Korean J Adult Nurs.  2014 Dec;26(6):614-620. 10.7475/kjan.2014.26.6.614.

The Factors Influencing the Resilience among Hemodialysis Patients

• Cho HM
• Yoo EK

• KMID: 2298152
• DOI: http://doi.org/10.7475/kjan.2014.26.6.614

Abstract

PURPOSE
The purpose of this study was to examine the levels of resilience, depression, and self-esteem of hemodialysis(HD) patients, and to find out the factors influencing resilience.
METHODS
The subjects of this descriptive correlational study was 83 outpatients in H hospital in Seoul, Korea, who receive hemodialysis regularly. Data was analyzed by SPSS/WIN 18.0 program.
RESULTS
The resilience of HD patients were statistically different by gender, job, economical state, most supportive person, and recent condition. Self-esteem had positive correlation, while depression had moderate negative correlation with the resilience of HD patients. In regression analysis, depression had significant explanation power, which accounted for 25.4% of the resilience.
CONCLUSION
The results of this study provide basic data for developing a resilience promoting program. Since health-related conditions of HD patients affect their levels of resilience, individualized assessment and management of complications are necessary. Also, as the resilience is related to family support, activating support groups for HD patients and their spouses would be helpful to promote their resilience.

MeSH Terms

Depression
Humans
Korea
Outpatients
Renal Dialysis*
Self-Help Groups
Seoul
Spouses

Reference

1.The Korean Society of Nephrology. Medical information for hemodialysis patients. [Internet]. Seoul: The Korean Society of Nephrology;2006. [cited 2014 July 29]. Available from:. http://www.ksn.or.kr/kidney/qna.php?code=qna&category=01&number=202013.

2.Schreiber W., Huber W. Psychological situation of dialysis patients abd their families. Dialysis & Transplantation. 1985. 14:696–8.

3.Rutter M. Resilience in the face of adversity: protective factors and resilience to psychiatric disorder. British Journal of Psychiatric. 1985. 147:598–611.

4.Polk LV. Toward a middle-range theory of resilience. Advanced in Nursing Science. 1997. 19:1–13.

5.Kim JH. Resilience. Seoul: Wisdom house;2011. p. 1–238.

6.Walash F. Strengthening family resilience. New York: Guilford Press;1998. p. 3–27.

7.Olsson CA., Band LJ., Burns JM., Vella-Brodrick DA., Sawyer SM. Adolescent resilience: a concept analysis. Journal of Adolescence. 2003. 26(1):1–11.

8.Zung WWK. A self-rating depression scale. Archives of General Psychiatry. 1965. 12:63–70.

9.Rosenberg M. Society and the adolescent self-image. Princeton, NJ: Princeton University Press;1965.

10.Jeon BJ. Self-esteem: a test of its measurability. Yonsei Publications. 1974. 11:109–29.

11.Connor KM., Davidson JR. Development of a new resilience scale. the Connor-Davidson Resilience Scale (CD-RISC). Depress Anxiety. 2003. 18(2):76–82.

12.Back HS., Lee KU., Joo EJ., Lee MY., Choi KS. Reliability and validity of the Korean version of the Connor-Davidson Resilience Scale. Psychiatry Invest. 2010. 7(2):109–15.

13.Cho YJ., Shin YH. Depression, self-care compliance and physiological indices of hemodialysis patients. Keimyung Journal of Nursing Science. 2011. 15(1):115–22.

14.Kyun SK., Kim KH., Kim EK., Kim JH., Cho SM., Hong SH, et al. Relationships among depression and quality of life in hemodialysis patients. Ewha Nursing. 1994. 27(1):1–11.

15.Tae YS., Kwon SH., Choi JH., Lee AR. Predictive factors for depression in breast cancer survivors. Asian Oncology Nursing. 2013. 13(3):113–9.

16.Cukor D., Coplan J., Brown C., Fridman S., Smith AC., Peterson RA, et al. Depression and anxiety in urban hemodialysis patients. Journal of American Society Nephrology. 2007. 2:484–90.

17.Kim HS, The effect of hope, depression, and self-esteem on resilience of hemodialysis patients. [dissertation]. Chung Nam: Konyang University;2013.

18.Kim DH., Oh MH., Jung HA., Kim JJ. The relationships among ADL, self-esteem, and motivation for rehabilitation of stroke patients. The Journal of Korean Society of Occupational Therapy. 2013. 21(4):59–70.

19.Kim JI., Byeon YS. A study on the factors affecting resilience in patients with colon Cancer. Asian Oncology Nursing. 2013. 13(4):256–64.

20.Lee EK. A study on factors affecting cancer patients. The Journal of Korean Academic Society of Nursing Education. 2007. 13(1):52–8.