Coşkun Ejdane, Atik Derya, Manav Ayşe İnel
Faculty of Health Sciences, Osmaniye Korkut Ata University, Nursing Department, Osmaniye, Turkey.
Ther Apher Dial. 2025 Aug;29(4):629-638. doi: 10.1111/1744-9987.70036. Epub 2025 May 4.
This study was conducted to evaluate the sense of humor, treatment compliance, and personal well-being levels of patients receiving hemodialysis (HD) treatment.
The research was conducted with 131 patients who received HD treatment in two different HD Units in the south of Turkey and agreed to participate in the research. Data were collected using the Personal Information Form, Multidimensional Sense of Humor Scale (MSHS), End-Stage Renal Disease Adherence Questionnaire (ESRD-AQ), and Personal Well-Being Index-Adult (PWI-A).
The mean MSHS score of the individuals was 62.511 ± 12.241, the mean ESRD-AQ score was 896.64 ± 109.89, and the mean PWI-A score was 37.03 ± 9.64. When the relationships between the age of the patients, duration of HD, and MSHS, ESRD-AQ, and PWI-A are examined, there is a statistically significant negative relationship between age and MSHS and PWI-A. There is no statistically significant relationship between MSHS, ESRD-AQ, and PWI-A. The mean PWI-A scores of those who live separately from their spouses, have an income less than their expenses, have another chronic disease, and receive dialysis four times a week; the mean ESRD-AQ scores of those who receive dialysis four times a week and smoke; and the mean MSHS scores of those who are illiterate, have an income less than their expenses, receive dialysis four times a week, and do not smoke were found to be statistically significantly lower.
It is seen that patients receiving HD treatment have a moderate sense of humor, high treatment compliance, and low personal well-being. Sense of humor and personal well-being levels decreased with increasing age, while there was no significant relationship between sense of humor, compliance with treatment, and personal well-being levels. While high compliance with treatment suggests that they have insight, it is recommended that a sense of humor and personal well-being be supported, and counseling services be provided to patients.
本研究旨在评估接受血液透析(HD)治疗的患者的幽默感、治疗依从性和个人幸福感水平。
该研究对在土耳其南部两个不同血液透析单位接受HD治疗并同意参与研究的131名患者进行。使用个人信息表、多维幽默感量表(MSHS)、终末期肾病依从性问卷(ESRD-AQ)和成人个人幸福感指数(PWI-A)收集数据。
个体的平均MSHS评分为62.511±12.241,平均ESRD-AQ评分为896.64±109.89,平均PWI-A评分为37.03±9.64。在检查患者年龄、HD持续时间与MSHS、ESRD-AQ和PWI-A之间的关系时,年龄与MSHS和PWI-A之间存在统计学上显著的负相关。MSHS、ESRD-AQ和PWI-A之间没有统计学上显著的关系。与配偶分开居住、收入低于支出、患有另一种慢性病且每周接受四次透析的患者的平均PWI-A评分;每周接受四次透析且吸烟的患者的平均ESRD-AQ评分;以及文盲、收入低于支出、每周接受四次透析且不吸烟的患者的平均MSHS评分在统计学上显著较低。
可见接受HD治疗的患者幽默感中等、治疗依从性高且个人幸福感较低。幽默感和个人幸福感水平随年龄增长而下降,而幽默感、治疗依从性和个人幸福感水平之间没有显著关系。虽然高治疗依从性表明他们有洞察力,但建议支持幽默感和个人幸福感,并为患者提供咨询服务。