Introduction: Hope is an important source of adaptation for survival in chronic patients. It is effective on patient's attitude ، health and quality of life. Hopelessness is an important factor in treatment continuous and mortality of chronic renal failure therefore it is necessary implication of interventions for increase of hope. This study survey the effect of spirituality approach counseling on Hope in patients with chronic renal failure.

  Methods: This clinical trial was performed on 90 hemodialysis patient in 2013 that randomized to two groups. The intervention group got the spirituality approach counseling through 8 sessions and control group got only typical care. Data collected with Herth Hope Questionnaire and analyzed by descriptive and analytical statistic in SPSS version 11.5.

  Results: no significant difference found in hope score between two groups in beginning of study but significant difference found in hope score in end of study (p<0.0001). Significant difference found between Hope scores before and after of spirituality approach counseling in intervention group and before and after in control group.

  Conclusion: counseling with spirituality approach caused hope promotion in patients with chronic renal failure. Therefore it could implicate as a complementary therapy beside other cares by nurses for this patients.