DOI QR코드

DOI QR Code

Relationship between Depression, Self-efficacy and Treatment Adherence in Peritoneal Dialysis Patients

복막투석환자의 우울, 자기효능감, 치료순응도의 관련성 연구

  • Ban, MinKyung (Department of Nursing Graduate school, Dong-A University)
  • 반민경 (동아대학교 일반대학원 간호학과)
  • Received : 2021.03.05
  • Accepted : 2021.06.20
  • Published : 2021.06.28

Abstract

Purpose: The purpose of this study was to identify the relationships beween depression, self-efficacy and, treatment adherence in peritoneal dialysis patients. Method: Participants were 139 in a hospital located B city Korea. The data were examined using descriptive statistics, t-test, ANOVA, and Pearson's correlation with SPSS 25.0. Results: Self-efficacy had positive correlation with medication(r=.28 p=.001), fluid restriction(r=.23, p=.008), dietary restriction(r=.38, p<.001) in adherence. Depression had a negative correlation with medication(r=-.17 p=.046), dietary restriction(r=-.17, p=.043) Conclusion: Nursing starategies to strengthen the treatment adherence of patients with peritoneal dialysis need to focus on enhacing self-efficacy and alleviating depression.

본 연구의 목적은 복막투석환자의 우울, 자기효능감, 치료순응도 정도를 파악하고 이들 변수간의 관계를 파악하기 위함이다. 본 연구는 B광역시의 대학병원을 내원하는 복막투석환자 139명을 대상으로 설문조사한 자료를 SPSS 25.0 프로그램을 이용하여 분석하였다. 본 연구에서 자기효능감은 약물복용, 수분제한, 치료식이의 치료순응도와 정적 상관관계가 있으며 우울은 약물복용, 치료식이의 치료순응도와 부적 상관관계가 있었다. 따라서 복막투석환자의 치료 순응도를 강화시키기 위한 간호전략은 자기효능감의 증진과 우울의 완화에 중점을 두어야 할 필요가 있다.

