Journal of Digital Convergence (디지털융복합연구)

The Society of Digital Policy and Management (한국디지털정책학회)
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A Convergence Study of Depression, Health-Related Quality of Life and Sleep Disturbance according to the Level of Physical Activity of Hemodialysis Patients

혈액투석 환자의 신체활동량 수준에 따른 우울, 건강관련 삶의 질 및 수면장애에 관한 융합 연구

  • Received : 2018.05.28
  • Accepted : 2018.07.20
  • Published : 2018.07.28
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Abstract

The purpose of this study was to investigate the convergence factors affecting of physical activity level on hemodialysis patients' depression, health-related quality of life and sleep disorders. The participants were 193 hemodialysis patients undergoing hemodialysis in five hospitals in two cities. Data were analyzed by technical statistics, correlation and hierarchical regression. The results showed that depression and physical activity were negatively correlated (r = -.259, p <.01), and physical and mental health related quality of life and physical activity correlated positively (R = .273, p <.01, r = .186, p <.01), respectively. Hierarchical regression analysis showed that the higher the quality of life related to physical health, the higher the level of physical activity of hemodialysis patients (${\beta}=.22$, p <.01). Therefore, it is required to develop an intervention program to improve health-related quality of life by improving the physical activity of hemodialysis patients.

본 연구는 혈액투석환자의 신체활동량 수준이 우울, 건강관련 삶의 질 및 수면장애에 미치는 융합적 요인을 조사하고자 실시하였다. 대상자는 2개 도시에 소재한 5개 혈액투석실에서 혈액투석을 시행받는 193명의 혈액투석환자들이었다. 자료 분석은 기술적 통계, 상관관계와 위계적 회귀분석을 사용하였다. 상관관계의 결과는 우울과 신체활동량은 유의한 음의 상관관계를 보였고(r = -.259, p <.01), 신체적 및 정신적 건강관련 삶의 질과 신체활동량은 유의한 양의 상관관계를 보였다(r = .273, p <.01, r = .186, p <.01). 위계적 회귀분석 결과는 신체적 건강관련 삶의 질이 높을수록 혈액투석환자의 신체활동량 수준은 더 높은 것으로 조사되었다(${\beta}=.22$, p <.01). 따라서 혈액투석환자의 신체활동량을 증진시켜서 건강관련 삶의 질을 향상시키는 중재프로그램의 개발이 필요하리라 사료된다.

