Anxiety–Depression of Dialysis Patients and Their Caregivers

Gerogianni, Georgia; Polikandrioti, Maria; Babatsikou, Fotοula; Zyga, Sofia; Alikari, Victoria; Vasilopoulos, Georgios; Stavroula, Gerogianni; Grapsa, Eirini

doi:10.3390/medicina55050168

Cited by 47 publications

(49 citation statements)

References 31 publications

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“…Moreover, 70.5% of the participants reported low levels of depression, while 17.1% and 12.3% showed moderate and high levels of depression, respectively. 7 In fact, renal failure impacts the hemodialysis patients' emotional status as a result of dietary and fluid restrictions, pain, and fatigue. 36 Therefore, it leads to psychological issues, such as depression and anxiety.…”

Section: Discussionmentioning

confidence: 99%

“…The Personal Resources Questionnaire-85 (PRQ-85) Part II (https://www.ncbi.nlm.nih.gov/pubmed/3306610) 28 was used to measure the patients' perceived social support. PRQ-85 Part II contained 25 items responded via a sevenpoint Likert-type scale with end points of strongly disagree (1) and strongly agree (7). Thus, the total score of the questionnaire could range from 25 to 175, with higher scores representing higher levels of perceived social support.…”

Section: Methodsmentioning

confidence: 99%

“…6 Moreover, some studies indicated that hemodialysis patients suffered from psychological issues; approximately 70.5% of them had low levels of depression and 64% reported low levels of anxiety. 7 Social support has been reported to be one of the factors that might play an important role during ESRD and protect hemodialysis patients from depression. 8 In fact, ESRD and hemodialysis-related changes increased the patients' dependence on others, reduced their selfesteem and loneliness, and increased their need for social support.…”

Section: Introductionmentioning

confidence: 99%

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<p>Psychosocial, Spiritual, and Biomedical Predictors of Hope in Hemodialysis Patients</p>

Rambod¹,

Pasyar²,

Mokhtarizadeh³

2020

IJNRD

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Background: Hemodialysis patients deal with some psychological and social problems. These problems may be the predictors of hope. This study aimed to determine the psychosocial, spiritual, and biomedical predictors of hope in hemodialysis patients. Methods: This cross-sectional study was conducted on 350 hemodialysis patients in hemodialysis centers affiliated to Shiraz University of Medical Sciences. Adult Hope Scale, Depression Anxiety Stress Scales, Personal Resources Questionnaire-85, Spiritual Well-Being Scale, and biomedical markers were used for data collection. The data were entered into the SPSS 22 software and were analyzed using Pearson's correlation coefficient and linear regression analysis. Results: The mean score of hope was 28.54 (SD=5.27). The mean scores of depression, anxiety, and stress were 17.87 (SD=7.62), 13.12 (SD=3.47), and 12.99 (SD=3.88), respectively. The mean scores of social support and spiritual well-being were 126.35 (SD=17.53) and 74.02 (SD=5.84), respectively. The means of biomedical markers including interdialytic weight gain, urea nitrogen, creatinine, phosphate, sodium, and potassium were 2.10 (SD=1.04), 51.55 (SD=13.10), 6.98 (SD=2.48), 4.71 (SD=1.08), 139.32 (SD=4.91), and 4.87 (SD=0.93), respectively. The results revealed a significant association between hope and depression, anxiety, stress, social support, and spiritual well-being (p<0.05). In addition, stress (β=−0.14, p=0.01), anxiety (β=−0.20, p=0.002), and social support (β=0.49, p<0.001) were the predictors of hope. Conclusion: The hemodialysis patients reported moderate levels of hope, social support, anxiety, and depression. In addition, most of them adhered to dietary and fluid restrictions. Considering the association between hope and social support, spiritual well-being, anxiety, depression, and stress, using some interventions regarding the mentioned variables might increase hope among hemodialysis patients.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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<p>Psychosocial, Spiritual, and Biomedical Predictors of Hope in Hemodialysis Patients</p>

Rambod¹,

Pasyar²,

Mokhtarizadeh³

2020

IJNRD

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“…Anxiety and depression are common psychiatric disorders among patients undergoing hemodialysis (HD). Several factors seem to trigger anxiety and depression in hemodialysis patients such as co-morbidities, frequent hospitalizations, chronic pain, sleep disturbances, chronic inflammation, increased fatigue, uremia, failure of family support restrictions in daily life, non-compliance to therapeutic regimen including restrictions in diet and fluids, and dependency upon treatment and health professionals [1].…”

Section: Introductionmentioning

confidence: 99%

Psychological assessment in children with chronic kidney disease on regular hemodialysis

