Volume 5, Issue 1 ( Journal of Clinical and Basic Research (JCBR) 2021)                   jcbr 2021, 5(1): 24-32 | Back to browse issues page

XML Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Derakhshanpour F, Salimi Z, Shekhnejad F, Shahini N, Kamkar M. Relationship between Ineffective Attitudes and General Health in Patients with Chronic Renal Disease Undergoing Hemodialysis in a Hospital in Gorgan, Iran. jcbr. 2021; 5 (1) :24-32
URL: http://jcbr.goums.ac.ir/article-1-298-en.html
1- Golestan Research Center of Psychiatry, Golestan University of Medical Sciences, Gorgan, Iran
2- Psychiatry and Behavioral Sciences Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
3- Golestan Research Center of Psychiatry, Golestan University of Medical Sciences, Gorgan, Iran , kamkar72@yahoo.com
Abstract:   (101 Views)

Background and objectives: Chronic kidney disease (CKD) is a major public health problem worldwide. Hemodialysis (HD) is the most common method of treating CKD. Dysfunctional attitudes play a major role in cognitive vulnerability and general health of HD patients. The aim of this study was to investigate relationship between dysfunctional attitudes and general health of patients with CKD undergoing HD.

Methods: This cross-sectional study was performed on CKD patients undergoing HD at a hospital in Gorgan, Iran during 2018. Overall, 126 patients (69 men and 57 women) aged 15-89 years old were enrolled via simple random sampling. Data were collected using the General Health Questionnaire-28 (GHQ-28), the Dysfunctional Attitude Scale-A (DAS-A) questionnaire and a demographic questionnaire. Collected data were analyzed by SPSS software (version 22) using the Kolmogorov-Smirnov test and Pearson correlation coefficient.

Results: The mean age of the participants was 54.9 ± 13.9 years old. Mean score of dysfunctional attitudes in HD patients was 26.32±9.9, which indicated dysfunctional attitudes. The mean score of GHQ-28 questionnaire was 26.77 ± 10.44, indicating low general health. There was a direct and statistically significant relationship between the score of dysfunctional attitudes and the GHQ-28 scores (P<0.001).

Conclusion: The results of this study showed a direct and significant relationship between dysfunctional attitudes and general health disorder in CKD patients undergoing HD.

Full-Text [PDF 381 kb]   (48 Downloads)    
Article Type: Research | Subject: Basic medical sciences
Received: 2021/03/7 | Accepted: 2021/01/21 | Published: 2021/01/21

