Abdel-Kader K, Myaskovsky L, Karpov I Individual quality of life in chronic kidney disease: influence of age and dialysis modality. Clin J Am Soc Nephrol.. 2009; 4:(4)711-718

Al Awwa IA, Jallad SG. Prevalence of depression in Jordanian haemodialysis patients. Iranian Journal of Psychiatry and Behavioural Science.. 2018; 12:(2)1-5

Al-Ghabeesh SH, Alshraifeen AA, Saifan AR, Bashayreh IH, Alnuaimi KM, Masalha HA. Spirituality in the lives of patients with end-stage renal disease: a systematic review. J Relig Health.. 2018; 57:(6)2461-2477

National registry of end stage renal disease (ESRD). Annual report 2016. 2016. (accessed 11 November 2020)

Alradaydeh MF, Khalil AA. The association of spiritual well-being and depression among patients receiving hemodialysis. Perspect Psychiatr Care.. 2018; 54:(3)341-347

Al Sayah F, Ishaque S, Lau D, Johnson JA. Health related quality of life measures in Arabic speaking populations: a systematic review on cross-cultural adaptation and measurement properties. Qual Life Res.. 2013; 22:(1)213-229

Alshraifeen A, McCreaddie M, Evans JMM. Quality of life and well-being of people receiving haemodialysis treatment in Scotland: A cross-sectional survey. Int J Nurs Pract.. 2014; 20:(5)518-523

Andreoulakis E, Hyphantis T, Kandylis D, Iacovides A. Depression in diabetes mellitus: a comprehensive review. Hippokratia.. 2012; 16:(3)205-214

Bravin AM, Trettene ADS, Andrade LGM, Popim RC. Benefits of spirituality and/or religiosity in patients with chronic kidney disease: an integrative review. Rev Bras Enferm.. 2019; 72:(2)541-551

Centers for Disease Control and Prevention. CDC in Jordan: Factsheet. 2013. (accessed 11 November 2020)

Dąbrowska-Bender M, Dykowska G, Żuk W, Milewska M, Staniszewska A. The impact on quality of life of dialysis patients with renal insufficiency. Patient Prefer Adherence.. 2018; 12:577-583

Davison SN, Simpson C. Hope and advance care planning in patients with end stage renal disease: qualitative interview study. BMJ.. 2006; 333:(7574)886-889

Farran CJ, Herth KA, Popovich JM. Hope and hopelessness: Critical clinical constructs.Thousand Oaks (CA): Sage; 1995

Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods.. 2007; 39:(2)175-191

Fradelos E, Tzavella F, Koukia E Integrating chronic kidney disease patient's spirituality in their care: health benefits and research perspectives. Mater Sociomed.. 2015; 27:(5)354-358

Ghazavi Z, KhalediSardashti F, Keshani F, Smaeilzadeh M. Effect of hope therapy on the mood status of patients with diabetes. Iran J Nurs Midwifery Res.. 2018; 23:(4)281-286

Hallab A, Wish JB. Employment among patients on dialysis. Clin J Am Soc Nephrol.. 2018; 13:(2)203-204

Herth K. Relationship of hope, coping styles, concurrent losses, and setting to grief resolution in the elderly widow(er). Res Nurs Health.. 1990; 13:(2)109-117

Herth K. Abbreviated instrument to measure hope: development and psychometric evaluation. J Adv Nurs.. 1992; 17:(10)1251-9

Jahromi MK, Poorgholami F, Rahmanian F, Rahmanian E. Effects of self-care education with telephone follow-up on self-efficacy level in hemodialysis patients. Biosciences Biotechnology Research Asia.. 2016; 13:(1)375-381

Khalil AA, Abed MA, Ahmad M, Mansour AH. Under-diagnosed chronic kidney disease in Jordanian adults: prevalence and correlates. J Ren Care.. 2018; 44:(1)12-18

Kara B. Treatment-related stress and coping: an important consideration in patients on hemodialysis. Nursing and Palliative Care. 2018; 3:(2)

Khodabakhshi-Koolaee A, Mosalanejad L, Gholami M, Massah O. Effectiveness of group hope therapy on the psychological indicators in women with addicted husbands. Iranian Rehabilitation Journal.. 2017; 15:(1)15-22

Ma TK-W, Li PK-T. Depression in dialysis patients. Nephrology (Carlton).. 2016; 21:(8)639-46

Melo GAA, Silva RA, Silva MFC, Galvão MTG, Silva VM, Caetano JÁ. Religiosity and hope in patients with chronic renal failure: coping strategies. Int Arch Med.. 2016; 9:(133)1-9

National Kidney Foundation. What is kidney failure?. 2020. (accessed 11 November 2020)

Muscat DM, Kanagaratnam R, Shepherd HL, Sud K, McCaffery K, Webster A. Beyond dialysis decisions: a qualitative exploration of decision-making among culturally and linguistically diverse adults with chronic kidney disease on haemodialysis. BMC Nephrol.. 2018; 19:(1)

Orlandi F, de S, Pepino BG, Pavarini SC, Dos Santos DA, de Mendiondo MS. Avaliação do nível de esperança de vida de idosos renais crônicos em hemodiálise [The evaluation of the level of hope of elderly chronic kidney disease patients undergoing hemodialysis]. Article in Portuguese. Rev Esc Enferm USP.. 2012; 46:(4)900-905

