title: Adjustment, spirituality, and health in women on hemodialysis.
abstract: 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 outpatient 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.
authors.affiliation: Department of Family Practice, Allina Medical Clinic, Coon Rapids, Minnesota, USA.
authors.forename: Ruth A
authors.initials: RA
authors.lastname: Tanyi
authors.forename: Joan Stehle
authors.initials: JS
authors.lastname: Werner
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D005260:Female; D006304:Health Status; D006801:Humans; D007676:Kidney Failure, Chronic / Q000523:psychology* / Q000628:therapy*; D008875:Middle Aged; D015146:Midwestern United States; D012068:Religion and Medicine; D006435:Renal Dialysis / Q000523:psychology*; D012647:Self-Assessment; D029181:Spirituality; D016387:Women's Health