혈액투석환자의 우울, 자가간호이행 및 생리적지표의 관계

Depression, Self Care Compliance and Physiological Indices of Hemodialysis Patients

Purpose. The purpose of this study was to investigate the relation among depression, self care compliance and physiological index of hemodialysis patients. Methods. Two hundreds and six hemodialysis patients at a university hospital located in D metropolitan city were investigated. Zung’s(l965) self-rating depression scale which Shin(1977) adapted, Song’s (1999) self care compliance scale which Cho(200S) modified, and the physiological indeces including serum potassium, phosphorus, and the interdialytic weight gain were employed. Results. The mean score of the depression scale was 45.13/80. Patients with mild or moderate depression was 32.5%. Patients with low level income had higher depression scores(F＝4.762, p＝0.010). Self care compliance was negatively correlated with depression(r＝-0.461, p＝0.000) as well as serum phosphorus (r＝-0.287, p＝0.000) and interdialytic weight gain (r＝-0.387, p＝0.000). According to the Stepwise multiple regression analysis, self care compliance was accounted for 37.4% of underlying predictors such as depression, causative disease, spouse, and job. Conclusion. Depression and the self care compliance of the emodialysis patients were negatively correlated.