•  
  •  
 

Abstract

Introduction. Holistic approach in psychosomatic focus on spirituality factor and spiritual support is expected to improve services and psychological condition of the patients. Inflammatory response during hemodialisis procedure hence increased with the evidence of increasing level of serum interleukin-6 (IL-6). Further research is still needed to see the spiritual factors that can decrease the inflammatory factors. Methods. Cross sectional study on 51 chronic hemodialisis patients at RSUP. H. Adam Malik and RSU dr. Pirngadi Medan between July-August 2014. Serum IL-6 was measured using quantitative enzyme-linked immune sorbent assay (ELISA) methods. Blood samples and spiritual aspect assessment by handing out FACIT Sp-12 questionnaire to patients were taken in the morning, 30 minutes before hemodialisis. Results. Subscale meaning 10.67 (SB 2.66), peace 9.63 (SB 2.19) and faith 11.47 (SB 2.91). Median serum IL-6 level is 5,63 (1,48- 28,88) pg/mL. Median FACIT Sp-12 is 30,00 (18-48). Correlation test between serum IL-6 level and spiritual aspect have shown statistically weak negative correlation (correlation coefficient -0,330, p=0.018). Conclusions: spirituality level in chronic hemodialisis patients are higher. Weak negative correlation between serum IL-6 level and spiritual level on chronic hemodialisis patients was found in this study.

References

1. Siswanto A, Sofia NA. Pendekatan spiritual pada gangguan psikosomatik. Dalam: Mudjaddid E, Shatri H, Putranto R, editors. Scientific meeting in psychosomatic medicine 2012. Jakarta: Pusat Penerbitan Ilmu Penyakit Dalam, 2012. hal. 80-91. 2. National Kidney Foundation. K/DOQI clinical practice guidelines for chronic kidney disease: Evaluation, classification and stratification. Am J Kidney Dis. 2002;39 (2 Suppl 1):S1-266. 3. Caglar K, Peng Y, Pupim LB, Flakoll PJ, Levenhagen D, Hakim RM, et al. Inflammatory signal Aassociated with hemodialisis. Kidney Int. 2002;62(4):1408-16. 4. Stenvinkel P. Inflammation in end-stage renal disease: The hidden enemy. Nephrology (Carlton). 2006;11(1): 36-41 5. Ferrer AR, Arenas MD, Cascales RF, Fernandez MD, Blazquez NA, Gil MT, et al. Evaluation of spiritual well-being in haemodialysis patients. Nefrologia. 2012; 32(6):731-42. 6. Koenig HG. Religious versus conventional psychotherapy for major depression in patients with chronic medical illness: Rationale, methods, and preliminary results. Depress Res Treat. 2012;2012:1-11. 7. Amy L, Seymour, Mitchell E. Spiritual struggle related to plasma interleukin-6 prior to cardiac surgery. Psychology of religion and spirituality. 2009;1(2):112-28. 8. Chrousos GP, Flier JS, Underhill LH. The hypothalamic pituitary adrenal axis and immune mediated inflammation. N Engl J Med. 1995;332(20):1351-62. 9. Bragazzi NL, Puente GD. Chronic kidney disease, spirituality and religiosity: a systemic overview with the list of eligible studies. Health Psychol Res. 2013;1(2):e26. 10. Peng YS, Huang JW, Hung KY. Women on hemodialisis have lower self-reported health-related quality of life scores but better survival than men. J Nephrol. 2013;26(02):366-74. 11. Liben P. Neurotransmitter sebagai komunikator antar sel saraf. Dalam: Suhartono Taat Putra, editor. Psikoneuroimunilogi kedokteran, edisi 2. Surabaya: Pusat penerbitan dan percetakan Universitas Airlangga, 2011. hal.75-82. 12. Prodjosudjadi W, Suhardjono A. End-stage renal disease in indonesia: treatment development. Ethn Dis. 2009;19(Suppl 1):S33-6. 13. Agus LS, Effendi I, Abdillah S. Influence of the use of phosphate binders on serum levels of calcium phosphate in patients with chronic kidney disease undergoing hemodialisis: A retrospective and prospective study. Saudi Pharm J. 2014;22(4):333-7. 14. Bryant AN. Gender differences in spiritual development during the college years. Sex Roles. 2007;45-52. 15. Kremer H, Ironson G, Deugd N, Mangra M. The association between compassionate love and spiritual coping with trauma in men and women living with HIV. Religions. 2014;594):1050-61. 16. Lutgendorf SK, Russell D, Ullrich P. Religious participation, interleukin-6, and mortality in older adults. Health Psychol. 2004;23(5):465-75. 17. Kidney Disease: Improving Global Outcomes (KDIGO) CKD Work Group. KDIGO 2012 Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease. Kidney Inter. 2013;3(suppl):1–150. 18. Theofilou P. The relationship between religion/spirituality and mental health in patients on maintenance dialysis. J Women’s Health Care. 2012;12(Suppl 2): S001.

Download

Share

COinS
 
 

To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.