Depression, Quality of Life and Malnutrition-Inflammation Scores in Hemodialysis Patients

Ibrahim, Salwa; Salamony, Omima El

doi:10.1159/000131101

Cited by 80 publications

(78 citation statements)

References 40 publications

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“…21,22 By contrast, in our study the depression score was not influenced by gender, employment, diabetes mellitus or vascular access type, age, Kt/V, serum albumin or hemoglobin levels.…”

Section: Discussioncontrasting

confidence: 89%

Stroke-free status and depression scores among Saudi dialysis patients

Sheayria¹,

Karkar

Almenawi

et al. 2015

Renal Failure

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Background: To assess the prevalence of stroke symptoms and depression among Saudi dialysis patients and related factors. Methods: This is a cross-sectional multicentre study of Saudi dialysis patients. Demographics, clinical and laboratory's data were collected. Freedom from stroke symptoms was assessed using the Questionnaire for Verifying Stroke-Free Status and depression using the Geriatric Depression Scale. Results: Five-hundred and forty-nine patients (77.3% response rate); 94.6% were receiving hemodialysis and 5.4% peritoneal dialysis were included in the study. Freedom from stroke was reported in 76.6% of patients, was higher in females (p ¼ 0.07), and was not affected by the presence of diabetes mellitus coronary artery disease or peripheral vascular disease. However, it was significantly lower in hypertensive patients (p ¼ 0.035) and was not affected by age, dialysis duration, Kt/V, albumin or hemoglobin levels. It was, however, more prevalent in the non-depressed patients compared to depressed patients (p ¼ 0.036). Mild and major depression scores were noted in 45.2% and 6.1%, respectively; the depression score being significantly higher in HD than in PD patients (6.3 ± 3.4 vs. 5.0 ± 3.2 p ¼ 0.049) but was not related to sex, employment, vascular access type, age, dialysis duration, Kt/V or serum albumin or hemoglobin levels. Conclusion: A quarter of the patients were not stroke symptom-free and these were more likely the depressed patients, in females, but significantly less in hypertensive patients. Almost half of the patients were depressed with 6.1% having major depression. The depression score was significantly higher in HD than in PD patients.

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“…21,22 By contrast, in our study the depression score was not influenced by gender, employment, diabetes mellitus or vascular access type, age, Kt/V, serum albumin or hemoglobin levels.…”

Section: Discussioncontrasting

confidence: 89%

Stroke-free status and depression scores among Saudi dialysis patients

Sheayria¹,

Karkar

Almenawi

et al. 2015

Renal Failure

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“…Patients on hemodialysis have a signifi cant level of disturbance in their QoL. 5,21,22 In this study the QoL scores for hemodialysis patients were determined to be low. This fi nding is consistent with fi ndings from previous research.…”

Section: Discussionmentioning

confidence: 92%

Determining Quality of Life and Sleep in Hemodialysis Patients

Tel

2009

Dialysis & Transplantation

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BACKGROUNDHemodialysis causes major changes in patients' lifestyles that affect their quality of life (QoL) and sleep quality. The purpose of this study was to determine the quality of life and sleep of hemodialysis patients.METHODS AND MATERIALSThe study sample was 138 patients receiving dialysis in a university hospital dialysis unit. Data were collected with a personal information form (PIF), Medical Outcomes Study 36‐item Short Form (SF‐36) questionnaire, and the Pittsburg Sleep Quality Index (PSQI).RESULTSAll of the hemodialysis patients had low quality of life. There was a significant correlation between QoL and sleep quality (p < .001); as QoL decreased sleep quality also decreased. As patients' age increased their QoL and sleep decreased. Women, housewives, those with no formal education, and patients living in extended families had lower QoL. Patients aged 51 years and older had low QoL and sleep. No significant difference was found in QoL and sleep according to the patient's duration of hemodialysis (p > .05).CONCLUSIONHemodialysis patients have a low QoL and there is a close correlation between QoL and sleep quality. Interventions to help dialysis patients maintain their QoL and sleep are as important as extending their lives.

