Abstract
Spirituality plays an important role in coping with chronic diseases. However, the meaning of spirituality is not known in hemophilia, as a chronic disease. This study aimed to explore the essence of spirituality in hemophilia patients. This qualitative study with a hermeneutic phenomenological approach was conducted on twelve Muslim adult hemophilia patients. The participants were selected using purposeful sampling. The data were gathered through interview. Then, the data were analyzed using thematic analysis and van Manen’s methodological framework. MAX.QDA qualitative software package 2010 was used to import the transcripts and analyze the data. Four themes were identified: “relationship with God,” “God as the fulcrum,” “strong religious beliefs,” and “spiritual satisfaction.” “Relationship with God” meant “to ask God for help” and “praying for oneself and others.” “God as the fulcrum” consisted of two subthemes, i.e., “hope in God” and “Trust in God.” “Strong religious beliefs” also included “belief in openness of God’s mercy,” “belief in God and the omnipotence of God,” and “belief in creation by God.” Finally, “spiritual satisfaction” consisted of two subthemes, namely “accepting the providence” and “thanking the divine blessings.” Spirituality in hemophilia patients meant having relationship with God who was considered as the fulcrum, strong religious beliefs, and spiritual satisfaction. By understanding the hemophilia patients’ spirituality experiences, the nurses and healthcare workers could provide holistic care focused on spirituality. Yet, more studies are recommended to be conducted on hemophilia patients to explore spirituality in other religions.
Similar content being viewed by others
References
Alaloul, F., Schreiber, J.A., Al Nusairat, T. S., Andrykowski, M. A. (2015). Spirituality in Arab muslim hematopoietic stem cell transplantation survivors. Cancer NursingTM. Wolters Kluwer Health, Inc.
Bediako, S. M., Lattimer, L., Haywood, C., Jr., Ratanawongsa, N., Lanzkron, S., & Beach, M. C. (2011). Religious coping and hospital admissions among adults with sickle cell disease. Journal of Behavioral Medicine, 34(2), 120–127.
Binnema, M., Schrijvers, L. H., Bos, R., Schuurmans, M. J., & Fischer, K. (2014). Coping in adult patients with severe haemophilia. Haemophilia: The Official Journal of the World Federation of Hemophilia, 20(4), 513–518. (Epub 2014/01/25).
Bussing, A., Franczak, K., & Surzykiewicz, J. (2016). Spiritual and religious attitudes in dealing with illness in polish patients with chronic diseases: Validation of the Polish version of the SpREUK questionnaire. Journal of Religion and Health, 55(1), 67–84. Epub 2014/10/27.
Clayton-Jones, D., & Haglund, K. (2015). The role of spirituality and religiosity in persons living with sickle cell disease: A review of the literature. Journal of Holistic Nursing, 34(4), 351–360.
Clayton-Jones, D., Haglund, K., Belknap, R. A., Schaefer, J., & Thompson, A. A. (2016). Spirituality and religiosity in adolescents living with sickle cell disease. Western Journal of Nursing Research, 38(6), 686–703.
Cotton, S., Grossoehme, D., & McGrady, M. E. (2012). Religious coping and the use of prayer in children with sickle cell disease. Pediatric Blood & Cancer, 58(2), 244–249.
Cotton, S., Grossoehme, D., Rosenthal, S. L., McGrady, M. E., Roberts, Y. H., Hines, J., et al. (2009). Religious/spiritual coping in adolescents with sickle cell disease: A Pilot Study. Journal of Pediatric Hematology/oncology, 31(5), 313–318.
Daaleman, T., & Vandecreek, L. (2000). Placing religion and spirituality at end of life care. Journal of the American Medical Association, 284, 2514–2517.
Dolatkhah, R., Fakhari, A., Pezeshki, M. Z., Shabanlouei, R., Tavassoli, N., & Gholchin, M. (2014). Social determinants and health-related dimensions of quality of life in adult patients with haemophilia. Haemophilia: The Official Journal of the World Federation of Hemophilia, 20(3), 376–381. (Epub 2013/11/21).
Forrester, A. B., Barton-Gooden, A., Pitter, C., & Lindo, J. L. M. (2015). The lived experiences of adolecents with sickle cell disease in Kingston, Jamaica. International Journal of Qualitative Study on Health and Well-being, 10, 28104. 10.3402/qhw.v10.28104.
Gaston-Johansson, F., Haisfiels-Wolfe, M. E., Reddick, B., Goldstein, N., & Lawal, T. A. (2013). The relationships among coping strategies, religious coping, and spirituality in African American women with breast cancer receiving chemotherapy. Oncology Nursing Forum, 40(2), 120–131.
Hochenberry, M. J., & Wilson, D. (2015). Wong’s nursing care of infants and childeren: Mosby. Amsterdam: Elsevier Inc.
Jenkins, R. A., & Pargament, K. I. (1995). Religion and spirituality as resources for coping with cancer. Journal of Psychosocial Oncology, 13, 51–74.
Karekla, M., & Constantinou, M. (2010). Religious coping and cancer: Proposing an acceptance and commitment therapy approach. Cognitive and Behavioral Practice, 17, 371–381.
