Death Anxiety as a Mediator Between Religious Attitudes and Spiritual Care Needs in Hemodialysis Patients.

Authors

Sibel Arguvanli Çoban, Işin Cantekin, Rukiye Burucu

Published in

Journal of holistic nursing : official journal of the American Holistic Nurses' Association. Pages 8980101261475490. Aug 13, 2026. Epub Aug 13, 2026.

Abstract

PurposeTo examine the mediating role of death anxiety in the relationship between religious attitudes and spiritual care needs among patients undergoing hemodialysis (HD), with implications for holistic nursing assessment and intervention.DesignA descriptive, correlational, cross-sectional design.MethodsA total of 203 patients receiving HD were recruited. Data were collected using a Descriptive Characteristics Form, the Religious Attitude Scale, the Spiritual Care Needs Scale, and the Death Anxiety Scale (DAS). Mediation was tested using Hayes' PROCESS Macro with bias-corrected bootstrap confidence intervals (5,000 resamples).FindingsReligious attitudes were significantly associated with spiritual care needs, and death anxiety partially mediated this relationship (indirect effect b = -1.754, 95% confidence interval [-2.95, -0.65]). Mean DAS scores exceeded the clinical threshold, indicating prevalent death anxiety across the sample.ConclusionsDeath anxiety functions as a mediating mechanism linking religious attitudes to spiritual care needs in HD patients. Findings support integrating structured death anxiety screening and culturally sensitive religious support into holistic nursing care, operationalizing the holistic caring process.

PMID:
42593352
Bibliographic data and abstract were imported from PubMed on 13 Aug 2026.

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