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Influence of the Meaning in Life, Depression, and Social Support on the Suicidal Ideation of Old Adult Hemodialysis Patients

노인 혈액투석 환자의 삶의 의미, 우울, 사회적 지지가 자살생각에 미치는 영향

  • Shin, Jinhee (College of Nursing, Yonsei University) ;
  • Sim, Hyebeen (College of Nursing, Kyung Hee University) ;
  • Cho, Eunhee (College of Nursing.Mo-im Kim Nursing Research Institute, Yonsei University)
  • 신진희 (연세대학교 간호대학 대학원) ;
  • 심혜빈 (경희대학교 간호대학 대학원) ;
  • 조은희 (연세대학교 간호대학.김모임 간호학연구소)
  • Received : 2020.04.07
  • Accepted : 2020.08.04
  • Published : 2020.09.30

Abstract

Purpose: This study is to identify how the meaning in life, depression, and social support influences the suicidal ideation of old adult hemodialysis patients. Methods: A cross-sectional design was used. A descriptive correlative study was conducted through an organized and structured self-administrated questionnaire survey for 120 sampled old adult renal dialysis patients. The collected data were analyzed by t-tests, ANOVA, Pearson's correlation coefficient, and multiple linear regression analysis using the Stata 13.0 program. Results: The suicidal ideation of participants was positively correlated with the meaning in life, and social support, and the depression was negatively correlated with the suicidal ideation. Significant factors influencing the suicidal ideation included the meaning in life, depression, social support, age, caregiver, monthly income, and smoking. These factors explained 68% of the variance. Conclusion: The depression of old adult hemodialysis patients was a major risk factor that increased suicidal ideation, and the meaning in life and social support was a protective factor that reduced the suicidal ideation. These results suggest that health professionals should provide old adult hemodialysis patients with proper management of suicidal ideation, and depression as well as its meaning in life, and social support.

