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Clinical Nursing Research
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*Dialysis
*Kidney Failure
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Adjustment, Spirituality, and Health in Women on Hemodialysis

Ruth A. Tanyi

Allina Medical Clinic

Joan Stehle Werner

University of Wisconsin-Eau Claire

End stage renal disease (ESRD) is progressive, requiring adjustment. This descriptive correlational study examined levels of and relationships between adjustment, spiritual well-being, and self-perceived health in women with ESRD. The sample included 65 women aged 24 to 82 receiving hemodialysis at five out-patient centers in a large metropolitan area. Frequencies, central tendencies, and correlations were used for analyses. Overall, these women were fairly well adjusted as measured by the Psychosocial Adjustment to Illness Scale-Self-Report. They demonstrated fairly high levels of religious, existential, and overall spiritual well-being. Self-perceived health was good. Spiritual well-being variables were all positively and significantly related to overall psychosocial adjustment and psychological distress adjustment. Self-perceived health variables were all positively and significantly related to overall psychosocial adjustment. Few significant relationships were found between spiritual well-being and other adjustment domains and between self-perceived health and other types of adjustment.

Key Words: psychosocial adjustment • spiritual well-being • self-perceived health • end stage renal disease • dialysis • adaptation

Clinical Nursing Research, Vol. 12, No. 3, 229-245 (2003)
DOI: 10.1177/1054773803253163
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