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Economic, Social, and Psychological Factors Associated With Health‐Related Quality of Life of Chronic Hemodialysis Patients in Northern Taiwan: A Multicenter Study
Author(s) -
Kao TzeWah,
Lai MeiShu,
Tsai TunJun,
Jan ChyiFeng,
Chie WeiChu,
Chen WanYu
Publication year - 2009
Publication title -
artificial organs
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.684
H-Index - 76
eISSN - 1525-1594
pISSN - 0160-564X
DOI - 10.1111/j.1525-1594.2008.00675.x
Subject(s) - psychosocial , quality of life (healthcare) , mental health , depression (economics) , hemodialysis , medicine , social support , beck depression inventory , gerontology , cross sectional study , demography , psychiatry , clinical psychology , psychology , anxiety , nursing , pathology , sociology , economics , psychotherapist , macroeconomics
This study evaluated the associations between economic, social, psychological factors, and health‐related quality of life of hemodialysis patients. Cross‐sectional study design was used. End‐stage renal disease patients who had received maintenance hemodialysis for more than 2 months at 14 centers in northern Taiwan were invited to participate. Demographic, economic, and psychosocial data of patients were collected. Depression was assessed by the Beck Depression Inventory. Health‐related quality of life was measured by the Medical Outcomes Study Short‐Form 36. Multivariable linear regression analyses were performed. Eight hundred sixty‐one patients (373 males, mean age 59.4 ± 13.2 years) completed the study. Higher monthly income was positively associated with role emotional and mental health ( P < 0.05), and so was increased frequency of social activities with social functioning ( P < 0.05). The more worries, the stronger the inverse associations with social functioning ( P < 0.05) and mental health ( P < 0.01). Higher depression scores were associated with lower scores of all Short‐Form 36 dimensions ( P < 0.01). Higher monthly income and increased social activities are associated with better health‐related quality of life, whereas more worries and higher depression scores are associated with worse health‐related quality of life of hemodialysis patients.