Lagman, R. A., Yoo, G. J., Levine, E. G., Donnell, K. A., & Lim, H. R. (2014). Leaving it to god: Religion, spirituality and filipina American breast cancer survivors. Journal of Religion and Health, 53(2), 449–460.
Levine, E. G., Aviv, C., Yoo, G., Ewing, C., & Au, A. (2009). The benefits of prayer on mood and well-being of breast cancer survivors. Supportive Care in Cancer, 17(3), 295–306. https://doi.org/10.1007/s00520-008-0482-5. (PubMed: 18633651).
Lewis, C. A., Maltby, J., & Day, L. (2005). Religious orientation, religious coping and happiness among UK adults. Personality and Individual Differences, 38, 1193–1202.
Lucchetti, G. (2014). Spirituality, religiousness and health: Implications for the field of hematology. Rev Bras Hematol Hemoter, 36(3), 171–172.
Pargament, K. I., Kennell, J., Hathaway, W., Grevengoed, N., Newman, J., & Jones, W. (1988). Religion and the problem-solving process: Three styles of coping. Journal for the Scientific Study of Religion, 27, 90–104.
Pendleton, S. M., Cavalli, K. S., Pargament, K. I., & Nasr, S. Z. (2002). Religious/spiritual coping in childhood cystic fibrosis: A qualitative study. Pediatrics, 109, 8.
Ragsdale, J. R., Hegner, M. A., Mueller, M., & Davies, S. (2014). Identifying religious and/or spiritual perspectives of adolescents and young adults receiving blood and Marrow transplants: A prospective qualitative study. Biology of Blood and Marrow Transplantation, 20, 1238–1257.
Rahnama, M., Fallahi Khoshknab, M., Maddah, S. S. B., & Ahmadi, F. (2012). Iranian cancer patients’ perception of spirituality: A qualitative content analysis study. BMC Nursing, 11, 19.
Siegel, K., Anderman, S. J., & Schrimshaw, E. W. (2001). Religion and coping with health related stress. Psychology and Health, 16, 631–653.
Smith, A. R., DeSanto-Madeya, S., Perez, J. E., Tracy, E. F., DeCristofaro, S., Norris, R. L., et al. (2012). How women with advanced cancer pray: A report from two focus groups. Oncology Nursing Forum, 39(3), 310–316.
Targ, E. F., & Levine, E. G. (2002). The efficacy of a mind–body–spirit group for women with breast cancer: A randomized controlled trial. General Hospital Psychiatry, 24, 238–248.
The Noble Quran. (2016). http://quran.com/. Accessed 16 June 2016.
Thune-Boyle, I. C., Stygall, J. A., Keshtgar, M. R., & Newman, S. P. (2006). Do religious/spiritual coping strategies affect illness adjustment in patients with cancer? A systematic review of the literature. Social Science and Medicine, 63(1), 151–164.
van Manen, M. (1990). Researching lived experience: Human science for an action sensitive pedagogy. New York, NY: State University of New York Press.
Van Manen, M. (2014). Phenomenology of practice: Meaning- giving methods in phenomenological research and writing. Walnut Creek, California: Left Coast Press, Inc.
Walton, J., & Sullivan, N. (2004). Men of prayer: Spirituality of men with prostate cancer: A grounded theory study. Journal of Holistic Nursing, 22(2), 133–151.
Acknowledgements
This article was extracted from Masoume Rambod’s PhD dissertation in Nursing (Proposal No. 93-7081), which was approved and financially supported by the Research Vice-chancellor of Shiraz University of Medical Sciences. The authors would like to thank the personnel of the hemophilia clinic in Dastgheib hospital affiliated to Shiraz University of Medical Sciences for their cooperation. They are also grateful for all the participants who kindly contributed their time to this research. The authors would like to thank Shiraz University of Medical Sciences, Shiraz, Iran, and also Center for Development of Clinical Research of Nemazee Hospital and Dr. Nasrin Shokrpour for editorial assistance.
Funding
This study was funded by Research Vice-chancellor of Shiraz University of Medical Sciences (Grant Number: 93-7081).
Author information
Authors and Affiliations
Contributions
The study was designed by MR, FS, ZM, and KK. The interviews were conducted by MR. The data were analyzed by MR and FS. The manuscript was written by MR, FS, ZM, and KK. All the authors critically reviewed the early drafts of the manuscript and agreed with the final version.
Corresponding author
Ethics declarations
Conflict of interest
All of the authors declare that they have not conflict of interest.
Ethical Approval
This study was approved by the Ethics Committee of Shiraz University of Medical Sciences (EC-9371-7081, date: 9 July 2014). Moreover, all procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.
Informed Consent
Informed consent was obtained from all the participants included in the study.
Rights and permissions
About this article
Cite this article
Rambod, M., Sharif, F., Molazem, Z. et al. Spirituality Experiences in Hemophilia Patients: A Phenomenological Study. J Relig Health 58, 992–1002 (2019). https://doi.org/10.1007/s10943-018-0621-3
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10943-018-0621-3