英文摘要 |
The purposes of this study were to explore the depressive symptom and health-related quality of life in patients at different stages of chronic kidney disease (CKD). Using a cross-sectional research design, purposive sampling survey was conducted with structured questionnaires. A total of 219 responses from chronic kidney disease outpatients at a teaching hospital in northern of Taiwan were collected. Study tools include basic profile, depression inventory and health related quality of life scale. The result of the study is showed that: (1) Health-related quality of life in patients at earlier stages of CKD was superior to those at later period stages. (2) For patients at all stages of CKD, the environmental category of quality of the life surpassed all other categories. (3) The prevalence of depression was 12.3%. (4) Depression in CKD patients correlated negatively with health-related quality of life so a patient with lower depression score enjoyed a higher health-related quality of life high score.(5) For patients at all stages of CKD, employment, heart disease and marital status had significant correlation with health-related quality of life (p<.05). (6) Factors that predicted the quality of life for CKD patients factors were depression, heart disease and CKD II stage, accounting for 57.1% of explained variance. The result of the study provided a greater understanding of clinical nursing when assessing patients with depression and provide individual care. The results can also help CKD patients adapt to the disease and improve their quality of the life. |