02518nas a2200265   4500000000100000008004100001260001000042653001900052653000900071653001200080653001900092653001700111653002000128100001600148700001200164700001500176700001600191700002000207245014200227856005200369300001200421490000700433520179800440022001402238       2023                            d  bLepra10aGeneral Energy10aHope10aleprosy10aSocial Support10aSpirituality10aQuality of Life1 aNugraheni R1 aMurti B1 aIrwanto ME1 aSulaeman ES1 aPamungkasari EP00aEffect of hope, spirituality and social support on quality of life among people affected by leprosy in Indonesia: A cross-sectional study  uhttps://leprosyreview.org/article/94/4/20-23025  a332-3400 v943 a<p><strong>Introduction and objectives:&nbsp;</strong>Quality of Life (QoL) significantly correlates with hope, spirituality and social support. However, we notice a lack of studies which examine this relationship in people affected by leprosy. This study examines the effect of hope, spirituality and social support on the QoL of people affected in Indonesia.</p>

<p><strong>Methods:&nbsp;</strong>A cross-sectional survey was carried out at 14 healthcare centers in Sampang District, resulting in 345 participants in this study. The Herth Hope Index, Daily Spiritual Experience Scale, Multidimensional Scale of Perceived Social Support, and World Health Organization Quality of Life Brief Version were used to measure hope, spirituality, social support and quality of life, respectively. Data were analysed using a multiple linear regression model that estimated the factors of QoL.</p>

<p><strong>Results:&nbsp;</strong>Amongst people affected by leprosy, a higher score of hope correlated significantly with a higher QoL score (𝛽 =&nbsp;0.51; CI = 0.16 to 0.85). Similarly, spirituality (𝛽 =&nbsp;0.65; CI = 0.54 to 0.77) and social support (𝛽 =&nbsp;0.61; CI = 0.49 to 0.74), were both associated with better QoL scores, after controlling for confounding factors including age, gender, education, marital status, monthly income, and operational classification of leprosy. Statistically, a significant correlation was recorded between hope, spirituality and social support, and quality of life.</p>

<p><strong>Conclusion:&nbsp;</strong>Hope, social support, and spirituality were positively related to QoL among people affected by leprosy in Indonesia. Efforts to encourage hope, spirituality and social support, might enhance the quality of life of those affected.</p>
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