Relationship of demoralization with anxiety, depression, and demographics of Chinese dialysis patients

• Main Authors: Cai-Lan Zhuang (Author), Juan-Lian Zheng (Author), Lei Gao (Author), Ying-Ling Huang (Author), Wen-Jing Hu (Author)
• Format: Book
• Published: Wolters Kluwer Medknow Publications, 2021-01-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.
• Notes: 2666-9854; 10.4103/jin.jin_46_21
• Keywords: anxiety; demoralization; depression; hemodialysis; peritoneal dialysis; Nursing; RT1-120
• Source: Journal of Integrative Nursing, Vol 3, Iss 4, Pp 155-160 (2021)

Objective: The purpose of this study is to investigate the demoralization level of dialysis patients in China and analyze the influencing factors. Materials and Methods: A convenience sample of 278 dialysis patients from a tertiary hospital participated in a cross-sectional descriptive study using a structured questionnaire including assessments of demographic data, Demoralization Scale-II (DS-II), and Hospital Anxiety and Depression Scale. The main analysis consisted of descriptive statistics, correlation coefficients, and multiple linear regression. Results: The mean standard deviation DS-II score was 11.87 (7.72). Dialysis patients had a high level of demoralization. Findings from multiple linear regression indicated that demoralization was positively correlated with marital status (β = 0.141; P = 0.001), employment status (β = 0.113; P = 0.006), anxiety (β = 0.393; P < 0.001), and depression (β = 0.224; P < 0.001). These variables explained 57.1% of the variance in patient demoralization. Conclusions: Demoralization is common in dialysis patients and is associated with marital status, employment status, anxiety, and depression. Health-care providers might regularly assess demoralization in dialysis patients, and develop related interventions to improve the quality of life.