1. Goolsby MJ. National Kidney Foundation Guidelines for chronic kidney disease: evaluation, classification, and stratification. Journal of the American Academy of Nurse Practitioners. 2002;14(6):238-42. [DOI:10.1111/j.1745-7599.2002.tb00119.x]
2. Golshayan D, Pascual M. Burden of end‐stage renal disease and evolving challenges in kidney transplantation. Transplant International. 2019;32(9):889-91. [DOI:10.1111/tri.13490]
3. Mills KT, Xu Y, Zhang W, Bundy JD, Chen C-S, Kelly TN, et al. A systematic analysis of worldwide population-based data on the global burden of chronic kidney disease in 2010. Kidney international. 2015;88(5):950-7. [DOI:10.1038/ki.2015.230]
4. Hill NR, Fatoba ST, Oke JL, Hirst JA, O'Callaghan CA, Lasserson DS, et al. Global prevalence of chronic kidney disease-a systematic review and meta-analysis. PloS one. 2016;11(7):e0158765. [DOI:10.1371/journal.pone.0158765]
5. Kassebaum NJ, Arora M, Barber RM, Bhutta ZA, Brown J, Carter A, et al. Global, regional, and national disability-adjusted life-years (DALYs) for 315 diseases and injuries and healthy life expectancy (HALE), 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015. The Lancet. 2016;388(10053):1603-58. [DOI:10.1016/S0140-6736(16)31460-X]
6. Bouya S, Balouchi A, Rafiemanesh H, Hesaraki M. Prevalence of Chronic Kidney Disease in Iranian General Population: A Meta‐Analysis and Systematic Review. Therapeutic apheresis and dialysis. 2018;22(6):594-9. [DOI:10.1111/1744-9987.12716]
7. Beto J, Bhatt N, Gerbeling T, Patel C, Drayer D. Overview of the 2017 KDIGO CKD-MBD update: Practice implications for adult hemodialysis patients. Journal of Renal Nutrition. 2019;29(1):2-15. [DOI:10.1053/j.jrn.2018.05.006]
8. Neild GH. Life expectancy with chronic kidney disease: an educational review. Pediatric Nephrology. 2017;32(2):243-8. [DOI:10.1007/s00467-016-3383-8]
9. Barbosa JBN, Moura ECSCd, Lira CLOBd, Marinho PÉdM. Quality of life and duration of hemodialysis in patients with chronic kidney disease (CKD): a cross-sectional study. Fisioterapia em Movimento. 2017;30(4):781-8. [DOI:10.1590/1980-5918.030.004.ao13]
10. Sousa L, Antunes AV, Baixinho C, Severino S, Marques-Vieira C, José H. Subjective Wellbeing Assessment in People with Chronic Kidney Disease Undergoing Hemodialysis. Chronic Kidney Disease-from Pathophysiology to Clinical Improvements Croácia: InTech. 2018:281-93. [DOI:10.5772/intechopen.71194]
11. AghaKhani N, Sharif F, Sharifnia H, Rahbar N, Parkhashjoy M, Emami A, et al. Application of Orem Self-Care Theory in Nutrition Program Training on Quality of Life in Hemodialysis Patients in Urmia Teaching Hospitals. Journal of Family Health, Faculty of Medicine, Islamic Azad University, Sari Branch. 2013;1(2):47-54.
12. Saxena S, Orley J, Group W. Quality of life assessment: the World Health Organization perspective. European psychiatry. 1997;12:263s-6s. [DOI:10.1016/S0924-9338(97)89095-5]
13. Naalweh KS, Barakat MA, Sweileh MW, Al-Jabi SW, Sweileh WM, Sa'ed HZ. Treatment adherence and perception in patients on maintenance hemodialysis: a cross-sectional study from Palestine. BMC nephrology. 2017;18(1):178. [DOI:10.1186/s12882-017-0598-2]
14. Joung S-a, Park K-Y. The relationships between knowledge on advance directive, attitudes towards the withdrawal of life-sustaining treatment and quality of life in hemodialysis patients. Journal of Korean Academy of Community Health Nursing. 2017;28(3):291-301. [DOI:10.12799/jkachn.2017.28.3.291]
15. Moonaghi HK, Hasanzadeh F, Shamsoddini S, Emamimoghadam Z, Ebrahimzadeh S. A comparison of face to face and video-based education on attitude related to diet and fluids: Adherence in hemodialysis patients. Iranian journal of nursing and midwifery research. 2012;17(5):360.
16. Najafi A, Keihani S, Bagheri N, Jolfaei AG, Meybodi AM. Association between anxiety and depression with dialysis adequacy in patients on maintenance hemodialysis. Iranian journal of psychiatry and behavioral sciences. 2016;10(2). [DOI:10.17795/ijpbs-4962]
17. Ng HJ, Tan WJ, Mooppil N, Newman S, Griva K. Prevalence and patterns of depression and anxiety in hemodialysis patients: A 12‐month prospective study on incident and prevalent populations. British journal of health psychology. 2015;20(2):374-95. [DOI:10.1111/bjhp.12106]
18. Chan L, Tummalapalli SL, Ferrandino R, Poojary P, Saha A, Chauhan K, et al. The effect of depression in chronic hemodialysis patients on inpatient hospitalization outcomes. Blood purification. 2017;43(1-3):226-34. [DOI:10.1159/000452750]
19. Ebrahimi A, Mosavi S. Psychometric Properties of The Dysfunctional Attitude Scale-26 DAS-26) in Patients with Mood Disorders. Scientific Journal of Ilam University of Medical Sciences. 2013;21(5):20-8.
20. Lam KF, Lim HA, Tan JY, Mahendran RJCp. The relationships between dysfunctional attitudes, rumination, and non-somatic depressive symptomatology in newly diagnosed Asian cancer patients. 2015;61:49-56. [DOI:10.1016/j.comppsych.2015.06.001]
