Volume 34, Issue 242 (2-2025)
J Mazandaran Univ Med Sci 2025, 34(242): 78-89 |
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Abedi S, Yaghoubian M, Hossein Nattaj A, Ilali E S. Loneliness and Self-Care Among Elderly Patients Undergoing Hemodialysis at Sari Shahrvand Dialysis Center in 2023. J Mazandaran Univ Med Sci 2025; 34 (242) :78-89
URL: http://jmums.mazums.ac.ir/article-1-20970-en.html
URL: http://jmums.mazums.ac.ir/article-1-20970-en.html
Abstract: (347 Views)
Background and purpose: Individuals undergoing chronic hemodialysis face various daily challenges due to their unique lifestyle, which significantly reduces their quality of life. Self-care plays a crucial role in improving health behaviors and delaying the progression to the final stages of the disease. Since self-care is comprehensive, learnable, and improvable, this study aimed to investigate the relationship between loneliness and self- care in elderly patients undergoing hemodialysis.
Materials and methods: This cross-sectional study involved 138 elderly patients undergoing hemodialysis at the Citizen Dialysis Center in Sari, selected through a census method. Data collection tools included a socio-demographic questionnaire, the Standardized Elderly Self-Care Scale, and the Russell Loneliness Scale. Data were analyzed using SPSS version 22, employing both descriptive and inferential statistics. The significance level was set at P≤ 0.05.
Results: The average age of the participants was 68.67±6.28 years, and the majority (51.4%) were female. Pearson correlation analysis revealed no significant association between total self-care scores and loneliness (r=0.14,P=0.108), physical self-care scores and loneliness (r=-0.03,p=0.694), or illness-related self-care scores and loneliness (r=0.11,P=0.218). However, a significant negative correlation was observed between spiritual self-care scores and loneliness (r=-0.33,P=0.001) and between social self-care scores and loneliness (r=-0.20,P=0.018). As loneliness scores increased, spiritual and social self-care scores declined.
Conclusion: The findings underscore the importance of addressing the emotional and social needs of elderly hemodialysis patients along with their physical health needs to enhance their overall quality of life. Healthcare providers and policymakers should implement self-care interventions, particularly those emphasizing spiritual and social aspects, into care plans for elderly hemodialysis patients to reduce the negative impact of loneliness and promote their well-being.
Materials and methods: This cross-sectional study involved 138 elderly patients undergoing hemodialysis at the Citizen Dialysis Center in Sari, selected through a census method. Data collection tools included a socio-demographic questionnaire, the Standardized Elderly Self-Care Scale, and the Russell Loneliness Scale. Data were analyzed using SPSS version 22, employing both descriptive and inferential statistics. The significance level was set at P≤ 0.05.
Results: The average age of the participants was 68.67±6.28 years, and the majority (51.4%) were female. Pearson correlation analysis revealed no significant association between total self-care scores and loneliness (r=0.14,P=0.108), physical self-care scores and loneliness (r=-0.03,p=0.694), or illness-related self-care scores and loneliness (r=0.11,P=0.218). However, a significant negative correlation was observed between spiritual self-care scores and loneliness (r=-0.33,P=0.001) and between social self-care scores and loneliness (r=-0.20,P=0.018). As loneliness scores increased, spiritual and social self-care scores declined.
Conclusion: The findings underscore the importance of addressing the emotional and social needs of elderly hemodialysis patients along with their physical health needs to enhance their overall quality of life. Healthcare providers and policymakers should implement self-care interventions, particularly those emphasizing spiritual and social aspects, into care plans for elderly hemodialysis patients to reduce the negative impact of loneliness and promote their well-being.
Type of Study: Research(Original) |
Subject:
nursing
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