Key result
Lower social support, comorbidities, and less exercise linked to greater depressive symptoms during hemodialysis.
Why the study?
Depression is common in haemodialysis patients and can reduce treatment compliance and increase hospitalizations, prompting investigation into social support and predictors of depressive symptoms.
Cross-Sectional (n=179)
Yes
Effect estimate: beta = -0.36 (for social support)
p-value: p=<0.001
In middle-aged and elderly patients undergoing haemodialysis, marital status, comorbidities, exercise, and social support are significant predictors of depressive symptoms.
BACKGROUND: Depressive moods are commonly seen in patients who receive haemodialysis. This can cause a lack of compliance in their treatment procedures and increase the rate of hospitalization. This study aimed to investigate the relationship between social support and degree of depression in middle-aged and elderly patients undergoing haemodialysis and the predictors of depressive symptoms. METHODS: A cross-sectional correlational study was designed with a structured questionnaire survey. Patients over 40 years of age were included from five haemodialysis centres. Measures embraced a demographic and clinical characteristics questionnaire, the Centre for Epidemiologic Studies Depression Scale, and the Personal Resource Questionnaire 2000. Statistical analysis was performed using hierarchical multiple regression analysis. RESULTS: A total of 179 patients over 40 years of age were included from five haemodialysis centres in the analysis. The mean CES-D score was 19.0(12.3); the majority of participants (60.3%) had a CES-D score ≥ 15, indicating likely depressive status. The mean PRQ2000 score was 75.7(15.9). The proportional mean of the PRQ2000 was 72.11%, indicating moderate social support for participants in this study. Data disclosed that marital status, number of comorbidities, exercise behaviour, and social support could significantly predict depressive symptoms; total explanatory variance was 31.3%. CONCLUSION: Health care professionals should identify those at high risk of depressive symptoms when they provide care to the middle-aged and elderly patients undergoing haemodialysis. These findings may lead to greater insights into the nursing and rehabilitative care of patients treated by chronic maintenance haemodialysis.
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Chiou et al. (2023) conducted a cross-sectional in End-stage renal disease undergoing haemodialysis (n=179). Social support, marital status, comorbidities, and exercise behavior was evaluated on Predictors of depressive symptoms (CES-D score) (beta = -0.36 (for social support), p=<0.001). Lower social support, lack of a spouse, more comorbidities, and less exercise significantly predicted greater depressive symptoms in middle-aged and elderly patients undergoing haemodialysis.
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