MS, RN, Nurse, Hemodialysis Room, Taipei Veterans General Hospital, Taoyuan Branch, Taiwan, ROC.
PhD, RN, Assistant Professor, Department of Nursing, Chang Gung University of Science and Technology, Taiwan, ROC.
J Nurs Res. 2024 Jan 1;32(1):e309. doi: 10.1097/jnr.0000000000000592.
Hemodialysis is the most common therapy for managing patients with end-stage renal disease. Depression is one of the most common psychological problems faced by dialysis patients, and there is limited research on the influences of religion and spirituality on dialysis patients.
This study was designed to compare religion and spiritual health status between hemodialysis patients with and without depressive symptoms.
A cross-sectional survey was conducted on 137 hemodialysis patients living in Taiwan. The self-report instruments used included the Religious Beliefs Scale, Spiritual Health Scale-Short Form, and Beck Depression Inventory-II. Data were analyzed using t test, chi-square test, point-biserial correlation of variance, and logistic regression.
Most (63.5%) of the participants were classified with depression, of which most were male (70.1%), older (mean = 62.56 years), and unemployed (73.6%) and had less formal education. Fifty-two of the participants with depression had a 1- to 5-year duration of hemodialysis, whereas the nondepressed group had a higher mean score for number of religious activities, positive religious beliefs, and total score for spiritual health. Logistic regression showed an increased odds ratio ( OR ) of depression for participants with a duration of hemodialysis of 1-5 years ( OR = 3.64, 95% CI [1.01, 13.15]). Participants with higher scores for spiritual health had a lower risk of depression ( OR = 0.82, 95% CI [0.75, 0.90]), indicating a positive association between spiritual health and lower depression risk.
CONCLUSIONS/IMPLICATIONS FOR PRACTICE: The prevalence rate of depression in hemodialysis patients is higher than that in the general population. Providing screenings for spiritual health and depression as part of routine medical care for hemodialysis patients is recommended to detect spiritual distress and depression early.
血液透析是治疗终末期肾病患者的最常见疗法。抑郁症是透析患者面临的最常见心理问题之一，而关于宗教和灵性对透析患者的影响的研究有限。
本研究旨在比较有和无抑郁症状的血液透析患者的宗教和精神健康状况。
对居住在台湾的 137 名血液透析患者进行横断面调查。使用的自我报告工具包括宗教信仰量表、精神健康量表-短表和贝克抑郁量表-Ⅱ。采用 t 检验、卡方检验、点二项式方差相关和逻辑回归分析数据。
大多数（63.5%）参与者被归类为抑郁，其中大多数为男性（70.1%）、年龄较大（平均=62.56 岁）、失业（73.6%）和受教育程度较低。52 名有抑郁症状的参与者的血液透析时间为 1-5 年，而无抑郁症状组的宗教活动次数、积极的宗教信仰和精神健康总分的平均得分较高。逻辑回归显示，血液透析时间为 1-5 年的参与者抑郁的优势比（OR）增加（OR=3.64，95%CI[1.01，13.15]）。精神健康评分较高的参与者抑郁的风险较低（OR=0.82，95%CI[0.75，0.90]），表明精神健康与较低的抑郁风险呈正相关。
结论/对实践的意义：血液透析患者的抑郁患病率高于一般人群。建议将精神健康和抑郁筛查作为血液透析患者常规医疗护理的一部分，以早期发现精神困扰和抑郁。