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References

  1. D. C. Grossman et al. (2017). Behavioral counseling to promote a healthful diet and physical activity for cardiovascular disease prevention in adults without cardiovascular risk factors: US Preventive Services Task Force recommendation statement. Jama. 318(2), 167-74. https://doi.org/10.1001/jama.2017.7171
  2. I. M. Lee & D. M. Buchner. (2008). The importance of walking to public health. Medicine and science in sports and exercise, 40(7) Supp, S512-518. DOI : 10.1161/CIR.0000000000000564
  3. L. L. Lee, M. C. Watson, C. A. Mulvaney, C. C. Tsai & S. F. Lo. (2010). The effect of walking intervention on blood pressure control: a systematic review. International journal of nursing studies, 47(12), 1545-1561. DOI : 10.1161/CIR.0000000000000562
  4. G. Keskin & E. Engin. (2011). The evaluation of depression, suicidal ideation and coping strategies in haemodialysis patients with renal failure. Journal of clinical nursing, 20(19,20), 2721-2732. DOI : 10.1161/CIRCULATIONAHA.109.877613
  5. S. M. Araujo, V. M. Bruin, E. F. Daher, C. A. M. Medeiros, G. H. Almeida & P. F. Bruin. (2011). Quality of sleep and day-time sleepiness in chronic hemodialysis: a study of 400 patients. Scandinavian journal of urology and nephrology, 45(5), 359-364. DOI : 10.3109/00365599.2011.584694
  6. S. Anand, K. J. Johansen, B. Grimes, G. A. Kaysen, L. S. Dalrymple, N. G. Kutner & G. M. Chertow. (2013). Physical activity and self‐reported symptoms of insomnia, restless legs syndrome, and depression: The comprehensive dialysis study. Hemodialysis International, 17(1), 50-58. DOI : 10.1111/j.1542-4758.2012.00726.x
  7. Y. J Park & H. J. Lee. (2015). The Levels of Physical Activity and Its Relationships with Depression, Health-related Quality of Life, Sleep Disturbance, and Physiological Indicators in Hemodialysis Patients. Korean Journal of Adult Nursing (Korean J Adult Nurs), 27(6), 718-727. DOI : 10.7475/kjan.2015.27.6.718
  8. R. A. Drayer et al. (2006). Characteristics of depression in hemodialysis patients: symptoms, quality of life and mortality risk. General hospital psychiatry, 28(4), 306-312. DOI : 10.1016/j.genhosppsych.2006.03.008
  9. B. O'Neill et al. (2017). Comparing accelerometer, pedometer and a questionnaire for measuring physical activity in bronchiectasis: a validity and feasibility study. Respiratory research, 18(1), 16. DOI : 10.1186/s12931-016-0497-2
  10. K. S. Park, S. H. Choi & M. J. Park. (2012). Comparision of muscle strength and gait ability between hemodialysis patients and healthy adults. Journal of Korean Public Health Nursing, 26(1), 82-90. DOI : 10.1161/CIRCULATIONAHA.117.032708
  11. J. Wang et al. (2018). Nursing Intervention on the Compliance of Hemodialysis Patients with End-Stage Renal Disease: A Meta-Analysis. Blood purification, 45(1-3), 102-9. DOI : 10.1159 /000484924 https://doi.org/10.1159/000484924
  12. M. Gomes Neto, F. F. R. de Lacerda, A. A. Lopes, B. P. Martinez & M. B. Saquetto. (2018). Intradialytic exercise training modalities on physical functioning and health-related quality of life in patients undergoing maintenance hemodialysis: systematic review and meta-analysis. Clinical rehabilitation. 0269215518760380, DOI : 10.1177/0269215518760380
  13. T. Shimoda et al. (2017). Effects of supervised exercise on depressive symptoms in hemodialysis patients: a systematic review and meta-analysis of randomized controlled trials. Renal Replacement Therapy, 3(1), 56. DOI : 10.1186/s41100-017-0136-5
  14. Y. Y. Song, R. J. Hu, Y. S. Diao, L. Chen & X. L. Jiang. (2017). Effects of exercise training on restless legs syndrome, depression, sleep quality and fatigue among hemodialysis patients: A systematic review and meta-analysis. Journal of pain and symptom management, 55(4), 1184-1195. DOI :10.1016/j.jpainsymman.2017.12.472
  15. J. Cohen. (1988). Statistical power analysis for the behavioral sciences 2nd edn. In: Erlbaum Associates, Hillsdale. DOI : 10.1016/c2013-0-10517-x
  16. Y. J. Park. (2017). Development and evaluation of an aerobic exercise program based on Social Cognitive Theory for hemodialysis patients.(doctoral dissertation), Pusan National University, Yangsan.
