The Mediating Role of Death Anxiety in Hemodialysis Patients

NCT06478446 | Completed DMC

• 1 other identifier: NECMETTİN EU-
• Study Type: observational
• Target: 203
• Locations: 1 country
• Sites: 1

Brief Summary

This study aimed to determine the mediating role of death anxiety in the relationship between religious attitudes and spiritual care needs of hemodialysis (HD) patients in Turkey. The research was designed as a descriptive and cross-sectional study. A total of 203 patients were included in the study. Descriptive Characteristics Form, Religious Attitude Scale (RAS), Spiritual Care Needs Scale (SCNS), and Death Anxiety Scale (DAS) were used for data collection. In this study, it was found that the indirect effect of religious attitudes on spiritual care needs was significant, and death anxiety mediated the relationship between religious attitudes and spiritual care needs (b= -1.754, 95% CI \[-2.95, -0.65\]). It can be concluded that death anxiety in HD patients directs individuals towards religious attitudes, and in this case, the need for spiritual care increases. In other words, death anxiety mediates the relationship between religious attitudes and spiritual care needs. Therefore, nurses should include spiritual care when providing nursing care for HD patients.

Conditions

Hemodialysis Complication; Death Anxiety; Religious Stigmata

Keywords

Death anxiety; Hemodialysis; Religious attitudes; Renal failure; Spiritual Care Needs

Outcome Measures

Primary Outcomes (1)

• The mediating role of death anxiety on the impact of religious attitudes on spiritual care needs

  It was evaluated whether there is a mediating role of death anxiety on the effect of religious attitudes on spiritual care needs

  2.10.2023/30.02.2024

Interventions

observation OTHER

HD patients were observed and evaluated with three scales.

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

The data of Burucu and Cantekin (2022) were used to determine the sample size. In this study, it was reported that death anxiety in dialysis patients varied according to the type of dialysis. In the mentioned study, R2 was 0.062 (Burucu \& Cantekin, 2023). According to the multiple regression results on death anxiety, it was determined that the study should be completed with at least 149 participants to achieve 80% power and an effect size of 0.066. According to Dunson and Bollen, Structural Equation Modeling can be adequately performed with small sample sizes (approximately 100) (Palomo, Dunson, \& Bollen, 2007). However, it is recommended that the sample size should be 200 or more (Şen \& Yılmaz, 2013). Therefore, the calculated number was increased by 35% in line with the literature (Yıldırım Kaptanoğlu, 2013) and the sample size of the study was determined as 201. A total of 203 patients were included in the study.

You may qualify if:

• Being eighteen years of age or older
• Being a resident in Turkey
• To be continuing HD treatment
• Not having communication barriers

You may not qualify if:

• Non-Muslim individuals,
• Those who are in the last stage of the disease,
• Those undergoing cancer treatment
• Those with cognitive impairment

Sponsors & Collaborators

• Necmettin Erbakan University: lead

Study Sites (1)

Necmettin Erbakan University

Konya, Meram, 42090, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Necrophobia; Renal Insufficiency

Interventions

Observation

Condition Hierarchy (Ancestors)

Kidney Diseases; Urologic Diseases; Female Urogenital Diseases; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Male Urogenital Diseases

Intervention Hierarchy (Ancestors)

Methods; Investigative Techniques

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: OTHER
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate prof.

Study Record Dates

• First Submitted: June 22, 2024
• First Posted: June 27, 2024
• Study Start: October 2, 2023
• Primary Completion: February 25, 2024
• Study Completion: March 15, 2024
• Last Updated: July 8, 2024

Record last verified: 2024-07

Locations

TU (1)