Comparison of the Effectiveness of Integrated Spiritual Self-Care Training and Mindfulness-Based Cognitive Therapy on Quality of Life and Health Self-Efficacy in Patients Undergoing Hemodialysis

Abstract

Purpose: This study aimed to compare the effectiveness of integrated spiritual self-care training and mindfulness-based cognitive therapy on quality of life and health self-efficacy in patients undergoing hemodialysis.

Methodology: The present study was a quasi-experimental design conducted in three phases: pre-test, post-test, and follow-up, with a control group. The statistical population consisted of patients with kidney disease undergoing hemodialysis in Isfahan in the fall of 2024, from whom 60 patients were purposefully selected and assigned to three groups (each group comprising 20 participants). The Quality of Life Scale (Hays et al., 1994) and the Health Self-Efficacy Scale (Becker et al., 1993) were used to measure the dependent variable at three time points. The two treatment groups each underwent ten sessions of 75 to 90 minutes, while the control group received no treatment. Data were analyzed using repeated measures analysis of variance and Bonferroni post hoc test via SPSS version 26.

Findings: The results indicated a significant difference in quality of life and health self-efficacy between the integrated spiritual self-care training and mindfulness-based cognitive therapy groups compared to the control group (p < .01). However, no significant difference was found between the two treatment groups (p > .05).

Conclusion: Given the effectiveness of both integrated spiritual self-care training and mindfulness-based cognitive therapy in enhancing quality of life and health self-efficacy, it is recommended that these treatments be utilized for patients with kidney disease undergoing hemodialysis in healthcare centers.