IRR). (2025). 10th Report of Indonesian Renal Registry. Perhimpunan Nefrologi Indonesia (PERNEFRI)., 10. https://indonesianrenalregistry.org/

Kim, H., Jeong, I. S., & Cho, M. K. (2022). Effect of Treatment Adherence Improvement Program in Hemodialysis Patients: A Systematic Review and Meta-Analysis. International Journal of Environmental Research and Public Health, 19(18). https://doi.org/10.3390/ijerph191811657

Koenig, H. G. (2020). Religion, spirituality, and health: a review and update. Advances in Mind-Body Medicine, 29(3), 19–26.

Lucchetti, G., Koenig, H. G., & Lucchetti, A. L. G. (2021). Spirituality, religiousness, and mental health: A review of the current scientific evidence. World Journal of Clinical Cases, 9(26), 7620–7631. https://doi.org/10.12998/wjcc.v9.i26.7620

Madina, S. (2025). Hubungan Dukungan Sosial dengan Resiliensi pada Pasien Penyakit Kronis. Literacy Notes, 1(1), 1–10.

Maulana, A. (2025). GAMBARAN SPIRITUAL WELL BEING DAN PSYCHOLOGICAL WELL BEING PASIEN HEMODIALISIS.

Melsom, T., Norvik, J. V., Enoksen, I. T., Stefansson, V., Mathisen, U. D., Fuskevåg, O. M., Jenssen, T. G., Solbu, M. D., & Eriksen, B. O. (2022). Sex Differences in Age-Related Loss of Kidney Function. Journal of the American Society of Nephrology : JASN, 33(10), 1891–1902. https://doi.org/10.1681/ASN.2022030323

Niswah, A. Z., Sulistyaningsih, D. R., Setyawati, R., Fakultas, M., Keperawatan, I., Islam, U., Agung, S., Fakultas, D., Keperawatan, I., Islam, U., & Agung, S. (2025). Hubungan self management behavior dan self efficacy dengan resiliensi pasien hemodialisa. 20(1), 15–25.

Notoatmodjo. (2022). Metode Penelitian Kesehatan (5th ed.). In. Rineka Cipta.

Pane, J., & Saragih, I. S. (2020). the Relationship of Resilience and Quality of Life Patient With Chronic Kidney Disease Who Undergoing Haemodialysis in Rasyda Kidney Hospital Medan. Journal of Nursing Science Update (JNSU), 8(1), 10–14. https://doi.org/10.21776/ub.jik.2020.008.01.2

Ryff, C. D., & Keyes, C. L. M. (1995). The Structure of Psychological Well-Being Revisited. Journal of Personality and Social Psychology, 69(4), 719–727. https://doi.org/10.1037/0022-3514.69.4.719

Sitanggang, T. W., Anggraini, D., & Utami, W. M. (2021). Hubungan Antara Kepatuhan Pasien Menjalani Terapi Hemodialisa Dengan Kualitas Hidup Pasien Gagal Ginjal Kronis Di Ruang Hemodialisa Rs. Medika Bsd Tahun 2020. Jurnal Medikes (Media Informasi Kesehatan), 8(1), 129–136. https://doi.org/10.36743/medikes.v8i1.259

Spinale, J., Cohen, S. D., Khetpal, P., Peterson, R. A., Clougherty, B., Puchalski, C. M., Patel, S. S., & Kimmel, P. L. (2020). Spirituality, social support, and survival in hemodialysis patients. Clinical Journal of the American Society of Nephrology : CJASN, 3(6), 1620–1627. https://doi.org/10.2215/CJN.01790408

Suhardjono. (2020). Buku Ajar Ilmu Penyakit Dalam ((Ed.); Vi)).

USRDS. (2022). USRDS Annual Data Report: Epidemiology of Kidney Disease in the United States. National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases.

Wiliyanarti, P. F., & Muhith, A. (2020). Life Experience of Chronic Kidney Diseases Undergoing Hemodialysis Therapy. NurseLine Journal, 4(1), 54. https://doi.org/10.19184/nlj.v4i1.9701

Zhang, Y., Xue, G., Chen, Y., An, K. R., & Chen, L. (2020). Factors related to spiritual health in Chinese haemodialysis patients: A multicentre cross-sectional study. Nursing Open, 7(5), 1536–1543. https://doi.org/10.1002/nop2.535

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Published

2026-04-30

How to Cite

Umi Setianingsih, Dwi Retno Sulistyaningsih, & Indah Sri Wahyuningsih. (2026). HUBUNGAN SPIRITUAL WELL-BEING DAN PSYCHOLOGICAL WELL-BEING DENGAN RESILIENSI PASIEN HEMODIALISIS. Jurnal Medicare, 5(2), 1083–1091. https://doi.org/10.62354/jurnalmedicare.v5i2.386

Issue

Vol. 5 No. 2 (2026): APRIL 2026

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