Correlation between stress resistance, social support and daily activities and depression in hemodialysis patients / 中国实用护理杂志

ABSTRACT

Objective To study the relationship between stress resistance, social support and daily activities and depression in hemodialysis patients, and the relief of discomfort. Methords In this descriptive correlation study, 196 elderly patients with hemodialysis were enrolled in the Department of Hemodialysis, Suining Central Hospital, Sichuan Province. The population variables of each patient were recorded, and the discomfort symptom scores were used. The Activities of Daily Living Index (ADL) and the Instrumental Assisted Activity Index (IADL), the Stress Resistance Scale, the Social Support Behavior Scale, and the Beck Depression Inventory II (BDI-II) were evaluated for each hospitalized patient. The population variables were stratified, and there was a statistical difference in the comparison of the depression scale scores within the group. The one-dimensional linear correlation model evaluates the two-dimensional linear correlation of the above variables. Variables with statistically significant correlations with depression scores were added to the stratified regression analysis. Results Males, who lived with their families, had strong independence, and those with high post-retirement income had lower depression scores (t=2.17, 2.28, F=3.29, 4.25, P<0.05). The linear correlation model showed that the physical discomfort score was positively correlated with dialysis time (r=0.186, P<0.05), and negatively correlated with ADL, stress resistance, social support, and depression score (r=-0.421--0.164, P<0.05). The ADL index was positively correlated with IADL index, stress resistance, and social support (r=0.654, 0.549, 0.186, P<0.05), and negatively correlated with physical discomfort and depression score (r=-0.164,-0.491, P<0.05). The IADL index was positively correlated with ADL, stress resistance, and social support (r=0.654, 0.577, 0.176, P<0.05), and negatively correlated with depression score (r=-0.742, P<0.05). Stress resistance was positively correlated with ADL, IADL, and social support (r=0.549, 0.557, 0.416, P<0.01or 0.05), and negatively correlated with physical discomfort and depression score (r=-0.261, 0.742, P<0.05). Social support was positively correlated with ADL, IADL, and stress resistance (r=0.186, 0.176, 0.416, P<0.05), and negatively correlated with depression score and physical discomfort score (r=-0.507,-0.178, P<0.05). Hierarchical regression analysis suggested that stress resistance can alleviate the effects of physical discomfort (b=-0.432, P<0.05) on depression, and social support did not play this mitigation. Conclusion The severity of physical discomfort and activities of daily living is a determinant of depression, and high stress resistance can alleviate depression in elderly hemodialysis patients.