Hopelessness, Anxiety, Depression and Treatment Adherence in Chronic Hemodialysis Patients

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International Journal of Caring Sciences, vol.12, no.1, pp.423-429, 2019 (Refereed Journals of Other Institutions)

  • Publication Type: Article / Article
  • Volume: 12 Issue: 1
  • Publication Date: 2019
  • Title of Journal : International Journal of Caring Sciences
  • Page Numbers: pp.423-429


Abstract Background: Noncompliance with hemodialysis (HD) increases hospitalization and mortality risks. Depression and anxiety are common for HD patients. It was found that the negative effects of anxiety and depression on adherence to treatment. However, none of these studies analyzed the relationship between hopelessness on treatment adherence. Objective: This cross-sectional descriptive study aims to evaluate the patients’ adherence to HD treatment by using objective and subjective data and to determine the relationship between anxiety, depression, hopelessness, sociodemographic factors and treatment adherence. Methodology: The study was conducted in February 2018 Istanbul, Turkey. All the patients that received HD treatment (N=170) at the HD center constituted the universe of the study. 90 out of 170 patients that agreed to participate in the study and that met the inclusion criteria constituted the sample of the study. The data were collected using a patient information form, End-Stage Renal Disease Adherence Questionnaire (ESRD-AQ), Hospital Anxiety and Depression Scale (HADS), Beck’s Hopelessness Scale (BHS) and medical records of the patients. The descriptive statistics, Mann-Whitney U, Spearman correlation and Regression coefficients tests were used for analyzing data. Results: The participants had an average age of 53.7±12.69 (19-81), 54.4% of the participants were female, HD period of the patients was 63.51±49.39 (6-192) months on average. Especially in hopelessness, there were a significant relationship between the levels of anxiety, depression, and the adherence parameters. Conclusions: Further studies on HD patients may evaluate not only depression but also hopelessness levels of the patients. Future studies to increase treatment adherence may consider the efficiency of practices to decrease hopelessness and analyze the effects of these practices on treatment adherence. Key Words: Adherence to treatment; Hopelessness; Consultation Liasion Nursing; Hemodialysis