This study aimed to translate and adapt the "Haemodialysis Distress Thermometer Scale" (HDDT) into Turkish and assess its validity and reliability.

This study collected data from 223 haemodialysis patients across three public hospitals in Kütahya province, Türkiye, over a seven-week period.

In this study, the content validity index of the scale was determined to be 0.96. Validity analysis results indicated that factor loadings ranged between 0.45 and 0.82, the total variance explained was 59.25%, and the fit indices were X2/df = 1.149 and RMSEA = 0.026. Reliability analysis showed that the total Cronbach's α coefficient was 0.80, with item-total correlation coefficients ranging from 0.37 to 0.73. The cut-off score for the HDDT barometer was identified as 6.5. The final structure of the HDDT scale comprised 40 items, four factors, and an 11-point barometer, consistent with the original scale.

The Turkish version of the HDDT is a valid and reliable instrument for assessing distress in patients undergoing haemodialysis treatment. It may serve as a valuable tool for nurses in identifying and addressing patient distress during haemodialysis care.

Haemodialysis (HD) patients face difficulties adapting to the drastic life changes associated with their treatment, emphasising the crucial role of psychosocial adaptation in improving long-term health outcomes. The level of psychosocial adaptation and its predictors are different according to the duration of HD therapy.

The objective was to compare the predictors of psychosocial adaptation in HD patients based on the duration of haemodialysis, with a reference point of one year since initiating HD.

A comparative cross-sectional survey design was used.

Patients from one outpatient and four community-based haemodialysis centres in South Korea completed a paper-based survey during their dialysis admission. The survey included self-report questionnaires on psychosocial adaptation, depression, perceived social support, dialysis-related symptoms, and self-management.

The adaptation score of short-term patients was below the average and lower than that of long-term patients. The predictors of adaptation were dialysis symptoms, social support, depression, and self-management for short-term patients, and depression and self-management for long-term patients.

The findings highlight the need for interventions that address depression and promote self-management in HD patients, regardless of the duration of HD. Strategies aimed at increasing social support and effectively managing dialysis-related symptoms should also be considered, particularly for short-term patients within one year of initiating HD. Based on the identified predictors of adaptation in this study, tailored nursing interventions that effectively promote adaptation, consideringthe duration of the patient's HD, should be developed, and implemented in clinical practice.

Effective haemodialysis management is crucial, and behavioural change interventions are essential for good haemodialysis self-management. However, no study explores the effects of Watson's theory such as the humanistic approach to behavioural change in haemodialysis.

To evaluate the effects of motivational interviewing and an education programme based on Watson's theory on adherence to treatment, satisfaction and health-related quality of life (HRQOL) on haemodialysis.

This study was conducted in Turkey. Intervention group received four sessions of motivational interviewing and an education programme based on Watson's theory, and the control group received routine care. The primary outcomes were adherence to fluid intake, diet and medication, attendance at haemodialysis sessions, satisfaction and HRQOL. The secondary outcomes were laboratory parameters.

Participants were randomly assigned to the intervention (n = 32) or the control group (n = 28). There were statistically significant between-group differences in adherence to fluid intake, diet and medication, and the kidney disease burden sub-dimension of HRQOL, with medium to large effect sizes. There was no difference in laboratory parameters. Participants showed high levels of satisfaction with this programme.

This study provides evidence for nurses regarding Watson's theory-based programme in a haemodialysis population. Results will help nurses to develop and practice customised effective interventions for haemodialysis.

Background and objectives Chronic kidney disease (CKD) and its management can adversely affect patients' quality of life and mental health. Many patients are often inadequately informed about their condition and the available treatment options. A considerable number of people with advanced kidney disease have insufficient knowledge about their condition and the available treatment options. This study aims to investigate the impact of an educational intervention on quality of life, psychological resilience, anxiety, and depression. This study specifically aims to evaluate the effectiveness of this intervention on variables such as quality of life, psychological resilience, anxiety, and depression. Methods A prospective randomized study was conducted on patients with CKD stage 4-5 to evaluate the effectiveness of an educational intervention in improving the aforementioned parameters. Furthermore, the correlation between these outcomes and the level of satisfaction with the intervention was analyzed. Participants were randomized (3:1) into two groups: an educational intervention group (33 patients) and a control group (12 patients). In the intervention group, we performed educational presentations accompanied by a relevant video. Participants completed the questionnaires both before and after the intervention. Participants in the control group were only asked to complete the questionnaires again after the same time period as the intervention group. Results Higher satisfaction with the intervention was significantly associated with a reduction in anxiety (r = -0.38, p = 0.03) and depression scores (r = -0.44, p = 0.01), along with a notable improvement in social functioning (r = 0.40, p = 0.02). Furthermore, a marginally significant positive correlation was observed between the satisfaction scale and psychological resilience (r = 0.32, p = 0.07). Conclusion The level of satisfaction with the intervention is a critical factor in determining its effectiveness. Tailoring the intervention to address the unique needs of each patient may significantly enhance its impact.

