Factors Affecting Depressive Symptoms in Patients According to Haemodialysis Duration

IF 2.5 4区医学 Q2 NURSING

International Journal of Nursing Practice Pub Date : 2026-07-20 DOI:10.1111/ijn.70174

Ae Kyung Chang, Jin Yi Choi

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引用次数: 0

Abstract

Background

Depression in patients undergoing haemodialysis (HD) can cause significant physical and emotional problems.

Aim

This study aimed to identify the factors affecting depressive symptoms in HD patients according to HD duration (i.e., time since first starting HD).

Design

A descriptive cross-sectional study.

Methods

In total, 470 HD patients in South Korea completed a questionnaire including validated measures of social support, self-efficacy, symptoms, self-management, quality of life and adaptation. The data were analysed using stepwise multiple regression to identify factors that influenced depressive symptoms in the participants according to HD duration.

Results

The analysis of factors influencing depressive symptoms, segmented by haemodialysis duration into periods of less than 6 months, 6–11 months and more than 12 months, yielded models with explanatory powers of 56.8% (dialysis symptom index [DSI], quality of life, self-management, age, spouse), 62.8% (DSI, quality of life, social support), and 46.5% (DSI, psychosocial adaptation, self-efficacy), respectively.

Conclusion

The findings of this study can serve as a foundation for developing tailored depression interventions for HD patients, taking into account their HD duration.

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血液透析时间对患者抑郁症状的影响因素

背景：血液透析（HD）患者的抑郁会导致严重的身体和情绪问题。目的：本研究旨在根据HD病程（即首次发病时间）确定HD患者抑郁症状的影响因素。设计：描述性横断面研究。方法：总共有470名韩国HD患者完成了一份问卷，包括社会支持、自我效能、症状、自我管理、生活质量和适应的有效测量。采用逐步多元回归对数据进行分析，以确定影响抑郁症持续时间的因素。结果：对影响抑郁症状的因素进行分析，将血液透析时间分为6个月以下、6-11个月和12个月以上，模型的解释力分别为56.8%（透析症状指数、生活质量、自我管理、年龄、配偶）、62.8%（透析症状指数、生活质量、社会支持）和46.5%（透析症状指数、社会心理适应、自我效能）。结论：本研究结果可为考虑HD持续时间，为HD患者制定量身定制的抑郁症干预措施奠定基础。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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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.