Demoralization and related factors in patients with chronic kidney disease: A Cross-Sectional Study

Abstract

Objective This study aimed to investigate demoralization in patients with chronic kidney disease and identify associated factors. Methods Participants (N = 345) with chronic kidney disease in a tertiary hospital completed anonymous questionnaire surveys. Measures included the Demoralization Scale - Mandarin Version, the Spiritual Coping Scale, the Pittsburgh Sleep Quality Index, and the Resilience Scale-14. Data were analyzed with SPSS 22.0 software, pearson correlation and linear regression analysis were used to explore factors associated with demoralization. Results Respondents returned 324 (93.9%) of the 345 questionnaires. The total DS -MV score was 24.55 ± 8.67. Associated factors of demoralization (R² = 0.602, F = 68.394, p < 0.001) were the duration since CKD diagnosis, spiritual coping, sleep quality, and resilience. Conclusions The demoralization of patients with CKD should be considered by health care providers. In this cohort, high demoralization is associated with short time since CKD diagnosis, poor sleep quality, low spiritual coping, and low resilience. Interventions to enhance spiritual coping, increase resilience ,and improve sleep quality may promote mental health of patients.