Elzakzouk

Elgendy

Afifi

et al. 2020

GEGET

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Introduction: Interestingly, health care professionals have the tendency to focus on the biological dimension of the disease or other technical issues related to hemodialysis machine and usually underestimate symptoms from mental sphere. Encouraging patients to express their feelings and addressing their psychological needs may be an essential measure to confront with this debilitating disease. Aim of Study: The objective of our study were to assess the presence, possible factors related and consequences of psychological disorders in children with CKD on regular hemodialysis. Methods: This study was cross sectional study which carried out in nephrology unit of the pediatric department during the period from February 2019 to December 2019.It were comprised (141) children with CKD on regular hemodialysis of both sexes after obtaining informed consent from children's parents. All patients were subjected to history (age, sex, residence, birth order, level of education, socioeconomic status), examination and specific investigations. Results: This study showed that, a male predominance. Regarding anxiety grade, mild were 18 (12.8%), moderate were 54 (38.3%) and severe were 69 (48.9%). Regarding depression grade, mild were 50 (35.5%), moderate were 54 (38.3%), and severe were 19 (13.5%) while no depression was found among 18 (12.8%).There were statistically significant positive correlations between anxiety score and duration of dialysis. There were statistically significant positive correlations between anxiety score and depression score. Conclusion: Frequency of anxiety and depression is high in CKD Patients. There were statistically significant positive correlations between anxiety score and depression score.

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“…The study showed that there was a significant correlation between anxiety and depression levels of the hemodialysis patients and caregivers 2012;Sajadi et al, 2017). It is necessary to individually evaluate the dialysis patients and professional caregivers administering treatment to these patients and to apply special interventions in order to reduce anxiety and depression levels among them (Gerogianni et al, 2019). Assistant health personnel working in the dialysis unit should pay attention to personal hygiene and should be ensured to work with protective equipment (mask, gloves, protective gown, disinfectant).…”

Section: Introductionmentioning

confidence: 99%

Impact Of The Covid-19 Pandemic On Anxiety And Depression Levels Of The Dialysis Center Employees

Karataş

Çanakçı

Kaya

et al. 2020

Middle Black Sea Journal of Health Science

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Objective: Coronavirus (COVID-19), an acute respiratory tract disease caused by a new coronavirus (SARS-CoV-2, formerly known as 2019-nCoV), first emerged in China and then drew attention spreading worldwide. In our study we aimed to determine the impact of the Covid-19 pandemic on the dialysis center employees. Methods: The healthcare professionals to take part in the study were limited to the dialysis center employees. The study used a questionnaire comprising the participants' socio-demographic characteristics, Beck Anxiety Inventory and Beck Depression Inventory, asdata collection tool. The participants completed the questionnaire on voluntary basis in their own environment. As the Beck Anxiety Inventory and Beck Depression Inventory are grading inventories, their validity was confirmed via factor analyses. In addition their reliability analyses were conducted. In order to test the purposes of the study, the SPSS statistics software was used. The analyses were carried out at 95% (p=0.05) confidence interval. The study used descriptive statistical methods, t and ANOVA tests and correlation analysis. Results: Among the participants;54.4% are female and 79.4% are aged 26 to 49 years. 51% of the participants have encountered patients with covid, 41.2% have served patients with covid, 22.1% had covid test and tested negative. 55.9% of the participants have developed no anxiety symptoms, while 24% havedeveloped mild symptoms, 11.8% moderate symptoms and 8.3% severe symptoms. 59.3% of the participants have developed no depression symptoms, while 27.5% have developed mild symptoms, 11.3% moderate symptoms and 2% severe symptoms. It was determined that the participants' gender, occupation (title), type of their hospital, state of encountering patients with covid and serving these patients, affected their anxiety and depression levels. Conclusion: A significant rate of anxiety and depression was determined in the healthcare professionals providing service in hemodialysis units during the Covid-19 pandemic. In all pandemics, it is necessary to carefully evaluate not only patients, but also healthcare professionals providing service to chronic patients and to take measures. Otherwise healthcare professionals who do not feel well, will not be able to provide effective service.

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Anxiety–Depression of Dialysis Patients and Their Caregivers

Cited by 47 publications

References 31 publications

<p>Psychosocial, Spiritual, and Biomedical Predictors of Hope in Hemodialysis Patients</p>

<p>Psychosocial, Spiritual, and Biomedical Predictors of Hope in Hemodialysis Patients</p>

Psychological assessment in children with chronic kidney disease on regular hemodialysis

Impact Of The Covid-19 Pandemic On Anxiety And Depression Levels Of The Dialysis Center Employees

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