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Integrating Spirituality and Self-Transcendence in Chronic Kidney Disease Management: A Structural Equation Modeling
Siti Nurkholifah1, Yurika Fauzia Wardhani1, Minarti Minarti1
1Poltekkes Kemenkes Surabaya, Indonesia.
Summary
This study validates a Spirituality-Based Self-Transcendence (STS) model for chronic kidney disease (CKD) patients. The model shows spiritual self-transcendence significantly enhances psychological well-being in CKD.
Area of Science:
- Psychology
- Nursing
- Health Sciences
Background:
- Chronic kidney disease (CKD) significantly impacts patients' psychological well-being.
- Understanding the factors influencing psychological well-being in CKD patients is crucial for effective care.
- Spiritual self-transcendence offers a potential pathway to improved mental health in chronic illness.
Purpose of the Study:
- To test and validate a Spirituality-Based Self-Transcendence (STS) model in Indonesian CKD patients.
- To examine how personal, external, and behavioral factors influence psychological well-being via spiritual self-transcendence.
- To provide a culturally relevant framework for nursing interventions.
Main Methods:
- A cross-sectional analytical study involving 140 adult CKD patients from 18 primary health centers in Surabaya, Indonesia.
- Data collected using validated instruments for personal, external, behavioral factors, spiritual self-transcendence, and psychological well-being.
- Partial least squares-structural equation modeling (PLS-SEM) used to assess the STS model's validity and structural relationships.
Main Results:
- The STS model demonstrated acceptable validity, reliability, and a strong overall fit.
- Behavioral (β=0.44) and external factors (β=0.63) significantly predicted spiritual self-transcendence (p<0.001).
- Spiritual self-transcendence strongly predicted psychological well-being (β=0.83, p<0.001) and mediated the relationship between predictors and well-being, explaining 68.6% of the variance.
Conclusions:
- The study validates the STS model, confirming spirituality as a central pathway to psychological well-being in CKD patients.
- The findings extend Reed's Self-Transcendence Theory within a specific cultural context.
- The validated STS model can guide the development of spirituality-integrated nursing interventions to enhance resilience and holistic care for individuals with chronic illness.
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