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“…Os transtornos psiquiátricos apresentados pelos pacientes com DCR, particularmente por aqueles em TRS, têm sido alvo de interesse nas últimas décadas por serem contribuintes importantes no quesito da qualidade de vida e estarem relacionados diretamente com o prognóstico 4,6,8 . Por outro lado, são escassos no Brasil os trabalhos que estudaram grupos homogêneos na tentativa de distinguir o método mais apropriado de TRS no que se refere à ocorrência de sintomas depressivos, uma vez que as populações estudadas são heterogêneas 13 .…”

Section: Discussionunclassified

“…Faixa etária mais elevada, pouco tempo em diálise que se traduz em falta de adaptação ao tratamento, pacientes solteiros ou viúvos, desempregados e aposentados, além daqueles com baixa escolaridade, também apresentam alta prevalência desse transtorno 6,7,8,9,16 . Em trabalho publicado pelo Jornal Brasileiro de Psiquiatria, Moura Jr. estudou a prevalência de transtornos psiquiá-tricos em quase 250 pacientes em TRS nas mesmas unidades deste estudo.…”

Section: Discussionunclassified

“…Nessa qualidade, enquadram-se os de origem psicossocial, assim como alguns transtornos psiquiátricos, uma vez que os pacientes em TRS estão submetidos a enormes pressões psicológicas. Dentre os transtornos psiquiátricos prevalentes, a depressão e a ansiedade são os mais descritos, com taxas que variam de 15% a 80%, a depender da metodologia aplicada, e associam-se diretamente a um pior prognóstico [4][5][6][7][8] . Pacientes em diálise sofrem variadas pressões e devem adaptar-se a um novo e diferente padrão de vida, como a dependência imposta pelo tratamento, o medo da morte, as restrições impostas pelo regime de diálise, como horários, dieta e ingestão hídrica, as complicações físicas da doença, as perdas impostas pela patologia, como desemprego, e as mudanças na imagem corporal 9 .…”

Section: Introductionunclassified

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Modalidade de terapia renal substitutiva como preditora de sintomas depressivos

Moura-Neto

Souza

Moura

et al. 2014

J. bras. psiquiatr.

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rESUMoObjetivos: Comparar a ocorrência de sintomas depressivos entre dois grupos homogêneos de pacientes em diálise, um em hemodiálise (HD) e outro em diálise peritoneal (DP), verificando o possível papel preditor do método, assim como avaliar a influência de variáveis sociodemográficas e clínicas no diagnóstico deste transtorno. Métodos: Amostra envolveu dois grupos homogêneos de pacientes em TRS, 30 em HD e 30 em DP. Aplicou-se o Beck Depression Inventory (BDI), escala que avalia a presença e intensidade de sintomas depressivos. Resultados: Os grupos apresentavam características sociodemográficas e clínicas semelhantes, exceto quanto à escolaridade. A média de pontos do BDI no grupo HD foi maior que no grupo DP: 12,53 versus 11,13 (p = 0,352). A presença de sintomas depressivos no grupo em HD ocorreu em 36,7% dos pacientes contra apenas 23,3% do grupo DP (OR 1,9 [IC 0,86]). Não houve diferenças quanto às variáveis, exceto escolaridade. Dos pacientes com ensino fundamental I, 52,9% apresentaram sintomas. Nos pacientes com ensino médio ou superior, a ocorrência de sintomas depressivos foi 20% (p = 0,051). Conclusão: Houve tendência à ocorrência de sintomas depressivos em pacientes em HD quando comparados aos pacientes em DP. O risco dessa ocorrência foi quase duas vezes maior nos em HD. Menor escolaridade associou-se à ocorrência de sintomas. As médias da pontuação do BDI nos dois grupos não foram significantes. aBStraCtObjectives: Compare occurrence of depressive symptoms scores between two homogeneous groups of patients, one under hemodialysis (HD) and another under peritoneal dialysis (PD) to verify the possible predictor role of the method. Influence of social demographics and clinics variables was verified too. Methods: Sixty patient in TRS were enrolled, divided in two group homogeneous, 30 patients in HD and 30 in DP. Beck Depressive Inventory (BDI) was applied to study the presence and the intensity of depressive symptoms in two groups. Results: The groups had similar social demographic and clinics characteristics, except for the schooling. The BDI's average score was higher in the group of HD than in the PD: 12.53 versus 11.13 (p = 0.352). The occurrence of depressive symptoms in HD group occurred in 36.7% of the patients. In the PD group 23.3% of the patients presented (OR 1.90 [0,). In patients with basic education, 52.9% presented depressive symptoms. Only 20% of the

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Depression, Quality of Life and Malnutrition-Inflammation Scores in Hemodialysis Patients

Cited by 80 publications

References 40 publications

Stroke-free status and depression scores among Saudi dialysis patients

Stroke-free status and depression scores among Saudi dialysis patients

Determining Quality of Life and Sleep in Hemodialysis Patients

Modalidade de terapia renal substitutiva como preditora de sintomas depressivos

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