Depressive Symptoms and Dietary Adherence in Patients With End‐stage Renal Disease

Abstract

Depressive symptoms may be associated with fluid and dietary non-adherence which could lead to poorer outcomes. The purpose of this study was to examine the relationship between depressive symptoms and fluid and dietary adherence in 100 patients with end-stage renal disease (ESRD) receiving haemodialysis. A descriptive, cross-sectional design with a convenience sample of 100 patients with ESRD receiving maintenance haemodialysis completed instruments that measured self reported depressive symptoms and perceived fluid and dietary adherence. Demographic and clinical data and objective indicators of fluid and diet adherence were extracted from medical records. As many as two thirds of these subjects exhibited depressive symptoms and half were non-adherent to fluid and diet prescriptions. After controlling for known covariates, patients determined to have moderate to severe depressive symptoms were more likely to report nonadherence to fluid and diet restrictions. Depressive symptoms in patients with ESRD are common and may contribute to dietary and fluid non-adherence. Early identification and appropriate interventions may potentially lead to improvement in adherence of these patients.

Associations of Depressive Symptoms and Pain with Dialysis Adherence, Health Resource Utilization, and Mortality in Patients Receiving Chronic Hemodialysis

“…As part of the Dialysis Outcomes and Practice Patterns Study, Lopes et al demonstrated that among patients on chronic hemodialysis, depression was independently associated with increased mortality and hospitalization (15). Several other studies reported similar associations as well as lower medication and dietary adherence among patients on chronic hemodialysis with depression (16)(17)(18)(19)(20)(21)(22)(23)(24). Considerably less is known about the associations of pain with clinical outcomes, although a recent study found that interdialytic pain was associated with increased mortality (25).…”

Doctors’ knowledge and practices regarding chronic kidney disease at a tertiary care hospital

“…It is in fact, a worldwide epidemic health problem of increasing prevalence and expenditure [1]. It is a major health problem globally, casting an enormous burden on healthcare systems, is a source of psychological distress, and is associated with cardiovascular diseases, resulting in substantial morbidity and mortality [2]. According to the Global Burden of Disease Study, CKD was ranked 18 th in the list of causes of total number of global deaths in 2010 [3].…”

Factors associated with treatment adherence of Brazilian patients undergoing hemodialysis

“…Brazilian and international studies report high levels of depression, ranging from 25% to more than 60% of the studied samples (Nifa & Rudnicki, 2010;Khalil, Frazier, Lennie & Sawaya, 2011;Turkmen et al, 2012;Ossareh, Tabrizian, Zebarjadi & Joodat, 2014).…”