Hopelessness, suicide ideation, and depression in chronic kidney disease patients on hemodialysis or transplant recipients

Abstract

There was no difference in the intensity of hopelessness, suicide ideation and depression symptoms between stable hemodialysis and transplant patients. Not performing a labor activity and receiving the transplant from deceased donor lead to more depressive symptoms. The high prevalence of depressive symptoms and the finding of suicide ideation in both modalities of renal replacement therapy point to the need to monitor and care for those patients.

Construction and validation of forms: systematization of the care of people under hemodialysis

“…Stressors such as coexistence with the possibility of death, adherence or not to renal transplantation, and follow-up of the (in) compatibility result for transplantation are corroborated with evidence from the literature (2,(14)(15) , being considered peculiar to the presence of other stressors impaired renal function, hemodialysis machine dependence for blood clearance, availability of time for the sessions, changes in daily habits / behaviors, and uncertainty about whether or not a relative is positioned to be a donor or queue).…”

“…information, based on the adopted references (6)(7)(8)(9) and theoretical knowledge (2)(3)(4) and clinical knowledge renal disease (14) and renal replacement therapy (2) . This concern was due to the need to portray the profile of demands for nursing care.…”

“…The prevalence is in the age group of 19 to 64 years (66.9%) and in the male sex (57.3%) (1) . Hemodialysis is a complex procedure, performed in three shifts of four hours a week, through arteriovenous fistula (AVF) or double lumen venous catheter (2) , requiring daily adjustments and specific nursing care (3)(4) . The insertion of the nurse in the process of caring for people undergoing hemodialysis needs to be based on theoretical, philosophical, conceptual and taxonomic references to capture the peculiarities of how people experience the process of renal replacement therapy and to plan with individualization care to the point of empowerment the nurses' work performance (4)(5) .…”

Psychologic Evaluation in Liver Transplantation: Assessment of Psychologic Profile of End-Stage Liver Disease Patients Before and After Transplant

“…38 Another recent study investigating hopelessness, suicide ideation, and depression (using Beck Depression Inventory) in chronic kidney disease patients on hemodialysis and kidney transplant recipients found high prevalence of depressive symptoms in both groups, although no significant differences were observed between the groups. 39 Our finding of higher depression scores in patients after liver transplant suggests a need for further subsample study (perhaps pediatric vs adult patients) to identify what factors are associated with more depressive symptoms after liver transplant. It has been reported that patients who receive grafts from living donors are less likely to be depressed than those who receive grafts from deceased donors.…”

“…It has been reported that patients who receive grafts from living donors are less likely to be depressed than those who receive grafts from deceased donors. 39 Identification of factors leading to posttransplant depression could help with strategizing efforts aimed at facilitating return of these patients to an active life.…”