Rikos Nikos, Kassotaki Anna, Frantzeskaki Chara, Fragiadaki Maria, Mpalaskas Andreas, Vasilopoulos Georgios, Linardakis Manolis
Department of Nursing, School of Health Science, Hellenic Mediterranean University, 71410 Heraklion, Greece.
Venizelio General Hospital of Heraklion, 71410 Heraklion, Greece.
Nurs Rep. 2023 Sep 19;13(3):1331-1341. doi: 10.3390/nursrep13030112.
Chronic kidney disease (CKD) has a significant impact on the life of patients undergoing chronic periodic hemodialysis. It negatively affects their social, economic and family status, and particularly their psychological well-being. The aim of this study was to investigate the perception of the quality of life (QoL) and psychological burden of patients undergoing hemodialysis. A cross-sectional study was conducted with 63 patients. Τhe majority were men (63.5%), and the mean age of the patients was 66.7 years (±12.9) with 61.9% aged 65-89 years. Data collection was performed in 2021 using the Hospital Anxiety and Depression Scale (HADS) and the Kidney Disease and Quality of Life-Short Form (KDQOL-SF™) research tools, and their relationships were assessed using parametric and non-parametric methods. Moderate to mild levels of Anxiety and Depression were found. Physical and Mental Composite Scores were mild to moderate, with the Mental Composite Score being significantly higher ( < 0.05). Anxiety and Depression were significantly correlated with lower QoL ( < 0.05), while a higher educational level was correlated with lower Depression Symptom Levels and higher QoL for Disease Symptoms, Disease Effects, Physical Functioning, Vitality and Overall Health ( < 0.05). A higher number of years of hemodialysis was correlated with lower levels of Anxiety and higher levels of Quality of Sleep ( < 0.05). Ease of Access to the Hemodialysis Unit was correlated with lower levels of Social Support ( < 0.05). The highest Mental Composite Scores were also correlated with a higher level of education, with patients living in urban areas, and with a higher monthly income ( < 0.05). Patients with moderate or severe levels of Anxiety and Depression had a lower QoL in the Physical and Mental Composite Scores, indicating their dependence on the appropriate medical, nursing and social environment in order to attain higher levels of well-being, leading to the improvement of patients' health. This study was not registered.
慢性肾脏病（CKD）对接受慢性定期血液透析的患者的生活有重大影响。它会对患者的社会、经济和家庭状况产生负面影响，尤其是他们的心理健康。本研究的目的是调查血液透析患者对生活质量（QoL）的认知以及心理负担。对63例患者进行了横断面研究。大多数为男性（63.5%），患者的平均年龄为66.7岁（±12.9），其中61.9%的患者年龄在65 - 89岁之间。2021年使用医院焦虑抑郁量表（HADS）和肾脏病与生活质量简表（KDQOL - SF™）研究工具进行数据收集，并使用参数和非参数方法评估它们之间的关系。发现焦虑和抑郁水平为中度至轻度。身体和心理综合评分轻度至中度，心理综合评分显著更高（<0.05）。焦虑和抑郁与较低的生活质量显著相关（<0.05），而较高的教育水平与较低的抑郁症状水平以及疾病症状、疾病影响、身体功能、活力和总体健康方面较高的生活质量相关（<0.05）。血液透析年限越长，焦虑水平越低，睡眠质量越高（<0.05）。进入血液透析单位的便利性与较低的社会支持水平相关（<0.05）。最高的心理综合评分也与较高的教育水平、居住在城市地区以及较高的月收入相关（<0.05）。焦虑和抑郁水平为中度或重度的患者在身体和心理综合评分中的生活质量较低，这表明他们依赖适当的医疗、护理和社会环境以获得更高水平的幸福感，从而改善患者健康。本研究未注册。
