Sense of coherence (SOC) and depression as determinants of maintaining optimum health in hemodialized patients

Abstract

Introduction. Hemodialysis is one of the methods of kidney substitute therapy in patients with chronic renal failure. Awareness of a chronic disease makes it difficult for many patients to accept the condition and results in a bigger ratio of depression. High Sense of Coherence (SOC) level makes people believe in life predictability and order which in turn motivates them to be healthy and functional. The aim of the study was to estimate the relationship between the level of SOC and depression as factors influencing the course of illness and as a measure of regaining optimum health in hemodialized patients with chronic renal failure.

Material and methodology. The study included 45 patients (21 women and 24 men), mean age 65, hemodialized at AVITUM hemodialysis stations, Kujawsko-Pomorskie Region. The SOC level was assessed using SOC-29 questionnaire and depression level using Beck scale (BDI).

Results. The patients’ global SOC level was low (118. 42). There were differences between patients in the level of comprehensibility and manageability. Higher scores on the Beck scale were observed (17.53 – mild depression). SOC in the scope of comprehensibility correlated with depression – the higher comprehensibility level, the lower depression level; the lower meaningfulness level, the higher grade of lowered mood.

Conclusions. The results showed difficulty of the patients in coping with problems and adaptation to chronic disease. Investigation of these variables will help adjust care to the needs of dialized patients. Monitoring patients’ emotional condition, as an indicator of coping with chronic disease, is recommended.