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The Relationship between Metacognition Beliefs, Life Expectancy, and Quality of Life and Hospital Depression in Kidney Patients Undergoing Hemodialysis in the City of Karaj

Document Type : Original Article

Authors

1 Associate Professor, Payam-e-Noor University, Tehran, Iran

2 Ph.D. Candidate of Health Psychology, International Center of Payam-e-Noor University, Dubai, United Arab Emirates

Abstract

Introduction: Hemodialysis is a tense process and life events influence the treatment process of patients. The aim of this research was to determine the relation between metacognitive beliefs, life expectancy, and quality of life as three contributing factors and hospital depression in kidney patients undergoing hemodialysis in the city of Karaj.                                      
Methods: The research method was correlative. Sampling was done based on 106 kidney patient volunteers undergoing hemodialysis in the year 1395. They all filled out the Metacognitive Beliefs Questionnaire (MCQ-30), Steiner-syndrome life expectancy questionnaire, kidney patients’ quality of life and the hospitalized patients’ depression questionnaires. Data analysis was carried out using SPSS and the regression analysis was performed simultaneously.   
Results: Metacognitive beliefs were uncontrollable, cognitive confidence was low, general negative beliefs regarding thoughts were  positive, and positive cognitive beliefs and negative conscious cognition were able to significantly predict depression in the hospitalized patients (P<0/01). From the factors affecting life expectancy, only negative motivation could significantly predict the patients’ hospital depression (P<0/05). Among the factors contributing to the quality of life, the socio-economic factors could negatively predict the patients’ hospital depression and the rest of the factors (health and performance, mental and spiritual and family conditions) positively predicted the hospital depression (P< 0/05).
Conclusion: Hospital depression affects hemodialysis patients’ physical and psychological factors. Thus it is recommended that their condition is periodically examined and pharmacological or non-pharmacological procedures are applied accordingly.

Keywords

References
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Sadra Medical Journal
Volume 6, Issue 2
April 2018
Pages 87-100
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