Keywords

References

  1. The Korean Society of Nephrology (2020). Current Status of Renal Replacement Therapy in Korea - Insan Memorial Dialysis Registry 2019
  2. Y. K. Lee & J. Oh. (2014). Hemodialysis. Korean Journal of Medicine, 86(2), 131-137. DOI: 10.3904/kjm.2014.86.2.131
  3. O. Iyasere et al. (2019). Quality of life with conservative care compared with assisted peritoneal dialysis and haemodialysis. Clinical kidney journal, 12(2), 262-268. DOI: 10.1093/ckj/sfy059
  4. H. Y. Jung et al. (2019). Better quality of life of peritoneal dialysis compared to hemodialysis over a two-year period after dialysis initiation. Scientific reports, 9(1), 1-10. DOI: 10.1038/s41598-019-46744-1
  5. M. Dabrowska-Bender, G. Dykowska, W. Zuk, M. Milewska & A. Staniszewska. (2018). The impact on quality of life of dialysis patients with renal insufficiency. Patient preference and adherence, 12, 577. DOI: 10.2147/PPA.S156356
  6. B. G. Jaar et al. (2005). Comparing the risk for death with peritoneal dialysis and hemodialysis in a national cohort of patients with chronic kidney disease. Annals of internal medicine, 143(3), 174-183. DOI: 10.7326/0003-4819-143-3-200508020-00003
  7. J. H. Moon & Y. H. Shin. (2018). Self-Management Knowledge, Self-Management, Physiological Indexes, and Symptoms Experience according to Dialysis Methods. Journal of Korean Academy of Fundamentals of Nursing, 25(3), 220-230. DOI: 10.7739/jkafn.2018.25.3.220
  8. W. Pungchompoo, S. Parinyajittha, S. Pungchompoo & P. Kumtan. (2020). Effectiveness of a self-management retraining program improving the quality of life of people receiving continuous ambulatory peritoneal dialysis. Nursing & health sciences, 22(2), 406-415. DOI: 10.1111/nhs.12672
  9. K. Denhaerynck, D. Manhaeve, F. Dobbels, D. Garzoni, C. Nolte & S. D. Geest. (2007). Prevalence and consequences of nonadherence to hemodialysis regimens. American journal of critical care, 16(3), 222-235. DOI: 10.4037/ajcc2007.16.3.222
  10. Y. Kim, L. S. Evangelista, L. R. Phillips, C. Pavlish & J. D. Kopple. (2010). The End-Stage Renal Disease Adherence Questionnaire (ESRD-AQ): testing the psychometric properties in patients receiving in-center hemodialysis. Nephrology nursing journal: journal of the American Nephrology Nurses' Association, 37(4), 377.
  11. H. J. Lee, B. H. Kim & H. Y. Kang. (2020). The Lived Experience of Dietary Adaptation in Peritoneal Dialysis Patients: A Phenomenological Study. Journal of the Korea Academia-Industrial cooperation Society, 21(11), 364-374. DOI: 10.5762/KAIS.2020.21.11.364
  12. J. M. Kim, S. J. Lee, D. K. Seo, K. Y. Lee, S. R. Ryu & S. Y. Lee. (2017). Comparison of peritoneal dialysis and hemodialysis patients following extended treatment periods in a single center. Korean Journal of Medicine, 92(1), 45-52. DOI: 10.3904/kjm.2017.92.1.45
  13. S. M. Kim et al. (2020). Comparison of hemodialysis and peritoneal dialysis patients' dietary behaviors. BMC nephrology, 21(1), 1-11. DOI: 10.1186/s12882-020-01744-6
  14. R. Aguiar, M. Pei, A. R. Qureshi & B. Lindholm. (2019). Health-related quality of life in peritoneal dialysis patients: A narrative review. In Seminars in dialysis 32(5), 452-462. DOI: 10.1111/sdi.12770
  15. M. M. Mok et al. (2019). A longitudinal study on the prevalence and risk factors for depression and anxiety, quality of life, and clinical outcomes in incident peritoneal dialysis patients. Peritoneal Dialysis International, 39(1), 74-82. DOI: 10.3747%2Fpdi.2017.00168 https://doi.org/10.3747%2Fpdi.2017.00168
  16. C. C. Szeto et al. (2018). Depression and physical frailty have additive effect on the nutritional status and clinical outcome of Chinese peritoneal dialysis. Kidney and Blood Pressure Research, 43(3), DOI: 10.1159/000490470
  17. J. Lin et al. (2020). The negative impact of depressive symptoms on patient and technique survival in peritoneal dialysis: a prospective cohort study. International Urology and Nephrology, 52(12), 2393-2401. DOI: 10.1007/s11255-020-02593-w
  18. C. Jarupaktranonth, K. Puanglai, S. Changsirikulchai, J. Janma & W. Chuemongkon. (2020). Depression and Medication Adherence in Continuous Ambulatory Peritoneal Dialysis Patients. Srinagarind Medical Journal, 35(5), 584-590.
  19. A. Bandura. (1977). Self-efficacy: toward a unifying theory of behavioral change. Psychological review, 84(2), 191. DOI: 10.1037/0033-295X.84.2.191
  20. Z. L. Yu, L. Y. Yeoh, Y. Y. Seow, X. C. Luo & K. Griva. (2012). Evaluation of adherence and depression among patients on peritoneal dialysis. Singapore Med J, 53(7), 474-480.
  21. F. Faul, E. Erdfelder, A. G. Lang, A. Buchner. (2007). G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods, 39(2), 175-91. DOI: 10.3758/BF03193146
  22. Y. Kim & Y. M. Park. (2012). Validation of the Korean Version of the End-Stage Renal Disease Adherence Questionnaire. Journal Of Korean Clinical Nursing Research, 18(2), 307-316. DOI: 10.22650/JKCNR.2012.18.2.307
  23. A. T. Beck, C. Ward, M. Mendelson. (1961). Beck depression inventory (BDI). Arch Gen Psychiatry, 4(6), 561-571. https://doi.org/10.1001/archpsyc.1961.01710120031004
  24. Y. Lee & H. S. J. (1991). A study of the reliability and the validity of the BDI, SDS, and MMPI-D scales. Korean J Clin Psychol, 10, 98-113.
  25. J. H. Kim. (1995). An effect of guided imagery applied to hemodialysis patients. Unpublished doctoral dissertation, Seoul National University, Seoul.
  26. M. H. Park. (2004). Effects of a Self-efficacy Promoting Program on the Self-Care Behaviors and Physio-Psychological Function in Patients with Continuous Ambulatory Peritoneal Dialysis. Doctoral disseration Chonnam National University. Gunag-Ju.
  27. K. S. Naalweh, M. A. Barakat, M. W. Sweileh, S. W. Al-Jabi, W. M. Sweileh & H. Z. Sa'ed. (2017). Treatment adherence and perception in patients on maintenance hemodialysis: a cross-sectional study from Palestine. BMC nephrology, 18(1), 1-9. DOI: 10.1186/s12882-017-0598-2
  28. R. W. Schouten. et al. (2020). General distress and symptoms of anxiety and depression: A factor analysis in two cohorts of dialysis patients. General hospital psychiatry, 65, 91-99. DOI: 10.1016/j.genhosppsych.2020.04.004
  29. G. S. Kwon & K. H. Lim. (2019). Mediating effects of depression and social supports between type D personality and quality of life on hemodialysis patients. Korean Journal of Adult Nursing, 31(4), 439-448. DOI: 10.7475/kjan.2019.31.4.439
  30. Y. H. Kim, Y. N. Kim & N. Y. Lee. (2008). Factors Influencing the Occurrence of Peritonitis in Patients on CAPD. Journal of Korean Academy of Fundamentals of Nursing, 15(2), 206.
  31. Y. H. Lee & H. S. Kim. (2015). The effect of family support, self-efficacy, and fatigue on the quality of life in hemodialysis patients. Journal of East-West Nursing Research, 21(1), 1-9. DOI: 10.14370/jewnr.2015.21.1.1
  32. L. S. Wright & L. Wilson. (2015). Quality of Life and Self-Efficacy in Three Dialysis Modalities: Incenter Hemodialysis, Home Hemodialysis, and Home Peritoneal Dialysis. Nephrology Nursing Journal, 42(5).
  33. Z. M. A. Aziz, A. I. Sabra & M. M. Barakat. (2019). Depression and Self-efficacy among Hemodialysis Patients. International Journal of Novel Research in Healthcare and Nursing, 6(2), 535-546.
  34. H. M. Jeon & H. S. You. (2019). Factors Influencing Sick Role Behavior Compliance in Patients on Hemodialysis. Journal of Korean Academy of Fundamentals of Nursing, 26(1), 23-31. DOI: 10.7739/jkafn.2019.26.1.23
  35. L. P. Gregg & S. S. Hedayati. (2020). Pharmacologic and psychological interventions for depression treatment in patients with kidney disease. Current opinion in nephrology and hypertension, 29(5), 457-464. DOI: 10.1097/MNH.0000000000000629