Therapeutic Spiritual-Community Model (TSCM) for Anxiety Reduction in Haemodialysis Patients: A Controlled Pilot Study

Sawiji Sawiji; 2*; Faridah Mohd Said; Musheer Abdulwahid Aljaberi; Akhmad Huda

doi:10.25163/angiotherapy.889840

Angiogenesis, Inflammation & Therapeutics | Online ISSN 2207-872X

RESEARCH ARTICLE (Open Access)

Previous Next Contents Vol 8 (8)

Therapeutic Spiritual-Community Model (TSCM) for Anxiety Reduction in Haemodialysis Patients: A Controlled Pilot Study

Sawiji Sawiji ^{1, 2}*, Faridah Mohd Said ¹, Musheer Abdulwahid Aljaberi ³, Akhmad Huda ⁴

+ Author Affiliations

Journal of Angiotherapy 8 (8) 1-7 https://doi.org/10.25163/angiotherapy.889840

Submitted: 11 June 2024 Revised: 30 July 2024 Published: 04 August 2024

Abstract

Background: Patients undergoing haemodialysis frequently experience elevated anxiety, adversely affecting their well-being. This pilot study evaluates the Therapeutic Spiritual-Community Model (TSCM), which integrates spiritual care within community settings, for its effectiveness in reducing anxiety in chronic kidney disease patients undergoing haemodialysis. Methods: This randomized controlled trial was conducted at PKU Muhammadiyah Gombong Hospital, Indonesia, from January to March 2024, involving 60 haemodialysis patients. Participants were randomly assigned to either the TSCM intervention group (n=30) or a control group (n=30) receiving standard care. The TSCM, based on spiritual mindfulness, community engagement, and holistic well-being, was delivered through community-led sessions. Content validity and reliability were assessed by a panel of six experts, including nephrologists, mental health and community nursing specialists, and psychologists. The model achieved a Content Validity Index (CVI) of 0.91, indicating excellent content validity, and a Cronbach's alpha of 0.89, demonstrating strong internal consistency. Results: The intervention group showed a significant reduction in anxiety levels compared to the control group (p < 0.05), with an 18% decrease in mean anxiety scores versus a 3% reduction in the control group. Conclusion: The TSCM appears to be an effective intervention for reducing anxiety in haemodialysis patients, supported by its high content validity and strong reliability. Further research with larger samples is needed to confirm these results and explore the long-term impact of TSCM on psychological well-being.

Keywords: Therapeutic Spiritual-Community Model, haemodialysis, anxiety reduction, content validity, community intervention.

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