The Effect of Relaxation Technique Combined with Cognitive Behavioural Therapy on Spiritual Well Being among Females Following Kidney Transplantation in Khartoum State 2015

Abstract

Background: Spiritual well-being is one of the fundamental concepts in chronic diseases which create meaning and purpose in life and is an important approach in promoting general health and quality of life. The objective of this study was to assess the effect of relaxation technique compound with cognitive behavioural therapy (CBT) on spiritual well-being among females who had kidney transplantation. Patients and methods: This was an interventional study conducted at Sudanese Kidney Transplant Association Hospital, during (October 2014 – October 2015).Twenty one married women with renal transplantation were included. Spirituality was assessed by functional assessment of chronic illness therapy- spirituality version 12 (FACIT-sp 12) which composed of physical, social, emotional and functional well-being. The score of well-being ranged from 56-100 concerning the all components of (FACIT-sp 12). Married women were selected because there was a question about sexual life. Results: The age of the study population was 18 to 65 years. The effect of the interventional program on the physical well-being showed that p values were found to be in the pretest-posttest (p= 0.01),in posttest-follow-up (p= 0.00) and pretest follow-up (p= 0.00) . However, the effect of the interventional program on social well-being showed p values in the pretest-postest (P= 1.00),in posttest-follow-up (P= 0.10) and pretest-follow-up (P= 0.10) . Moreover, the effect of the interventional program on emotional well-being revealed significance of (p value=0.05) in the pretest-posttest versus posttest-follow-up in which (p value =0.03),and pretest-follow-up (p value= 0.24). On the other hand, the effect of interventional program on functional well-being showed significant improvement (p value =0.04) of pretest-posttest, (p value = 0.00) in posttest-follow-up and even more in pretest-follow up (p value= 0.00). Conclusion: The relaxation technique compound with cognitive behavioral therapy had positive effect on spiritual well-being among females with kidney transplantation. There was statistically significant relation between spirituality and age but, there was insignificant relation between spirituality, income, and level of education.