Open Access Maced J Med Sci. 2022 Jan 07; 9(T5):85-89. 85 Scientifc Foundation SPIROSKI, Skopje, Republic of Macedonia Open Access Macedonian Journal of Medical Sciences. 2022 Jan 07; 9(T5):85-89. https://doi.org/10.3889/oamjms.2022.7835 eISSN: 1857-9655 Category: T5 - “Readvancing Nursing Practice, Education, and Research in the Post-COVID” Section: Nephrology Relationship of Spiritual Caring with Quality of Live for Hemodialysis Patients: A Literature Review Tri Hartiti* , Luthfna Dewi Silfyani, Sri Rejeki , Vivi Yosafanti Pohan , Arief Yanto Department of Nursing, Faculty of Nursing and Health Sciences, Universitas Muhammadiyah Semarang, Semarang, Indonesia Abstract BACKGROUND: The frequency of hemodialysis therapy routinely afected change in the functional state of the body. Support is one of the factors that can afect life quality. One of the supports can come from nurses through a spiritual caring attitude. AIM: The purpose of this study is to determine the relationship between spiritual caring and the life quality of patients who were undergoing hemodialysis. METHOD: A literature review was obtained from PubMed and Google Scholar databases (2015–2020) with the keywords Spiritual Care AND Life quality AND Patients with Hemodialysis. RESULTS: Based on nine journals that have been reviewed, spiritual caring behavior that was applied in the form of intervention or spiritual therapy had been proven to have a positive impact on the life quality of patients undergoing hemodialysis. Spiritual interventions in the form of spiritual counseling, deep breathing relaxation exercises based on spiritual elements, and therapy combined with elements of prayer and dhikr were able to give the spirit of the patient in dealing with the illness. Overall, spiritual intervention afected the life quality with p = 0.000–0.032 (α = 0.05), increasing the life quality in physical, psychological, and social and environmental relations. CONCLUSION: The results show a relationship of spiritual caring with the life quality of patients undergoing hemodialysis. Edited by: Ksenija Bogoeva-Kostovska Citation: Hartiti T, Silfyani LD, Rejeki S, Pohan VY, Yanto A. Relationship of Spiritual Caring with Quality of Live for Hemodialysis Patients: A Literature Review. Open-Access Maced J Med Sci. 2022 Jan 07; 9(T5):85-89. https://doi.org/10.3889/oamjms.2022.7835 Keywords: Spiritual caring; Life quality; Hemodialysis patients *Correspondence: Tri Hartiti, Department of Nursing, Faculty of Nursing and Health Sciences, Universitas Muhammadiyah Semarang, Indonesia. E-mail: tri.hartiti@unimus.ac.id Received: 06-Nov-2021 Revised: 15-Dec-2021 Accepted: 27-Dec-2021 Copyright: © 2022 Tri Hartiti, Luthfna Dewi Silfyani, Sri Rejeki, Vivi Yosafanti Pohan, Arief Yanto Funding: This research did not receive any fnancial support Competing Interests: The authors have declared that no competing interest exists Open Access: This is an open-access article distributed under the terms of the Creative Commons Attribution- NonCommercial 4.0 International License (CC BY-NC 4.0) Introduction Palliative care is one approach to improve the life quality of patients and families experiencing terminal disease-related problems. One of them is in patients with chronic renal failure (CRF) [1]. The incidence rate of CRF in Indonesia based on the Basic Health Research results in 2018 increased as much as 713,783 cases from 499,800 cases in 2013. Central Java Province is one of the regions that had an incidence rate of CRF of 96,794 cases in 2018 [2]. CRF can increase the risk of morbidity and mortality and symptom burden. Global Burden of Disease study in 2015 estimated that 1.2 million deaths from cardiovascular disease are directly associated with decreased renal fltration [3]. Hemodialysis is the treatment of choice for CRF patient handling. The number of using hemodialysis therapy in Indonesia based on the results of RISKESDAS in 2018 was 2850 patients, while in Central Java Province, there were 422 patients [2]. HD action performed during ± 4 h with a frequency of visits twice a week can afect the functional state and life quality of CRF patients [4]. Research on CRF patients in the hemodialysis room at Ambarawa Regional Hospital showed that 25 respondents (61%) had poor life quality and 16 respondents (39%) had good life quality [5]. CRF patients will experience changes in the economy, family, freedom, work, and social life [6]. In addition, studies on CRF patients in Semarang Regional Public Hospital mostly experienced mild depression as much 41 people (48.2%) with symptomatic signs including loss of interest and feeling of joy, reduced concentration and attention, self-esteem, and reduced self-confdence [7]. CRF will increase the emotional pressure and spiritual pressure of the patient. Therefore, the focus of service is not only on the disease but also on all aspects, both physical-psycho-social and even in the spiritual dimension [8]. Spiritual and religious dimensions are the aspects that are most chosen, felt, and needed by patients with a terminal illness [9]. Spiritual approaches can be used as a therapy to reduce depression in CKD patients [10]. The results of another study explain that spirituality strengthening training is efective in reducing the level of anxiety and depression in patients receiving hemodialysis treatment [11]. The importance of spirituality aspects for CRF patients is one way to increase meaning and life expectancy, improve life quality, increase self-confdence, and reduce patient anxiety [12]. Besides that, social support is the primary support