Anxiety and Depression among Patients with Chronic Kidney Disease Undergoing Haemodialysis in a Tertiary Care Centre: A Descriptive Cross-sectional Study

Sharma, Rachana; Sharma, Subhash C.; Chalise, Pratikshya; Regmee, Jaya; Sharma, Shaina

doi:10.31729/jnma.7608

Cited by 5 publications

(4 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The hemodialysis process negatively affects the social, financial, and psychological well-being of all patients (Ginieri-Coccossis et al, 2008). Furthermore, patients with end-stage renal failure go through major changes and adjustments in terms of their personal, professional, and social lives (Kimmel, 2001;Sharma et al, 2022). According to Kimmel (2001) and Goyal et al (2018), hemodialysis patients must adjust their lifestyle and personal changes in sexual interest and behavior.…”

Section: Discussionmentioning

confidence: 99%

Anxiety and depression in geriatric hemodialysis patients: factors that influence the border of diseases

Elezi,

Abazaj,

Zappacosta

et al. 2023

Front. Psychol.

View full text Add to dashboard Cite

IntroductionThe two main psychological issues that people with end-stage renal disease (ESRD) experience are depression and anxiety. We conducted this study to determine both the prevalence of depression and anxiety, and the factors associated with them, among hemodialysis patients.MethodsPatients aged 18 years or older, who had received hemodialysis in a hemodialysis center in Elbasan, for at least 3 months were included in this study. Beck Anxiety Inventory and Beck Depression Inventory Instruments were used to assess hemodialysis patients levels of depression and anxiety.ResultsOverall, 107 hemodialysis patients (men 65.4%) with a mean age of 57 ± 8.9 years were enrolled in the study. The prevalence of anxiety and depression resulted to be 85.98, and 84.11%, respectively. We found a significant difference in depression and anxiety scores in patients age groups of 61–70 years old (OR = 1.8; 95% CI [0.7–3.7]; p = 0.041), in non-smoking patients (OR 3.4; 95% CI [1.09–8.2]; p = 0.04), in diabetic patients (OR 3.4; 95% CI [1.09–8.2]; p = 0.04), and in patients with a time in dialysis of 6–10 years and >11 years, respectively, (OR 3.4; 95% [1.5–9.0]; p = 0.01), (OR1.3; 95% CI [0.4–3.6]; p = 0.04).ConclusionOur study shows that the prevalence of mental disorders (depression and anxiety) is high among patients with ESRD on maintenance hemodialysis. We recommend a routine screening and referral to psychological health specialists to evaluate the mental health disorders among hemodialysis patients with the primary aim of improving their quality of life.

show abstract

Section: Discussionmentioning

confidence: 99%

Anxiety and depression in geriatric hemodialysis patients: factors that influence the border of diseases

Elezi,

Abazaj,

Zappacosta

et al. 2023

Front. Psychol.

View full text Add to dashboard Cite

show abstract

“…Emerging empirical evidence suggests a robust correlation between nursing quality, treatment effectiveness, and patient treatment compliance. Hence, improvement of the quality of care and daily living guidance for hemodialysis can enhance the treatment compliance of patients and improve their prognosis, thereby effectively improving treatment outcomes [7,8] . Nonetheless, routine nursing is too single-facet to provide integrated nursing care.…”

Section: Introductionmentioning

confidence: 99%

Analysis of Anxiety Status and Corresponding Nursing Measures in Long-term Hemodialysis Patients