  17. J. Y. Oh, Y. J. Yang, B. S. Kim & J. H. Kang. (2007). Validity and reliability of Korean version of International Physical Activity Questionnaire (IPAQ) short form. Journal of the Korean Academy of Family Medicine, 28(7), 532-541.
  18. K. Chon, S. Choi & B. Yang. (2001). Integrated adaptation of CES-D in Korea. Korean Journal of Health Psychology, 6(1), 59-76.
  19. L. S. Radloff. (1977). The CES-D scale a self-report depression scale for research in the general population. Applied psychological measurement, 1(3), 385-401. DOI : 10.1177/014662167700100306
  20. R. Khanna, K. Jariwala & D. West-Strum. (2015). Validity and reliability of the Medical Outcomes Study Short-Form Health Survey version 2 (SF-12v2) among adults with autism. Research in developmental disabilities, 43, 51-60. DOI : 10.1177/014662167700100306
  21. D. J. Buysse, C. F. Reynolds, T. H. Monk, S. R. Berman & D. J. Kupfer. (1989). The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry research, 28(2), 193-213. DOI : 10.1016/0165-1781(89)90047-4
  22. National Statistical Offie. Funeral population estimation 2017. National Statistical Offie. https://meta.narastat.kr/metasvc/index.do?confmNo=101033&inputYear=2017.
  23. M. Kusztal et al. (2018). Depressive symptoms but not chronic pain have an impact on the survival of patients undergoing maintenance hemodialysis. Archives of medical science: AMS, 14(2), 265. DOI : 10.5114/aoms.2016.59765
  24. M. Rai, T. Rustagi,S. Rustagi & R. Kohli. (2011). Depression, insomnia and sleep apnea in patients on maintenance hemodialysis. Indian journal of nephrology, 21(4), 223. DOI : 10.4103/0971-4065.83028
  25. S. Ossareh, S. Tabrizian, M. Zebarjadi & R. S. Joodat. (2014). Prevalence of depression in maintenance hemodialysis patients and its correlation with adherence to medications. Iranian journal of kidney diseases, 8(6), 467.
  26. S. K. Kim, H. J. Park, D. H. Yang & H. Y. Jeong. (2018). Influences on the Performance based Frailty of Physical Performance, Exercise Self-efficacy, Decisional Balance, and Health related Quality of Life in Adults Undergoing Hemodialysis. Korean Journal of Adult Nursing, 30(2), 149-160. DOI : 10.7475/kjan.2018.30.2.149
  27. R. Sabbagh, S. Iqbal, M. Vasilevsky & P. Barre. (2008). Correlation between physical functioning and sleep disturbances in hemodialysis patients. Hemodialysis International, 12(s2). DOI : 10.1111/j.1542-4758.2008.00319.x
  28. A. A. Lopes et al. (2002). Depression as a predictor of mortality and hospitalization among hemodialysis patients in the United States and Europe. Kidney international, 62(1), 199-207. DOI : 10.1046/j.1523-1755.2002.00411.x
  29. I. J. Lee. (2017). Comparison of Level and Correlates of Depression among the Young old, the Older old, and the Oldest old : Focused on Moderating Role of Psychosocial Resources on the Effect of Worry. Korean Journal of Social Welfare Education, 38, 1-23.
  30. A. Alshraifeen, M. McCreaddie & J. M. Evans. (2014). Quality of life and well‐being of people receiving haemodialysis treatment in Scotland: A cross‐sectional survey. International journal of nursing practice, 20(5), 518-523. DOI : 10.1111/ijn.12194
  31. M. M. Bayoumi & J. S. Al Wakeel. (2015). Impacts of Exercise programs on Hemodialysis Patients' Quality of Life and Physical Fitness. Quality in Primary Care, 23(4), 192-200.
  32. E. J. Jang & H. S. Kim. (2009). Effects of Exercise Intervention on Physical Fitness and Health-relalted Quality of Life in Hemodialysis Patients. J Korean Acad Nurs, 39(4), 584-593. DOI : 10.4040/jkan.2009.39.4.584
  33. I. Brenner & K. Brohart. (2008). Weekly energy expenditure and quality of life in hemodialysis patients. CANNTjournal= Journal ACITN, 18(4), 36-40.
  34. A. A. Lopes et al. (2014 a). Associations of self-reported physical activity types and levels with quality of life, depression symptoms, and mortality in hemodialysis patients: the DOPPS. Clinical journal of the American Society of Nephrology, CJN. 12371213. DOI : 10.2215/CJN.12371213