Keywords

References

  1. Health insurance review & assessment service. Report of 2015 5th Hemodialysis Peace Assessment Results [Internet]. Gangwondo: Health insurance review & assessment service. 2015 [cited 2019 December 4]. Available from: http://www.hira.or.kr/re/diag/getDiagEvlList.do?pgmid=HIRAA03 0004000100
  2. Kurella M, Kimmel PL, Young BS, Chertow GM. Suicide in the United States end-stage renal disease program. Journal of the American Society of Nephrology. 2005;16(3):774-781. https://doi.org/10.1681/ASN.2004070550
  3. Lee EM, Hong NS, Lee SJ. Factors related to suicidal ideation of kidney patients. Journal of Health Informatics and Statistics. 2018;43(3):184-190. https://doi.org/10.21032/jhis.2018.43.3.184
  4. Frankl VE. Man's Search for Meaning: An Introduction to Logotherapy. 1nd ed. New York: Pocket Books; 1963. 240 p.
  5. Kye SY, Park KH. Suicidal ideation and suicidal attempts among adults with chronic diseases: A cross-sectional study. Comprehensive Psychiatry. 2017;73:160-167. https://doi.org/10.1016/j.comppsych.2016.12.001
  6. Kim HJ, Kwon JH. Relationship between meaning of life and suicide ideation: Mediating effects of perceived social support and avoidance coping style. Korean Journal of Clinical Psychology. 2012;31(2):589-606. https://doi.org/10.15842/kjcp.2012.31.2.011
  7. Suh MH, Choe BM, Kim SH, Park JH. Association between chronic physical diseases and suicidal ideation in Korean adults. The Korean Society of Biological Therapies in Psychiatry. 2018; 24(1):40-45.
  8. Keskin G, Engin E. The evaluation of depression, suicidal ideation and coping strategies in haemodialysis patients with renal failure. Journal of Clinical Nursing. 2011;20(19-20):2721-2732. https://doi.org/10.1111/j.1365-2702.2010.03669.x
  9. Nam KM, Jung EK. The influence of social activity and social support perceived by elderly women living alone on their quality of life: Focusing on the mediating effect of depression and death-anxiety. Journal of Welfare for the Aged. 2011;52(6):325-348.
  10. O'Connell H, Chin AV, Cunningham C, Lawlor BA. Recent developments: Suicide in older people. BMJ. 2004;329(7471):895-899. https://doi.org/10.1136/bmj.329.7471.895
  11. Yoon SH, Kim SS. Influence of depression, hope, and social support on suicidal ideation in renal dialysis patients. Korean Journal of Adult Nursing. 2012;24(3):209-218. https://doi.org/10.7475/kjan.2012.24.3.209
  12. Lee SE. Risk factors for suicidal ideation across the life cycle among Korean adults: Korean psycho-social anxiety survey. Korean Journal of Adult Nursing. 2017;29(2):109-118. https://doi.org/10.7475/kjan.2017.29.2.109
  13. Beck AT, Kovacs M, Weissman A. Assessment of suicidal intention: The scale for suicide ideation. Journal of Consulting and Clinical Psychology. 1979;47(2):343-352. https://doi.org/10.1037/0022-006x.47.2.343
  14. Stegar MF, Frazier P, Oishi S, Kaler M. The meaning in life questionnaire: Assessing the presence of and search for meaning in life. Journal of Counseling Psychology. 2006;53(1):80-93. https://doi.org/10.1037/0022-0167.53.1.80
  15. Won DR, Kim KH, Kwon SJ. Validation of the Korean version of meaning in life questionnaire. Korean Journal of Health Psychology. 2005;10(2):211-225. https://doi.org/10.1177/1359105305049769
  16. Sheikh JI, Yesavage JA. Geriatric depression scale (GDS): Recent evidence and development of a shorter version. Clinical Gerontologist: The Journal of Aging and Mental Health. 1986; 5(1-2):165-173. https://doi.org/10.1300/J018v05n01_09
  17. Kee BS, Kim SY. A guide of therapy of depressive disorders in older patients. Journal of the Korean Society of Biological Therapies in Psychiatry. 2003;9:112-117.
  18. Zimet GD, Dahlem NW, Zimet SG, Farley GK. The multidimensional scale of perceived social support. Journal of Personality Assessment. 1988;52(1):30-41. https://doi.org/10.1207/s15327752jpa5201_2
  19. Shin JS, Lee YB. The effects of social supports on psychosocial well-being of the unemployed. Korean Journal of Social Welfare. 1999;37:241-269.
  20. Koo CY, Kim JS, Yu JO. A study on factors influencing elders' suicidal ideation: Focused on comparison of gender differences. Journal of Korean Academy of Community Health Nursing. 2014;25(1):24-32. https://doi.org/10.12799/jkachn.2014.25.1.24
  21. Sohn JN. A study on factors influencing the suicidal ideation in elderly people who live alone or live with family. Journal of Korean Academy of Psychiatric and Mental Health Nursing. 2012;21(2):118-126. https://doi.org/10.12934/jkpmhn.2012.21.2.118
  22. Liu CH, Yeh MK, Weng SC, Bai MY, Chang JC. Suicide and chronic kidney disease: A case-control study. Nephrology Dialysis Transplantation. 2017;32(9):1524-1529. https://doi.org/10.1093/ndt/gfw244
  23. Lee SE, Kim BH. Factors associated with meaning in life among elderly female community dwellers living alone. Journal of Korean Academy of Community Health Nursing. 2016;27(3): 221-230. https://doi.org/10.12799/jkachn.2016.27.3.221
  24. Gong SJ, Kim KH. Factors related to meaning in life in elderly. Korean Journal of Adult Nursing. 2010;22(4):438-447.
  25. Kim BM, Kim JH. Influence of uncertainty, depression, and social support on self-care compliance in hemodialysis patients. Therapeutics and Clinical Risk Management. 2019;15: 1243-1251. https://doi.org/10.2147%2FTCRM.S218934 https://doi.org/10.2147/TCRM.S218934
  26. Yoo JS, Kim HS, Yon HJ. The effect of depression and suicide prevention program for vulnerable community-dwelling elderly women. Journal of the Korea Academia-Industrial cooperation Society. 2014;15(5):2882-2892. https://doi.org/10.5762/KAIS.2014.15.5.2882
  27. Lee KS, Kim HY, Lee MH. Factors influencing psychosocial adjustment in hemodialysis patients. Korean Journal of Adult Nursing. 2019;31(1):38-49. https://doi.org/10.7475/kjan.2019.31.1.38
  28. Theoddoritsi A, Aravantinou ME, Gravani V, Bourtsi E, Vasilopoulou C, Theofilou P, et al. Factors associated with the social support of hemodialysis patients. Iranian Journal of Public Heath. 2006;45(10):1261-1269.
  29. Shin JU, Bae SH. Factors affecting suicidal ideation in elderly attending community senior centers. Journal of Agricultural Medicine and Community Health. 2013;38(2):71-84. https://doi.org/10.5393/JAMCH.2013.38.2.071
  30. Yu SH, Kim SY, Park BR, Jo MN, Kim SK, Park JH. Association and affecting factor between smoking and suicide idea: Focusing on comparison between district. Korean Journal of Health Education and Promotion. 2018;35(3):1-14. https://doi.org/10.14367/kjhep.2018.35.3.1

Cited by

  1. 혈액투석 환자의 생의 의미에 영향을 미치는 요인 vol.22, pp.1, 2020, https://doi.org/10.5762/kais.2021.22.1.743