Ottaviani AC, Souza ÉN, Drago N, De Mendiondo MSZ, Pavarini SCI, Orlandi F. Esperança e espiritualidade de pacientes renais crônicos em hemodiálise: estudo correlacional. [Hope and spirituality of chronic kidney patients on hemodialysis: correlational study]. Article in Portuguese. Rev Lat Am Enfermagem.. 2014; 22:(2)248-254

Rahimipour M, Shahgholian N, Yazdani M. Effect of hope therapy on depression, anxiety, and stress among the patients undergoing hemodialysis. Iran J Nurs Midwifery Res.. 2015; 20:(6)694-699

Saffari M, Pakpour AH, Naderi MK, Koenig HG, Baldacchino DR, Piper CN. Spiritual coping, religiosity and quality of life: a study on Muslim patients undergoing haemodialysis. Nephrology (Carlton).. 2013; 18:(4)269-275

Sahaf R, Sadat Ilali E, Peyrovi H, Akbari Kamrani AA, Spahbodi F. Uncertainty, the overbearing lived experience of the elderly people undergoing haemodialysis: a qualitative study. Int J Community Based Nurs Midwifery.. 2017; 5:(1)13-21

Santos PR, Capote Júnior JRFG, Cavalcante Filho JRM, Ferreira TP, dos Santos Filho JNG, da Silva Oliveira S. Religious coping methods predict depression and quality of life among end-stage renal disease patients undergoing hemodialysis: a cross-sectional study. BMC Nephrol.. 2017; 18:(1)

Scanlon C. Creating a vision of hope: the challenge of palliative care. Oncol Nurs Forum.. 1989; 16:(4)491-496

Silva SM, Braido NF, Ottaviani AC, Gesualdo GD, Zazzetta MS, Orlandi FS. Social support of adults and elderly with chronic kidney disease on dialysis. Rev Lat Am Enfermagem.. 2016; 24:(0)

Snyder CR. Hope theory: rainbows in the mind. Psychological Inquiry.. 2002; 13:(4)249-275

Taheri-Kharameh Z. The relationship between spiritual well-being and stress coping strategies in haemodialysis patients. Health. Spirituality and Medical Ethics.. 2016; 3:(4)24-28

Tamadon A, Askari M. Evaluate the effectiveness of hope therapy on improving resilience of patients with blood cancer. Journal of UMP Social Science and Technology Management.. 2015; 3:(3)358-362

World Health Organization. WHOQOL-BREF: introduction, administration, scoring and generic version of the assessment. Field trial version. 1996. (accessed 11 November 2020)

Development of the World Health Organization WHOQOL-BREF quality of life assessment. Psychological Medicine.. 1998; 28:(3)551-558

Yucens B, Ozan Kotan V, Ozkayar N The association between hope, anxiety, depression, coping strategies and perceived social support in patients with chronic kidney disease. Dusunen Adam: The Journal of Psychiatry and Neurological Sciences.. 2019; 32:(1)43-51

Zhou X, Xue F, Wang H The quality of life and associated factors in patients on maintenance hemodialysis – a multicenter study in Shanxi province. Ren Fail.. 2017; 39:(1)707-711

The association between hope and quality of life in haemodialysis patients

26 November 2020
Volume 29 · Issue 21



Hope is important for patients with end-stage renal disease receiving haemodialysis (HD) and hope is associated with quality of life (QoL). Studies examining hope among the HD population are limited and, as far as the authors know, have not been undertaken in Jordan.


To examine levels of hope and QoL and to examine the association between hope and QoL in HD patients in Jordan.


A cross-sectional design was used. A convenience sample of 202 patients from six different dialysis centres was recruited. The World Health Organization QOL-BREF and the Herth Hope Index were used.


Moderate levels of hope (M=32.3±4.1) were reported. Respondents reported low mean scores for the physical domain of QoL (M=48.3±21.1) but not for the psychological and social relationship domains. Higher hope scores were associated with better QoL.


The findings suggest a positive relationship between the level of hope and QoL in people receiving HD. Encouraging hope while caring for HD patients in clinical settings may improve their QoL. Understanding the relationship between hope and QoL may help healthcare providers to improve the quality of care for patients and their families.

End-stage renal disease (ESRD) is characterised by losing 85% or more of the kidneys' functioning (National Kidney Foundation, 2020). It is considered one of the major diseases that affect the quality of life (QoL) of patients (Rahimipour et al, 2015). In Jordan, the total number of patients with ESRD by the end of 2016 was 5352; of them, 5130 patients were receiving haemodialysis (HD) treatment and 380 patients out of the 5130 HD patients died during that same year. In the latest report from Jordan, the number of new cases of ESRD for the year 2016 was 829 patients, which is considered a significant rise when compared with previous years (Al-Quaisi and Assad, 2016). In addition, there is a high rate of under-diagnosed renal disease among Jordanians (Khalil et al, 2018). According to the Centers for Disease Control and Prevention (CDC) (2013), renal disease is among the top 10 causes of death in Jordan (4%), which also include ischaemic heart disease at 18% and diabetes at 7%.

Register now to continue reading

Thank you for visiting British Journal of Nursing and reading some of our peer-reviewed resources for nurses. To read more, please register today. You’ll enjoy the following great benefits:

What's included

  • Limited access to clinical or professional articles

  • Unlimited access to the latest news, blogs and video content