Factors Associated with Depression in Elderly Peritoneal Dialysis Patients

Main Article Content

Sirion Sindhu
Rotsukon Varitsakul
Aurawamon Sriyuktasuth

Abstract

Purpose: Depression is a common emotional problem of elderlypatients whose their physical and psychosocial limitations wouldobstacle the peritoneal dialysis (PD) performance. This study wasaimed to investigate the prevalence of depression and therelationships between depression and socio-demographic factors,dialysis time, hospitalization, comorbidity, and level of activity indaily living of elderly PD patients.

Design: A cross-sectional descriptive study.

Methods: A convenient sample of 100 participants was recruitedfrom 20 Dialysis units located in Central and Northern eastregion during June-December 2010. The patient’s demographicdata assessment, the Charlson’s Comorbid Index, the Katz Index,and 9-Item Thai Patient Health Questionnaire were used in thestudy. Data were analyzed by using the Chi-square and Pearson’scorrelation statistics.

Main findings: The results found that the prevalence ofdepression in elderly PD patients was 31%. There were significantrelationships between depression and occupation factor andhaving a PD caregiver factor (X2 = 12.011, p = .001, X2 = 6.840,p = .009 respectively). Moreover, age, comorbidity and level ofactivity in daily living were moderately associated withdepression in elderly PD patients (r = .386, p < .001, r = .339,p < .001, r = - .467, p < .001 respectively).

Conclusion and recommendations: These results provideinformation used to reduce and prevent depressive symptoms inorder to effectively deliver the PD service to the patients.

Article Details

How to Cite
Sindhu, S., Varitsakul, R., & Sriyuktasuth, A. (2011). Factors Associated with Depression in Elderly Peritoneal Dialysis Patients. Nursing Science Journal of Thailand, 29(3), 84–92. Retrieved from https://he02.tci-thaijo.org/index.php/ns/article/view/2870
Section
Research Papers

References

Cohen SD, Norris L, Acquaviva K, Peterson RA, Kimmel PL. Screening, diagnosis, and treatment of depression in patients with endstage renal disease. Clin J Am Soc Nephro. 2007;2(6):1332–42.

Feroze U, Martin D, Reina-Patton A, Kalantar- Zadeh K, Kopple JD. Mental health, depression, and anxiety in patients on maintenance dialysis. IRAN J Kidney Dis. 2010; 4:173-80.

Lin YH, Yang Y, Chen SY, Chang CC, Chiu PF, Huang CY. The depression status of patients with end-stage renal disease in different renal replacement therapies. Int J Urol Nurs. 2011;5(1):14-20.

Tyrrell J, Paturel L, Capezzali E, Poussin G. Older patients undergoing dialysis treatment: Cognitive functioning, depressive mood, and health-related quality of life. Aging Ment Health 2005;9(4):374-9.

Wongpoom T, Sukying C, Udomsubpayakul U. Prevalence of depression among the elderly in Chiang Mai province. Journal of Psychiatry Association of Thailand. 2011; 56(2):103-16. (in Thai).

Charlson ME, Pompei P, Ales KL, MacKenzie CR. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chron Dis.1987;40:373-83.

Katz S, Ford AB, Moskowitz RW, Jackson BA, Jaffe MW. Studies of illness in the aged. The index of ADL: a standardized measure of biological and psychosocial function. J Amer Med Assoc. 1963;185:914-9.

Reijneveld SA, Spijker J, Dijkshoorn H. Katz’ ADL index assessed functional performance of Turkish, Moroccan, and Dutch elderly. J Clin Epidemiol. 2007;60:382-8.

Lotrakul M, Sumrithe S, Saipanich R. Reliability and validity of the Thai version of the PHQ-9. BMC Psychiatry. 2008;8(46).Doi: 10.1186/1471-244X-8-46.

Burns N, Grove SK. The practice of nursing research: conduct, critique, and utilization 5th ed. Missouri: Elsevier Saunders; 2005.

Chen YS, Wu SC, Wang SY, Jaw BS.Depression in chronic haemodialysed patients. Nephrology. 2003;8:121–6.

Chan LK, Yu ECS, Li SY. Depression in Patients Receiving Peritoneal Dialysis. East Asian Archives of Psychiatry. 2011;21:99-107.

Ye XQ, Chen WQ, Lin JX, Wang RP, Zhang ZH, Yang X, Yu XQ. Effect of social support on psychological-stress-induced anxiety and depressive symptoms in patients receiving peritoneal dialysis. J Psychosom Res. 2008;65(2):157-64.

Bakewell AB, Higgins RM, Edmunds ME. Quality of life in peritoneal dialysis patients: decline overtime and association with clinical outcomes. Kidney Int. 2002;6:239-48.

Lew SQ, Piraino B. Quality of life and psychological issues in peritoneal dialysis patients. Semin Dialysis. 2005;18(2):119-23.

Mark H, Christopher B, Gita DM. Depression, physical function, and risk of mortality: national diet and nutrition survey in adults older than 65 Years. Am J Geriat Psychiat. 2011;19(1):72–8.