Association between Subjective Wellbeing and Perceived Social Support and Spiritual Well-Being in Hemodialysis Patients

Background and purpose: Hemodialysis patients experience special conditions of illness and treatment and are exposed to various physical, mental, psychological, and social damage that will reduce their sense of subjective well-being. Perceived social support and spiritual health can enhance subjective well-being by adapting to the severe conditions of the disease. The aim of this study was to examine the relationship between subjective well-being and perceived social support and spiritual health in hemodialysis patients. This correlational study was performed in 130 hemodialysis patients in east of Mazandaran province, Iran. Data were collected using a demographic questionnaire, Subjective Well-being Scale (Keyes), Spiritual Well-Being Scale (SWB), and Perceived Social Support Scale. Data were then analyzed by descriptive and inferential statistics, including Pearson correlation and Multivariate linear regression analysis. Pearson correlation coefficient indicated significant direct relationships between perceived social support and subjective well-being (r= 0.507, p<0.001), and also between spiritual health and subjective well-being (r= 0.751, p<0.001) in hemodialysis patients. Subjective well-being was also significantly associated with gender, economic status, job, and physical ability (p<0.05). Considering the moderating effects of interventional variables, the predictive value of subjective well-being was calculated based on perceived social support and spiritual well-being. Spiritual well-being and perceived social support can predict subjective well-being, therefore, they should be considered in training programs for patients.