Relationship between spiritual health and hope by dietary adherence in haemodialysis patients in 2018.
Motahareh Musavi Ghahfarokhi, Sara Mohammadian, Bahar Mohammadi Nezhad and 1 others
PMID 32089846WHAT IT FOUND
In haemodialysis patients, hope and spiritual well-being were related to diet and fluid adherence markers.
The study cannot show cause, and the reported direction is inconsistent.
Key findings
01Hope was reported to be significantly related to interdialytic weight gain (r = -.289, p = .002), absences from haemodialysis sessions (r = -.443, p = .001), serum potassium (r = -.293, p = .012) and serum phosphorus (r = -.328, p = .001).
02Spiritual well-being was reported to be significantly related to interdialytic weight gain (r = -.328, p = .001), serum potassium (r = -.365, p = .001) and serum phosphorus (r = -.430, p = .001).
03By objective criteria, 69.1% adhered to fluid limits, 89.1% adhered to potassium limits and 65.5% adhered to phosphorus limits.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The paper reports 120 patients selected but 110 participants in the results. The study was done in one haemodialysis centre. It is cross-sectional, so it cannot show that hope or spiritual well-being caused better adherence. Adherence was judged only by laboratory values and weight gain, not by reported diet or fluid intake. The results text and Table 3 report different signs for correlations between hope or spiritual well-being and objective adherence measures. Some confounders may not have been controlled.
Declared interests
The authors declared no conflict of interest.
The easy way to misread this
Do not conclude that spiritual care or hope-building interventions improve dietary adherence. The study measured variables at one time, cannot show cause, and the results text and Table 3 give different directions for some correlations.