The 'Connected We St@nd' programme is an Internet-mediated self-management intervention that combines health education with psychosocial support, with evidenced feasibility and acceptability in haemodialysis.

To evaluate the clinical relevance of the programme and to better understand which intervention outcomes/health-related self-report measures are most sensitive to reflect changes between pre- and post-intervention assessments.

This study followed a pre-post quasi-experimental design.

Twenty-six individuals (16 people on haemodialysis and 10 family caregivers) completed the intervention.

Participants filled out a web-based assessment protocol before and after the intervention. To determine the clinical relevance of within-group pre-post changes, effect sizes, minimal clinically important differences, and reliable change indexes were calculated.

Clinically meaningful results were found on outcome measures with reasonable sensitivity to detect pre-post changes in the positive affect dimension of subjective well-being, purpose in life, overall quality of life, and psychological health. The latter was the variable that obtained the greatest number of respondents with reliable post-intervention improvements.

Participation in the programme led to clinically important and reliable improvements in several intervention outcomes, hinting that this evidence-informed intervention has the potential to be a valuable resource for promoting successful psychosocial adjustment among this population. Suggestions were made to fine-tune the evaluation and implementation of a large-scale trial to, in due course, encourage the integration of this technology-assisted interdisciplinary initiative into existing kidney care services.

This observational study aimed to investigate the prevalence and influencing factors of demoralization syndrome (DS) in elderly maintenance hemodialysis (MHD) patients, with a focus on improving their psychological distress levels.

Convenient sampling was used to select 350 MHD patients aged 60 or older from three tertiary hospitals in China. Data was collected using questionnaires, including the Chinese version of the DS Scale. Statistical analysis was conducted using SPSS 26.0 software.

Single factor analysis revealed that sex, average monthly household income, living alone, dialysis duration, complications, and self-care abilities were significant influencers of DS levels. The average DS score was moderately high, with 59.4% of patients scoring in the high range. Multivariable linear regression identified average monthly household income, dialysis duration, complications, and self-management abilities as independent factors impacting DS.

The study highlighted the importance of addressing complications, enhancing social support, improving self-management skills, and tailoring individualized hemodialysis plans to reduce DS levels and alleviate psychological distress in elderly MHD patients. These findings provide valuable insights for healthcare providers aiming to enhance patient well-being in this population.

With the advancement of blood purification technology, there is increasing attention to the mental health of hemodialysis patients, particularly concerning depression. This study aims to determine the effect of psychological interventions on anxiety and depression in hemodialysis patients through a meta-analysis.

A computerized search was conducted to identify randomized controlled trial (RCT) studies published in PubMed, Embase, Web of Science, ScienceDirect, and Cochrane Library databases from their inception to October 2023, focusing on the effects of psychological interventions on improving depression in hemodialysis patients. Data extraction, quality evaluation, and cross-checking were performed independently by two researchers. The methodological quality of the included studies was assessed according to the criteria recommended by the Cochrane Handbook for Systematic Reviews and the meta-analysis was performed using RevMan 5.4 software (The Nordic Cochrane Centre, Copenhagen, Denmark). The effect of psychological interventions on anxiety and depression in hemodialysis patients was determined by combining effect sizes and I2 statistics.

