Hierarchical multiple regression investigating factors associated with depressive symptoms in the middle-aged and elderly undergoing haemodialysis

BMC Public Health

Research

Yu-Ling Bai¹  Liu-Yuan Lai²  Hsiu-Chu Hsieh³  Shin-Tsu Chang⁴  Chou-Ping Chiou⁵ 

[1] Department of Nursing, Chung Hwa University of Medical Technology, Tainan, Taiwan;Department of Nursing, Fooyin University Hospital, Pingtung, Taiwan;Department of Nursing, Kaohsiung Armed Forces General Hospital, Kaohsiung, Taiwan;Department of Physical Medicine and Rehabilitation, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan;Department of Physical Medicine and Rehabilitation, School of Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan;School of Nursing, I-Shou University, Kaohsiung, Taiwan;

关键词: Depressive symptom;    Haemodialysis;    Middle-aged and elderly;    Social support;    Rehabilitation;    Health care professional;   

DOI  :  10.1186/s12889-023-15140-w

 received in 2022-07-10, accepted in 2023-01-25,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundDepressive 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.MethodsA 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.ResultsA 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%.ConclusionHealth 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.

【 授权许可】

CC BY   
© The Author(s) 2023