RNCohortNursing open2026

Spirituality and Happiness in Haemodialysis Patients: The Mediating Roles of Life Attitude and Posttraumatic Growth.

Hsiang-Chun Lee, Yi-Chien Chiang, Kun-Hung Tsai and 3 others

PMID 41804610

WHAT IT FOUND

Haemodialysis patients reported low happiness and posttraumatic growth.

Higher spirituality was linked to more happiness, partly through life attitude and posttraumatic growth. This is an association, not proof spiritual care causes happiness.

Key findings

01Spirituality was positively associated with happiness, life attitude and posttraumatic growth, with r values of 0.571, 0.643 and 0.473.

02Spirituality had a significant direct effect on happiness (B = 0.060) and significant indirect effects through life attitude (B = 0.082) and posttraumatic growth (B = 0.054).

03Participants reported relatively low mean happiness (11.42) and posttraumatic growth (57.26) scores.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

Read the rest of this summary

You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.

Already have one?

What it does not show

The study measured variables at one time point, so it cannot show that spirituality caused higher happiness. Convenience sampling from clinics in Taiwan may not represent haemodialysis patients elsewhere. Patients taking antidepressants were excluded, so the findings may not apply to patients with treated depression or severe distress. Depression and social support were not measured, so they may have influenced the associations. All key variables were self-reported, which can be affected by memory or social desirability.

Declared interests

The authors declared no conflicts of interest. The study was funded by Chang Gung Memorial Hospital and the National Science and Technology Council.

The easy way to misread this

Do not read this as evidence that spiritual care makes haemodialysis patients happier. The study only measured self-reported spirituality and happiness at one time point, so it cannot show that any intervention caused the higher happiness scores.

Read it on PubMed →