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Journal of Integrative Nursing ›› 2021, Vol. 3 ›› Issue (4): 155-160.doi: 10.4103/jin.jin_46_21

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

Cai-Lan ZHUANG1, Juan-Lian ZHENG2, Lei GAO2, Ying-Ling HUANG2, Wen-Jing HU3   

  1. 1 Department of Nursing, Huizhou First Hospital, Huizhou, Guangdong Province, China; 2 Dialysis Center, Huizhou First Hospital, Huizhou, Guangdong Province, China; 3 Department of Nephrology, Huizhou First Hospital, Huizhou, Guangdong Province, China
  • Received:2021-10-12 Revised:2021-10-25 Accepted:2021-10-26 Online:2021-12-22 Published:2021-12-22
  • Contact: Lei Gao, Dialysis Center, Huizhou First Hospital, No. 20, Sanxinnan Road, Huicheng District, Huizhou 516000, Guangdong Province, China E-mail:gaolei7337@163.com

Abstract:

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.