Multidimensional Determinants of Frailty in Haemodialysis Patients: The Overlooked Roles of Depression and Cognitive Function

IF 2 4区医学 Q2 NURSING

International Journal of Nursing Practice Pub Date : 2025-08-25 DOI:10.1111/ijn.70042

Seçil Beyece İncazlı, Gülseren Keskin, Sema Üstündağ, Neslihan Tezcan, Ebru Demirel Sezer

{"title":"Multidimensional Determinants of Frailty in Haemodialysis Patients: The Overlooked Roles of Depression and Cognitive Function","authors":"Seçil Beyece İncazlı, Gülseren Keskin, Sema Üstündağ, Neslihan Tezcan, Ebru Demirel Sezer","doi":"10.1111/ijn.70042","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Aim</h3>\n \n <p>This study aims to examine the level of frailty in patients undergoing haemodialysis treatment and investigate the effects of sociodemographic, psychological and clinical variables on frailty.</p>\n </section>\n \n <section>\n \n <h3> Method</h3>\n \n <p>A cross-sectional and correlational research design was employed with 386 haemodialysis patients over the age of 50. Data were collected using the Edmonton Frail Scale, Beck Depression Inventory, Standardized Mini-Mental Test and Eysenck Personality Questionnaire.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>The study revealed that 48.4% of haemodialysis patients fell into the ‘apparently frail’ category, and frailty levels were significantly associated with age, depression and cognitive functions (<i>p</i> < 0.05). However, no significant effect of gender, marital status, educational level, chronic diseases or personality traits on frailty was identified.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>Most haemodialysis patients were found to be apparently frail, with frailty levels increasing with age. Furthermore, frailty was linked to higher levels of depressive symptoms and lower cognitive function. Evaluating depression and cognitive function is crucial for alleviating frailty symptoms and improving quality of life.</p>\n </section>\n </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 5","pages":""},"PeriodicalIF":2.0000,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Nursing Practice","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/ijn.70042","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NURSING","Score":null,"Total":0}

引用次数: 0

Abstract

Aim

This study aims to examine the level of frailty in patients undergoing haemodialysis treatment and investigate the effects of sociodemographic, psychological and clinical variables on frailty.

Method

A cross-sectional and correlational research design was employed with 386 haemodialysis patients over the age of 50. Data were collected using the Edmonton Frail Scale, Beck Depression Inventory, Standardized Mini-Mental Test and Eysenck Personality Questionnaire.

Results

The study revealed that 48.4% of haemodialysis patients fell into the ‘apparently frail’ category, and frailty levels were significantly associated with age, depression and cognitive functions (p < 0.05). However, no significant effect of gender, marital status, educational level, chronic diseases or personality traits on frailty was identified.

Conclusions

Most haemodialysis patients were found to be apparently frail, with frailty levels increasing with age. Furthermore, frailty was linked to higher levels of depressive symptoms and lower cognitive function. Evaluating depression and cognitive function is crucial for alleviating frailty symptoms and improving quality of life.

查看原文本刊更多论文

血液透析患者虚弱的多维决定因素：抑郁症和认知功能被忽视的作用

目的研究血液透析患者的衰弱程度，探讨社会人口学、心理和临床因素对衰弱的影响。方法对386例50岁以上血液透析患者进行横断面相关性研究。数据收集采用埃德蒙顿虚弱量表、贝克抑郁量表、标准化迷你心理测试和艾森克人格问卷。结果48.4%的血液透析患者属于“明显虚弱”类别，虚弱程度与年龄、抑郁、认知功能显著相关（p < 0.05）。然而，性别、婚姻状况、教育程度、慢性病或人格特征对脆弱性没有显著影响。结论血液透析患者身体明显虚弱，随年龄增长虚弱程度增加。此外，体弱多病与较高程度的抑郁症状和较低的认知功能有关。评估抑郁和认知功能对于减轻虚弱症状和改善生活质量至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

International Journal of Nursing Practice NURSING-

CiteScore

4.10

自引率

0.00%

发文量

审稿时长

3 months

期刊介绍： International Journal of Nursing Practice is a fully refereed journal that publishes original scholarly work that advances the international understanding and development of nursing, both as a profession and as an academic discipline. The Journal focuses on research papers and professional discussion papers that have a sound scientific, theoretical or philosophical base. Preference is given to high-quality papers written in a way that renders them accessible to a wide audience without compromising quality. The primary criteria for acceptance are excellence, relevance and clarity. All articles are peer-reviewed by at least two researchers expert in the field of the submitted paper.