Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
권호 표지
DOI QR코드

DOI QR Code

A study on the correlation of sexual function, depression, and sleep quality in hemodialysis male patients

혈액투석 남성 환자의 성기능, 우울, 수면의 질의 상관관계 연구

  • Han, Ol (Ewha Womans University Seoul Hospital) ;
  • Park, Hyo Jung (College of Nursing, Ewha Womans University)
  • 한올 (이화여자대학교 부속 서울병원) ;
  • 박효정 (이화여자대학교 간호대학)
  • Received : 2020.03.25
  • Accepted : 2020.07.03
  • Published : 2020.07.31
Download PDF
⟨ Previous Next ⟩

Abstract

This is a descriptive study investigating the relationships between sexual function, depression, and sleep quality in male hemodialysis patients. The participants of this study consisted of 134 outpatients who were diagnosed with end stage chronic kidney disease and who had undergone hemodialysis. The data were collected from June 10, 2019, to October 30, 2019. The collected data were then analyzed using descriptive statistics, the mean from independent sample t-tests, one-way analysis of variance (ANOVA), the Scheffe test, and Pearson's correlation coefficient using SPSS version 21.0. The lower the overall satisfaction, the lower the sexual function and the higher the degree of depression (r=.-19, p=.028). The greater the depression, the lower the quality of sleep (r=.60, p<.001). This study shows it is necessary to develop a program including symptom management to reduce depression in male hemodialysis patients. When developing nursing interventions to improve sexual function and quality of sleep, it will be necessary to develop a program that includes people who help the subjects.

본 연구는 혈액투석 남성 환자의 성기능, 우울, 수면의 질 간의 관계를 파악하기 위한 서술적 조사연구이다. 대상자는 말기 만성 신부전을 진단받고 혈액투석을 받는 남성 환자 134명을 대상으로, 자료 수집은 2019년 6월 10일부터 2019년 10월 30일까지 진행하였다. 수집된 자료는 SPSS 21.0을 이용하여 mean, t-test, ANOVA, Scheffe test, Pearson's correlation coefficients로 분석하였다. 분석결과 성기능은 연령, 직업 유무, 월평균 수입, 도움을 주는 사람이 누구인지에 따라, 운동, 흡연, 앞으로의 성상담 기회가 있을 시 상담 여부에 따라 유의한 차이를 보였다. 우울은 직업 유무, 월평균 수입, 암의 유무, 수면제 복용, 당뇨병약 복용, 우울증약 복용, 한 달 동안 힘들었던 증상 수에 따라 유의한 차이를 보였다. 수면의 질은 도움을 주는 사람이 누구인지에 따라, 심혈관 질환, 수면제 복용에 따라 유의한 차이를 보였다. 성기능의 하부영역인 전반적인 만족도가 낮을수록 우울정도는 높은 것으로 나타났고(r=.-19, p=.028), 우울정도가 높을수록 수면의 질이 낮게 나타났다(r=.60, p<.001). 본 연구를 통하여 혈액투석 남성 환자의 우울을 감소시키기 위해서는 증상관리를 포함한 프로그램 개발이 필요하고, 성기능과 수면의 질을 향상시키기 위한 간호 중재 개발 시, 대상자에게 도움을 주는 사람을 포함한 프로그램 개발이 필요 할 것이다.