Song,

Zhang

2024

J Mod Nurs Pract Res

View full text Add to dashboard Cite

Objective: This study was conducted to evaluate the anxiety of patients with long-term hemodialysis and its corresponding nursing measures. Methods: This study employed a prospective observational design. The present study performed an anxiety questionnaire investigation among 150 patients who underwent long-term hemodialysis in our hospital between March 2020 and January 2022. Convenience sampling was used to select the participants. Data were collected using a structured questionnaire consisting of the Self-Rating Anxiety Scale (SAS), General Comfort Questionnaire (GCQ), Pittsburgh sleep quality index (PSQI), and Emotional Behavioral Dimensions section of the Body Quality Management Scale. The collected data were analyzed using SPSS 26.0 statistical software. Descriptive statistics, t-tests, and chi-square tests were employed for data analysis. Statistical significance was indicated by P<0.05. Results: The results of this study revealed that out of 150 patients undergoing long-term hemodialysis, 58 patients (38.66%) exhibited anxiety. The study group, receiving individualized care, showed significantly higher GCQ scores (82.64±5.65) compared to the control group (routine care) with scores of 71.89±5.25 (P<0.05). Furthermore, the study group demonstrated improved sleep quality, as indicated by lower PSQI scores (8.25±1.98) compared to the control group (12.88±2.94) (P<0.05). The study group also exhibited higher scores in emotional processing (11.89±1.39), partnership (15.14±1.94), and mental activity management (20.88±2.17) compared to the control group (9.12±1.21, 11.73±1.58, and 16.98±2.08, respectively) (P<0.05). Notably, the study group displayed lower levels of anxiety and depression, as evidenced by lower SAS scores (39.56±5.14) and SDS scores (31.71±3.89) compared to the control group (42.62±5.98 and 38.56±6.75, respectively) (P<0.05). In conclusion, individualized care interventions were found to enhance the comfort, sleep quality, and emotional management ability of patients undergoing long-term hemodialysis, while reducing anxiety and depression levels. Conclusion: Anxiety is highly prevalent in patients with long-term hemodialysis. Targeted intervention care and the establishment of a positive environment can effectively promote patients’ physical and mental health, enhance their comfort and sleep quality, and effectively strengthen the management of negative emotions, demonstrating a promising potential for clinical promotion.

show abstract

“…The results of several relevant studies have shown that the prevalence of symptoms ranges from 40.7% to 92.3% in HD patients [ 6 – 9 ]. Among the physical symptoms, skin itching, fatigue, sleep disorder, and other symptoms are the most prominent [ 10 – 13 ], while among the psychological symptoms, anxiety and depression are particularly common [ 10 , 14 , 15 ]. Especially in older patients, with increasing age, the symptoms occur more often and are more severe, thereby negatively affecting the patients’ quality of life.…”

Section: Introductionmentioning

confidence: 99%

Exploration of symptom clusters during hemodialysis and symptom network analysis of older maintenance hemodialysis patients: a cross-sectional study

Zhou¹,

Gu²,

Cheng³

et al. 2023

BMC Nephrol

View full text Add to dashboard Cite

Background Symptom networks can provide empirical evidence for the development of personalized and precise symptom management strategies. However, few studies have established networks of symptoms experienced by older patients on maintenance hemodialysis. Our goal was to examine the type of symptom clusters of older maintenance hemodialysis patients during dialysis and construct a symptom network to understand the symptom characteristics of this population. Methods The modified Dialysis Symptom Index was used for a cross-sectional survey. Network analysis was used to analyze the symptom network and node characteristics, and factor analysis was used to examine symptom clusters. Results A total of 167 participants were included in this study. The participants included 111 men and 56 women with a mean age of 70.05 ± 7.40. The symptom burdens with the highest scores were dry skin, dry mouth, itching, and trouble staying asleep. Five symptom clusters were obtained from exploratory factor analysis, of which the clusters with the most severe symptom burdens were the gastrointestinal discomfort symptom cluster, sleep disorder symptom cluster, skin discomfort symptom cluster, and mood symptom cluster. Based on centrality markers, it could be seen that feeling nervous and trouble staying asleep had the highest strength, and feeling nervous and feeling irritable had the highest closeness and betweenness. Conclusions Hemodialysis patients have a severe symptom burden and multiple symptom clusters. Dry skin, itching, and dry mouth are sentinel symptoms in the network model; feeling nervous and trouble staying asleep are core symptoms of patients; feeling nervous and feeling irritable are bridge symptoms in this symptom network model. Clinical staff can formulate precise and efficient symptom management protocols for patients by using the synergistic effects of symptoms in the symptom clusters based on sentinel symptoms, core symptoms, and bridge symptoms.

show abstract

Anxiety and Depression among Patients with Chronic Kidney Disease Undergoing Haemodialysis in a Tertiary Care Centre: A Descriptive Cross-sectional Study

Cited by 5 publications

References 16 publications

Anxiety and depression in geriatric hemodialysis patients: factors that influence the border of diseases

Anxiety and depression in geriatric hemodialysis patients: factors that influence the border of diseases

Analysis of Anxiety Status and Corresponding Nursing Measures in Long-term Hemodialysis Patients

Exploration of symptom clusters during hemodialysis and symptom network analysis of older maintenance hemodialysis patients: a cross-sectional study

Contact Info

Product

Resources

About