Fifteen studies were included, encompassing a total of 929 hemodialysis patients: 468 in the intervention group and 461 in the control group. The results indicated that psychological interventions could improve depressive moods [mean difference (MD) = -4.91, 95% confidence intervals (CI) (-6.56, -3.26), p < 0.001] and anxiety status [MD = -5.11, 95% CI (-6.97, -3.25), p < 0.001]. A subgroup analysis based on the intervention duration (more or less than 8 weeks) revealed that patients experienced significant improvements in depression and anxiety regardless of the intervention length. Additionally, subgroup analyses focusing on quality of life demonstrated that psychological interventions significantly improved the psychological aspects of patients' quality of life [MD = 7.31, 95% CI (1.06, 13.56), p = 0.001]. Sensitivity analysis, which excluded sources of heterogeneity, indicated that psychological interventions significantly enhanced both the psychological [odds ratios (OR) = 4.14, 95% CI (1.08, 7.20), p = 0.008] and physical [MD = 2.52, 95% CI (0.10, 4.95), p = 0.04] aspects of patients' quality of life.

Psychological interventions can significantly alleviate depression and anxiety in hemodialysis patients and improve their quality of life. Psychotherapy holds promise as an effective method for improving depression in dialysis patients.

Chronic kidney disease (CKD) is commonly associated with psychosocial problems, especially depression, contributing to poor overall outcomes. Depression has not been given adequate priority in the management of CKD patients despite its significant adverse impact on all major outcomes. This systematic review and meta-analysis determined the pooled prevalence of clinical depression in the global CKD population and sub-populations.

PubMed, African Journals Online (AJOL), and EMBASE were systematically searched to identify published articles with relevant data. The pooled prevalence of clinical depression in the global CKD population was determined using random effects meta-analytic techniques. The study protocol was registered with PROSPERO (CRD42022382708).

Sixty-five articles were included in this review, comprising 80,932 individuals with CKD from 27 countries. The participants' mean age ranged from 11.0 to 76.3 years. Most (70.4%) of the studies had medium methodological quality. The overall pooled prevalence of depression was 26.5% (95% CI 23.1-30.1%). Studies using the Diagnostic Statistical Manual for Mental Diseases (DSM) and International Classification of Disease (ICD) returned a pooled prevalence of 25.5% and 39.6%, respectively, p = 0.03. There was a significant difference in the pooled prevalence across regions; p = 0.002.The prevalence of depression was higher among individuals on chronic hemodialysis compared to pre-dialysis patients (29.9% versus 18.5%; p = 0.01) and among those on hemodialysis compared to peritoneal dialysis (30.6% versus 20.4%; p = 0.04). There was no significant difference between adults and children (26.8% versus 15.9%, p = 0.21). There was an increasing temporal trend in depression prevalence, though this did not achieve statistical significance (p = 0.16).

Depression is common in patients with CKD. The findings of this study highlight the need for clinicians to make efforts to evaluate individuals with CKD for depression, especially those with advanced stages of the disease.

To examine the effectiveness of psychoeducational interventions on depression, anxiety, and health-related quality of life (HRQOL) for people undergoing maintenance hemodialysis (MHD).

This review used systematic review and meta-analysis as the research design. Nine databases, including PubMed, Web of Science, Embase, CINAHL Complete, Cochrane Library, CNKI, WanFang, VIP, and Chinese Biomedical Literature Database, were searched from the inception to the 8th of July 2023. Two reviewers independently identified randomized controlled trials (RCT) examining the effects of psychoeducational interventions on MHD patients.

Fourteen studies involving 1134 MHD patients were included in this review. The results of meta-analyses showed that psychoeducational intervention had significant short-term (< 1 m) (SMD: -0.87, 95% CI: -1.54 to -0.20, p = 0.01, I2 = 91%; 481 participants), and medium-term (1-3 m) (SMD: -0.29, 95% CI: -0.50 to -0.08, p = 0.01, I2 = 49%; 358 participants) on anxiety in MHD patients, but the effects could not be sustained at longer follow-ups. Psychoeducational interventions can also have short-term (< 1 m) (SMD: -0.65, 95% CI: -0.91 to -0.38, p < 0.00001, I2 = 65%; 711 participants) and medium-term (1-3 m) (SMD: -0.42, 95% CI: -0.76 to -0.09, p = 0.01, I2 = 69%; 489 participants) effects in reducing depression levels in MHD patients. Psychoeducational interventions that use coping strategies, goal setting, and relaxation techniques could enhance the QOL in MHD patients in the short term (< 1 m) (SMD: 0.86, 95% CI: 0.42 to 1.30, p = 0.02, I2 = 86%; 241 participants).