Keywords

References

  1. ESRD Registry Committee, Korean Society of Nephrology, "Current renal replacement therapy in Korea-Insan memorial dialysis registry", 2018. Available From http://www.ksn.or.kr/ (accessed June 7, 2019)
  2. J. E. Cha, "The impact of physical, psychological, social factors on illness burden of long-term hemodialysis patients in south korea", Journal of Health Informatics and Statistics, Vol.43, No.3, pp.159-166, August. 2018. DOI: https://doi.org/10.21032/jhis.2018.43.3.159
  3. J. E. Cha, M. S. Yi, "Symptom clusters and quality of life in patients on hemodialysis", Journal of Korean Clinical Nursing Research, Vol.20, No.1, pp.123-133, April. 2014. DOI: https://doi.org/10.22650/JKCNR.2014.20.1.123
  4. Y. S. Peng, C. K. Chiang, K. Y. Hung, S. S. Chiang, C. S. Lu, "The association of higher depressive symptoms and sexual dysfunction in male haemodialysis patients", Nephrology Dialysis Transplantation, Vol.22, No.3, pp.857-861, March. 2007. DOI: https://doi.org/10.1093/ndt/gfl666
  5. J. Y. Song, P. J. Oh, "A study on symptom experience, spiritual well-being, and depression in patients undergoing hemodialysis", Journal of the Korea Academia-Industrial cooperation Society, Vol.17, No.5, pp.660-670, May. 2016. DOI: https:/doi.org/10.5762/KAIS.2016.17.5.660
  6. A. L. Kim, "Stress, state anxiety, family support, patient provider relationship and sleep disturbance of hemodialysis patient", Journal of The Korean Data Analysis Society, Vol.16, No.4, pp.2161-2175, August. 2014.
  7. N. S. Seo, S. J. Kang, J. H. Kim, S. J. Kim, "Relationships between fatigue, sleep disturbance, stress, self-efficacy and depression in hemodialysis patients", Journal of Korean Clinical Nursing Research, Vol.19, No.2, pp.285-297, August. 2013. https://doi.org/10.22650/JKCNR.2013.19.2.285
  8. S. R. Kim, "Sexual functioning in male hemodialysis patients", Kidney Research and Clinical Practice, Vol.30, No.1, pp.67-72, January. 2011.
  9. A. J. Monzon, M. A. Mugica, M. G. Perez, S. E. Barmadah, "Problemas de la esfera sexual en el paciente renal", Medicina de Familia. SEMERGEN, Vol.45, No.1, pp.63-72, February. 2019. DOI: https://doi.org/10.1016/j.semerg.2018.09.006
  10. J. H. Park, S. K. Ma, J. H. Ko, S. W. Kim, N. H. Kim, "Erectile dysfunction in hemodialysis patients", Kidney Research and Clinical Practice, Vol.21, No.1, pp.158-164, 2002.
  11. R. W. Schouten, G. L. Haverkamp, W. L. Loosman, P. K. C. Shaw, F. J. van Ittersum, "Anxiety symptoms, mortality, and hospitalization in patients receiving maintenance dialysis: a cohort study", American Journal of Kidney Diseases, Vol.74, No.2, pp.158-166, August. 2019. DOI: https://doi.org/10.1053/j.ajkd.2019.02.017
  12. L. Fan, M. J. Sarnak, H. Tighiouart, D. A. Drew, A. L. Kantor, "Depression and all-cause mortality in hemodialysis patients", American Journal of Nephrology, Vol.40, No.1, pp.12-18, May. 2014. DOI: https://doi.org/10.1159/000363539
  13. Y. S. Peng, C. K. Chiang, K. Y. Hung, S. S. Chiang, C. S. Lu, "The association of higher depressive symptoms and sexual dysfunction in male haemodialysis patients", Nephrology Dialysis Transplantation, Vol.22, No.3, pp.857-861. March. 2007. DOI: https://doi.org/10.1093/ndt/gfl666
  14. Y. Solak, H. Atalay, S. Kan, M. Kaynar, M. Bodur, "Effects of sildenafil and vardenafil treatments on sleep quality and depression in hemodialysis patients with erectile dysfunction", International Journal of Impotence Research, Vol.23, No1, pp.27-31, January. 2011. DOI: https://doi.org/10.1038/ijir.2010.32
  15. D. S. Shin, B. J. Im, Y. S. Kang, J. H. Lee, E. K. Jung, "Physical, physiological, and psychological factors determing sleep quality in patients on maintenance hemodialysis", Journal of Korean Clinical Nursing Research, Vol.23, No.2, pp.258-266, Auguast. 2017. DOI: https://doi.org/10.22650/JKCNR.2017.23.2.258
  16. H. K. Park, J. S. Kim, "The relationships between nutritional status, fatigue, sleep quality, and depression in hemodialysis patients", Global Health and Nursing. Vol.7, No.1, pp.32-41, January. 2017 DOI: https://doi.org/10.35144/ghn.2017.7.1.32
  17. M. N Firoz, V. Shafipour, H. Jafari, S. H. Hosseini, J. Y. Charati, "Sleep quality and depression and their association with other factors in hemodialysis patients", Global Journal of Health Science, Vol.8, No.8, pp.121-127, 2016. DOI: https://doi.org/10.5539/gjhs.v8n8p121
  18. Y. J. Park, H. J. Lee, "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, Vol.27, No.6, pp.718-727, December. 2015. DOI: https://doi.org/10.7475/kjan.2015.27.6.718
  19. D. H. Kim, H. J. Park, "A study of sexual function, sleep quality and depression in male patients with liver cirrhosis", Journal of the Korea Academia-Industrial cooperation Society, Vol.20, No.2, pp.311-320, February. 2019. DOI: https://doi.org/10.5762/KAIS.2019.20.2.311
