Spiritualité Saine et Résilience

Integrating Spirituality and Self-Transcendence in Chronic Kidney Disease Management: A Structural Equation Modeling Approach.

J Holist Nurs . :8980101261437957

Résumé

PurposeTo test and validate a Spirituality-Based Self-Transcendence (STS) model explaining how personal, external, and behavioral factors influence psychological well-being through spiritual self-transcendence among patients with chronic kidney disease (CKD) in Indonesia.DesignA cross-sectional analytical study.MethodsA total of 140 adults with CKD were recruited using multistage random sampling from 18 primary health centers (PHCs) in Surabaya, Indonesia. Data were collected using culturally validated instruments measuring personal, external, behavioral factors, spiritual self-transcendence, and psychological well-being. Partial least squares-structural equation modeling was used to assess the measurement and structural models.FindingsThe STS model demonstrated acceptable validity, reliability, and strong overall fit (goodness of fit = 0.529). Behavioral and external factors significantly predicted spiritual self-transcendence (β = 0.44 and β = 0.63,  

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