21. Pasha R, Seraj A. The effectiveness of mindfulness-based cognitive therapy on rumination and dysfunctional attitudes in patients with major depressive disorder and obsessive-compulsive disorder. Journal of Psychological Achievements, Educational Sciences, and Psychology ,Shahid Chamran University of Ahvaz. 2017;4(25):93-112.
22. Malakouti SK, Fatollahi P, Mirabzadeh A, Zandi T. Reliability, validity and factor structure of the GHQ-28 used among elderly Iranians. International Psychogeriatrics. 2007;19(4):623. [DOI:10.1017/S1041610206004522]
23. Asghari A, Saed F, Dibajnia P. Psychometric properties of the Depression Anxiety Stress Scales-21 (DASS-21) in a non-clinical Iranian sample. Int J psychol. 2008;2(2):82-102.
24. Baghianimoghadam MH, Sharifirad G, Rahaei Z, Baghianimoghadam B, Heshmati HJCEjoph. Health related quality of life in children with thalassaemia assessed on the basis of SF-20 questionnaire in Yazd, Iran: a case-control study. 2011;19(3):165. [DOI:10.21101/cejph.a3640]
25. Ahmadi M, Noudehi M, Esmaeili M, Sadrollahi AJIJoA. Comparing the quality of life between active and non-active elderly women with an emphasis on physical activity. 2017;12(3):262-75. [DOI:10.21859/sija.12.3.262]
26. Crawford JR, Henry JD. The Depression Anxiety Stress Scales (DASS): Normative data and latent structure in a large non‐clinical sample. British journal of clinical psychology. 2003;42(2):111-31. [DOI:10.1348/014466503321903544]
27. Ebrahimi A, Afshar H, Doost HTN, Mousavi SG, Moolavi HJJorimstojoIUoMS. Attitude scale and general health questionnaire subscales predict depression? 2012;17(1):40.
28. RAKRAVA M, OMRANIFARD V, EBRAHIMI A, ATAPOUR A, MORTAZAVI M. Relationship between quality of life, general health and dysfunctional attitudes in kidney transplant patients. 2015.
29. Masoudi-Alavi N, Sharifi K, Ali-Akbarzadeh Z. Health status and activities of daily living in hemodialysis and transplant patients. Iran Journal of Nursing. 2011;23(68):47-53.
30. Aghajani M, Saeidnejad Z, Mirbagher Ajorpaz N. Empowerment Program based on BASNEF Model and the General Health of Hemodialysis Patients. Journal of Client-Centered Nursing Care. 2020;6(1):65-76. [DOI:10.32598/JCCNC.6.1.313.1]
31. Gutteling J, De Man R, Van Der Plas S, Schalm S, Busschbach J, DARLINGTON AS. Determinants of quality of life in chronic liver patients. Alimentary pharmacology & therapeutics. 2006;23(11):1629-35. [DOI:10.1111/j.1365-2036.2006.02934.x]
32. Fujisawa M, Ichikawa Y, Yoshiya K, Isotani S, Higuchi A, Nagano S, et al. Assessment of health-related quality of life in renal transplant and hemodialysis patients using the SF-36 health survey. Urology. 2000;56(2):201-6. [DOI:10.1016/S0090-4295(00)00623-3]
33. Maglakelidze N, Pantsulaia T, Tchokhonelidze I, Managadze L, Chkhotua A, editors. Assessment of health-related quality of life in renal transplant recipients and dialysis patients. Transplantation proceedings; 2011: Elsevier. [DOI:10.1097/00007890-201007272-01400]
34. Kallay E, Dégi CL, Vincze AE. Dysfunctional attitudes, depression and quality of life in a sample of Romanian. J Cogn Behav Psychother. 2007;7(1):95-106.
35. Bezerra JNdM, Lessa SRdO, Luz GOdA, Borba AKdOT. Health literacy of individuals undergoing dialysis therapy. Texto & Contexto-Enfermagem. 2019;28. [DOI:10.1590/1980-265x-tce-2017-0418]
36. Milan M, Nasimi F, Hafizi I, Ghorbanzadeh M, Hosseini Y. Association of spiritual health and quality of life in the hemodialysis patients admitted in Shahid Motahari Hospital in Jahrom, Iran (2016). Iran Journal of Nursing. 2018;31(113):42-51. [DOI:10.29252/ijn.31.113.42]
37. Sousa LMM, Antunes AV, Marques-Vieira CMA, Silva PCL, Valentim OMMdS, José HMG. Subjective wellbeing, sense of humor and psychological health in hemodialysis patients. Enfermería Nefrológica. 2019;22(1):34-41.
38. Mucsi I. Health-Related Quality of Life in Chronic Kidney Disease Patients. Primary psychiatry. 2008;15(1).
39. Porman Purba TU, Dharmajaya R, Siregar CT. The Effectiveness of Progressive Muscle Relaxation with Benson Relaxation on the Sleep Quality in Hemodialysis Patients. Indian Journal of Public Health Research & Development. 2020;11(2). [DOI:10.37506/v11/i2/2020/ijphrd/195082]
40. Ryu J-H, Koo TY, Ro H, Cho J-H, Jung CW, Huh KH, et al. Better Health-related Quality of Life in kidney Transplant Patients Compared to Chronic Kidney Disease Patients with Similar Renal Function. 2021. [DOI:10.21203/rs.3.rs-154641/v1]
41. Paluseri A, Wasir R. Assesment of health-related quality of life with patient chronic kidney disease at hasanuddin university hospital. International Journal of Science, Technology & Management. 2021;2(1):145-9. [DOI:10.46729/ijstm.v2i1.119]

Add your comments about this article : Your username or Email:

Send email to the article author

© 2021 All Rights Reserved | Journal of Clinical and Basic Research

Designed & Developed by : Yektaweb

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0).