  20. G. Corona, G. Rastrelli, G. Balercia, A. Sforza, G. Forti, "Perceived reduced sleep-related erections in subjects with erectile dysfunction: psychobiological correlates", The Journal of Sexual Medicine, Vol.8, No.6, pp.1780-1788, June. 2011. DOI: https://doi.org/10.1111/j.1743-6109.2011.02241.x
  21. Y. J. Park, Y. S. KIM, "A convergence study of depression, health-related quality of life and sleep disturbance according to the level of physical activity of hemodialysis patients", Journal of Digital Convergence, Vol.16, No.7, pp.345-355, July. 2018. DOI: https://doi.org/10.14400/JDC.2018.16.7.345
  22. Y. M. Ji, G. W. Kang, M. J. Seo, H. I. Kim, J. M. Woo, "Psychological and medical factors affecting sleep disturbance in hemodialysis patients", Journal of the Korean Society of Biological Therapies in Psychiatry, Vol.22, No.3, pp.146-155, August. 2016.
  23. N. T. Fonseca, J. J. Urbano, S. R. Nacif, A. S. Silva, R. A. O. Peixoto, "A systematic review of sleep disorders in patients with chronic kidney disease undergoing hemodialysis", Journal of Physical Therapy Science, Vol.28, No.7, pp.2164-2170, July. 2016. DOI: https://doi.org/10.1589/jpts.28.2164
  24. S. R. Kim, "Depression and anxiety in maintenance hemodialysis patients: a single center study", Kidney Research and Clinical Practice, Vol.29, No.6, pp.733-741, November. 2010.
  25. R. C. Rosen, A. Riley, G. Wagner, I. H. Osterloh, J. Kirkpatrick, "The international index of erectile function (IIEF): a multidimensional scale for assessment of erectile dysfunction", Urology, Vol.49, No.6, pp.822-830, June. 1997. DOI: https://doi.org/10.1016/s0090-4295(97)00238-0
  26. T. G. Chung, T. K. Lee, S. Chung, M. S. Lee, Y. S. Kim, "The Korean version of the international index of erectile function(IIEF): reliability and validation study ", Korean Journal of Urology, Vol.40, No.10, pp.1334-1343, October. 1999.
  27. L. S. Radloff, "The CES-D scale: A self-report depression scale for research in the general population", Applied Psychological Measurement, Vol.1, No.3, pp.385-401, 1977. DOI: https://doi.org/10.1177/014662167700100306
  28. K. K. Chon, S. C. Choi, B. C. Yang, "Integrated adaptation of CES - D in Korea", Korean Journal of Health Psychology, Vol.6, No.1, pp.59-76, June. 2001.
  29. D. J. Buysse, C. F. Reynolds III, T. H. Monk, S. R. Berman, D. J. Kupfer, "The pittsburgh sleep quality index: a new instrument for psychiatric practice and research", Psychiatry research, Vol.28, No.2, pp.193-213, May. 1989. DOI: https://doi.org/10.1016/0165-1781(89)90047-4
  30. S. I. Sohn, D. H. Kim, M. Y. Lee, Y. W. Cho, "The reliability and validity of the Korean version of the pittsburgh sleep quality index", Sleep and Breathing, Vol.16, No.3, pp.803-812, 2012. DOI: https://doi.org/10.1007/s11325-011-0579-9
  31. S. Y. Lee, "Sexual function, self-esteem and health behaviors in middle-aged men with coronary artery disease", Health & Nursing, Vol.31, No.1, pp.13-20, May. 2019. DOI: https://doi.org/10.29402/HN31.1.2
  32. K. Hassan, Y. Elimeleh, M. Shehadeh, H. Fadi, I. Rubinchik, "The relationship between hydration status, male sexual dysfunction and depression in hemodialysis patients", Therapeutics and Clinical Risk Management, Vol.14, pp.523-529, March. 2018. DOI: https://doi.org/10.2147/TCRM.S147723
  33. A. F. Ahmed, M. Shaban, A. Daoud, N. Mohamed, A. Solyman, "Erectile function and gonadal hormones levels in men with end‐stage renal disease: it's relevance to duration of haemodialysis", Andrologia, Vol.50, No.8, e13073, October. 2018. DOI: https://doi.org/10.1111/and.13073
  34. P. Ahis Tomas, E. M. Renau Ortells, M. Meneu Oset, V. Cerrillo Garcia, N. Panizo Gonzalez, "Disfuncion sexual y calidad de vida segun el tipo de tratamiento renal sustitutivo", Enfermeria Nefrologica, Vol.19, No.4, pp.342-348, october. 2016. https://doi.org/10.4321/S2254-28842016000400005
  35. National Center for Medical Health. "Standard Guidelines for Mental Health Screening Tools and Uses 2019", 2019. Available From http://www.ncmh.go.kr/kor/data/snmhDataView2.jsp?no=8535&fno=106&menu_cd=K_04_09_00_00_S0 (accessed July 1, 2019)
  36. D. Katz, M. C. Gavin, "Stable ischemic heart disease", Annals of internal medicine, Vol.171, No.3, pp.17-32, August. 2019. DOI: https://doi.org/10.7326/AITC201908060
  37. M. H. Park, S. H. Lee, K. W. Park, B. H. Kim, C. Shin, "Sexual dysfunctions in stroke patients", Journal of the Korean Neurological Association. Vol.19, No.4, pp.342-348, April. 2001.
  38. S. J. Woo, E. S. Lee, H. R. Kim, "Effectiveness of a sexual health program for men with rectal cancer resection", Korean Journal of Adult Nursing, Vol.29, No.3, pp.225-234, June. 2017. DOI: https://doi.org/10.7475/kjan.2017.29.3.225