Psychoeducational interventions have shown great potential to improve anxiety, depression, and quality of life in patients with MHD at the short- and medium-term follow-ups.Trial registration number: CRD42023440561.

To assess the effect of Chinese medicine affective therapy on psychotherapy for mild to moderate depression in hemodialysis patients, and to provide a reference basis for clinical practice.

Clinical data (January 2021-January 2023) from the Fourth Affiliated Hospital of Nanchang University were retrospectively analyzed. Patients were divided into control (routine care) and observation (routine care + Chinese medicine affective therapy) groups. The data of anxiety self-assessment scale (SAS), self-rating depression scale (SDS), pittsburgh sleep quality index (PSQI), general well-being scale (GWB) and Health Questionnaire (SF-36) were compared between the two groups.

PSM matched 80 patients each in observation and control groups, showing no significant baseline differences. Pre-care scores (SAS, SDS, PSQI, GWB, SF-36) had no notable discrepancies (P > .05). Post-care, SAS, SDS, PSQI were lower in the observation group (P < .05), while GWB and SF-36 scores were higher (P < .001). The SAS, SDS, and PSQI scores were lower in the observation group relative to the control group after care (All P-values were < .05), whereas the GWB and SF-36 score scores of the observation group were higher than those of the control group (All P-values were < .05).

Traditional Chinese Medicine (TCM) affective therapy may be able to improve the quality of sleep, quality of life, and general well-being of hemodialysis patients with mild-to-moderate depression, as well as alleviate the patients' adverse emotions.

The current study aimed to investigate whether there is a relationship between emotional intelligence (EI), functional capacity, fatigue, cognitive function, and quality of life (QoL) in HD patients and to assess the effect of a 9-month intradialytic exercise training program on EI levels. Seventy-eight dialysis patients (50 M/28 F, 60.6 ± 17.2 years) participated in the cross-sectional study. Afterward, a subgroup of 18 patients (15 M/3 F, 56.7 ± 12.3 years) completed a 9-month supervised intradialytic exercise training program (three times weekly). EI was assessed by the Schutte Self Report Emotional Intelligence Test (SSEIT) and the Wong and Law Emotional Intelligence Scale (WLEIS). Functional capacity was assessed by a battery of tests. Sleep quality, depression levels, and daily sleepiness were assessed via validated questionnaires. All assessments were carried out before and after the intervention. A significant positive correlation was found between the WLEIS scores and the physical component summary of the QoL questionnaire. In contrast, the WLEIS scores were negatively associated with general and physical fatigue. The SSEIT scores were positively associated with cognitive function. After nine months of exercise training, only the group with low WLEIS scores improved their EI score significantly compared to the baseline values (98.7 ± 7.0 vs. 73.0 ± 4.0, p = 0.020), while no changes were observed in the medium or high EI groups. In conclusion, patients with higher levels of EI showed increased quality of life and lower levels of fatigue. Patients with low levels of EI are more likely to benefit from an exercise training program compared to their medium- and high-level counterparts.

This study aimed to investigate the mediating role of fear of progression on illness perception and social alienation among maintenance hemodialysis (MHD) patients.

MHD is frequently accompanied by increased pain and complications such as itchy skin, chronic fatigue, and muscle spasms. Cardiovascular disease rates are also elevated among MHD patients, which can heighten their anxiety regarding prognosis and treatment discomfort. This chronic fear may severely impact social functioning, leading patients to withdraw from interpersonal interactions and experience heightened helplessness and loneliness. Further investigation is necessary to understand the factors behind the high level of social alienation in MHD patients and their underlying mechanisms.

A cross-sectional study guided by the STROBE.

A convenience sample of 230 MHD patients were enrolled from January to May 2023. Data including demographic and clinical characteristics, illness perception, fear of progression, and social alienation were collected. Descriptive analysis and Pearson correlations were conducted using IBM SPSS version 25.0. The mediating effect was analyzed using Model 4 of the PROCESS macro for SPSS, with the Bootstrap method employed to assess its significance.

