Lecturer in Faculty of Nursing and Midwifery, Hanoi Medical University, Hanoi, Vietnam.
School of Nursing, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan.
PLoS One. 2022 Jun 16;17(6):e0270100. doi: 10.1371/journal.pone.0270100. eCollection 2022.
Hemodialysis impacts the quality of life of patients with end-stage renal disease. Particularly, depression is the most common psychological condition among patients. Self-care self-efficacy might play an important role in quality of life of patients with hemodialysis.
This study was designed to explore the relationships among self-care self-efficacy, depression, and quality of life. The second aim was to explore the extent to which self-care self-efficacy and depression explain the variance in quality of life of patients on hemodialysis.
This cross-sectional study included 127 patients receiving hemodialysis and used the Short Form 36 Health Survey, the Strategies Used by People to Promote Health, and the Patient Health Questionnaire 9 to evaluate quality of life, self-care self-efficacy, and depression. Data was analyzed using independent t-test, analysis of variance, Pearson's correlation and hierarchical multiple regression.
The findings indicated that self-care self-efficacy was significantly positively correlated (PCS r = .533, p < 0.001, MCS r = .47, p < .001) and depression was significantly negatively correlated (PCS r = -.446, p < .001, MCS r = -.605, p < .001) with the two quality of life components. Self-care self-efficacy and depression were significant predictors of the physical (R2inc = 0.09, β = -0.38, p<0.001, R2inc = 0.12, β = -0.22, p<0.001) and mental (R2inc = 0.04%, β = -0.25, p<0.001, R2inc = 0.33, β = -0.51, p<0.001) quality of life of hemodialysis patients.
Health professionals may target improving self-care self-efficacy and reducing depressive symptoms to enhance patient quality of life.
血液透析会影响终末期肾病患者的生活质量。特别是，抑郁是患者中最常见的心理状况。自我护理自我效能感可能在血液透析患者的生活质量中发挥重要作用。
本研究旨在探讨自我护理自我效能感、抑郁与生活质量之间的关系。第二个目的是探讨自我护理自我效能感和抑郁在多大程度上解释了血液透析患者生活质量的差异。
本横断面研究纳入了 127 名接受血液透析的患者，使用简明健康状况调查问卷 36 项版、健康促进策略量表和患者健康问卷 9 来评估生活质量、自我护理自我效能感和抑郁。采用独立 t 检验、方差分析、皮尔逊相关和分层多元回归进行数据分析。
研究结果表明，自我护理自我效能感与生活质量两个维度呈显著正相关（PCS r =.533，p<0.001，MCS r =.47，p<0.001），抑郁与生活质量两个维度呈显著负相关（PCS r = -.446，p<0.001，MCS r = -.605，p<0.001）。自我护理自我效能感和抑郁是身体（R2inc = 0.09，β = -0.38，p<0.001，R2inc = 0.12，β = -0.22，p<0.001）和精神（R2inc = 0.04%，β = -0.25，p<0.001，R2inc = 0.33，β = -0.51，p<0.001）生活质量的显著预测因子。
卫生专业人员可以通过提高自我护理自我效能感和减轻抑郁症状来提高患者的生活质量。