The score of social alienation in MHD patients was high, with illness perception and fear of progression both significantly correlated with social alienation. In the mediating effects model, illness perception can predict social alienation in MHD patients, and fear of progression use plays a part in mediating the process by which illness perception affects social alienation. The Kappa Squared (κ2) value of 21.9%, suggests a medium effect size.

Illness perception directly predicts social alienation in MHD patients and exerts an indirect effect through the mediating role of fear of progression. Suggests that healthcare professionals should concentrate on MHD patients with high negative illness perceptions to alleviate their fear of progression, thereby decreasing the level of social alienation and enhancing their integration into society.

This multi-center cross-sectional study aimed to delineate latent profiles of benefit finding (BF) in individuals undergoing maintenance hemodialysis (MHD) in Shanghai and examine associations between these BF profiles, social support, and coping style.

A total of 384 individuals undergoing MHD (mean age = 57.90, SD = 13.36) were assessed using the Benefit Finding Scale, Simplified Coping Style Questionnaire, and Perceived Social Support Scale. Latent profile analysis (LPA) identified distinct BF categories. Analysis of variance (ANOVA) evaluated the correlation between BF groups and demographic variables, while the relationship between BF, social support, and coping style was tested through correlation and multiple regression analyses.

LPA identified three BF groups: rich BF (54.17%), moderate BF (41.14%), and poor BF (4.69%). Regression analyses indicated that positive coping and social support are protective factors for BF. Additionally, older age and heightened understanding of MHD correlated with higher BF levels.

The findings highlighted the importance of recognizing different BF profiles in individuals on MHD and working toward promoting BF levels in the rich BF and moderate BF groups, while helping the poor BF group to identify and address their challenges. Medical professionals should consider interventions tailored to individual psychological profiles to improve mental health and quality of life outcomes in this population.

Depression is one of the most common and important psychological issues faced by dialysis patients. It can make it more difficult for them to adhere to their treatment regimen, which, in turn, can worsen their physical symptoms and lead to poorer health outcomes.

To examine the evolution and growth of publications related to dialysis and depression. The objectives were to identify the number of publications, the top active countries, the contributed institutions, funding agencies and journals, as well as to perform citation and research theme analysis.

The search was conducted using the Scopus database for publications related to dialysis and depression between 1970 and 2022. Subsequently, bibliometric analysis was carried out on the data obtained using VOSviewer software, version 1.6.9. This analysis included visualization analysis, co-occurrence analysis and examination of publication trends in dialysis and depression.

We identified 800 publications that met the search criteria. The number of publications related to dialysis and depression has increased significantly in the past two decades. The USA led the way with 144 publications, which is 18% of all publications on this topic. Turkey came second with 88 publications (11%), followed by China with 55 publications (6.88%) and Iran with 52 publications (6.5%). Analysis of the research theme identified three main clusters related to gender differences in prevalence, identification of depression as a risk factor, and effective interventions to relieve depression. Future research direction analysis shows a shift toward effective interventions to relieve depression in dialysis patients.

This study provides a comprehensive overview of growth, trends and research themes related to dialysis and depression that could help researchers identify gaps in the literature and develop future research.

Cognitive impairment and malnutrition are prevalent in patients on hemodialysis (HD), and they negatively affect the outcomes of HD patients. Evidence suggests that cognitive impairment and malnutrition may be associated, but clinical studies to assess this association in HD patients are lacking. The aim of this study was to evaluate the association between cognitive impairment evaluated by the Montreal Cognitive Assessment (MoCA) score and nutritional status evaluated by the malnutrition inflammation score (MIS) in HD patients. We enrolled 84 HD patients (44 males and 40 females; age: 75.8 years (63.5-82.7); HD vintage: 46.0 months (22.1-66.9)). The MISs identified 34 patients (40%) as malnourished; the MoCa scores identified 67 patients (80%) with mild cognitive impairment (MCI). Malnourished patients had a higher prevalence of MCI compared to well-nourished patients (85% vs. 70%; p = 0.014). MoCa score and MIS were negatively correlated (rho:-0.317; p < 0.01). Our data showed a high prevalence of MCI and malnutrition in HD patients. Low MoCA scores characterized patients with high MISs, and malnutrition was a risk factor for MCI. In conclusion, it is plausible that MCI and malnutrition are linked by common sociodemographic, clinical, and biochemical risk factors rather than by a pathophysiological mechanism.