Mental health status and quality of life in patients with end-stage renal disease undergoing maintenance hemodialysis

Ma, Shuping; Tang, Min; Chen, Han; Ding, Feng

doi:10.21037/apm-20-2211

Cited by 15 publications

(17 citation statements)

References 34 publications

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“…Some studies stated that low QoL scores significantly contribute to developing depressive symptoms, and those with no depression, anxiety, and stress had better QoL. 29 , 31 , 39 , 51–53 This supports our findings of a negative correlation between QoL domains and GAD7 and PHQ9 scores, with lower depression and GAD scores correlating with higher QoL domains. Thus, screening CKD patients and hemodialysis patients for depression and anxiety are of paramount importance.…”

Section: Discussionsupporting

confidence: 88%

Level of Depression and Anxiety on Quality of Life Among Patients Undergoing Hemodialysis

Alshelleh¹,

Alhawari²,

Alhouri³

et al. 2023

IJGM

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Background Despite the growing concern worldwide regarding the quality of life (QoL) and mental well-being among chronic kidney disease (CKD), a few research has been done to address this issue. The study aims to measure depression, anxiety, and QoL prevalence among Jordanian patients with End Stage Renal Disease (ESRD) on hemodialysis and how all of these variables are correlated. Methods This is a cross-sectional, interview-based study on patients at the Jordan University Hospital (JUH) dialysis unit. Sociodemographic factors were collected, and the prevalence of depression, anxiety disorder, and QOL was assessed using the Patient Health Questionnaire 9 (PHQ9), the Generalized Anxiety Disorder 7-item (GAD7), and the WHOQOL-BREF, respectively. Results In a study of 66 patients, 92.4% had depression, and 83.3% had generalised anxiety disorder. Females had significantly higher depression scores than males (mean = 6.2 ± 3.77 vs 2.9 ± 2.8, p < 0.001), and single patients had significantly higher anxiety scores than married patients (mean = 6.1 ± 6 vs 2.9 ± 3.5, p = 0.03). Age was positively correlated with depression scores (rs= 0.269, p = 0.03), and QOL domains showed an indirect correlation with GAD7 and PHQ9 scores. Males had higher physical functioning scores than females (mean = 64.82 vs 58.87, p = 0.016), and patients who studied in universities had higher physical functioning scores than those with only school education (mean of College/University = 78.81 vs mean of School Education = 66.46, p = 0.046). Patients taking <5 medications had higher scores in the environmental domain (p = 0.025). Conclusion The high prevalence of depression, GAD, and low QOL in ESRD patients on dialysis highlights the need for caregivers to provide psychological support and counselling for these patients and their families. This can promote psychological health and prevent the onset of psychological disorders.

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Section: Discussionsupporting

confidence: 88%

Level of Depression and Anxiety on Quality of Life Among Patients Undergoing Hemodialysis

Alshelleh¹,

Alhawari²,

Alhouri³

et al. 2023

IJGM

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“…Low HRQOL scores in patients receiving maintenance HD have been associated with a higher risk of hospitalization and mortality [10,[53][54][55], poorer mental health [56] and nutritional status [57], fatigue [58], chronic pain [59], and depressive and anxiety symptoms [44,60,61].…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of Acupuncture on Health-Related Quality of Life in Patients Receiving Maintenance Hemodialysis

Carvalho

Azevedo

et al. 2023

Healthcare

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Patients with kidney failure (KF) receiving maintenance hemodialysis (HD) experience numerous symptoms that impair their health-related quality of life (HRQOL) and contribute to high mortality rates. Acupuncture is often used for symptom enhancement and HRQOL. This blinded, randomized, controlled patient-assessor trial evaluated the effectiveness of acupuncture compared with sham acupuncture on patients’ HRQOL receiving maintenance HD as a secondary analysis. Seventy-two participants were randomly assigned to verum acupuncture (VA), sham acupuncture (SA), or waiting-list (WL) groups. The outcome was an improvement in HRQOL, assessed using the Kidney Disease Quality of Life—Short Form, version 1.3 (KDQOL-SF™ v1.3) at baseline, after treatment, and at 12-week follow-up. Non-parametric tests were used for statistical analysis. Of the 72 randomized patients, 67 were included in the complete analysis set. As for the changes between baseline and after treatment, the VA group showed significantly increased scores on most of the KDQOL-SF™ v1.3 scales compared to SA or WL groups (p < 0.05). No statistically significant differences between groups were observed in the changes from baseline to follow-up (p > 0.05). Compared to the sham treatment, acupuncture improved the HRQOL in patients receiving maintenance HD after treatment but not at follow-up.

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“…Studies have indicated that patients who have a lower educational level or no education, patients who are not married or widowed, patients who are unemployed, patients who have a low monthly income, and patients who have multiple comorbidities usually have poorer mental health, which directly affects their HRQoL and is negatively correlated with their quality of life. In addition, the quality of life of patients is negatively affected by a hemodialysis history of <2 years, lack of regular exercise, and lack of moderate-intensity exercise [ 29 , 43 , 44 ]. Therefore, regular physical activity is positively correlated with improvements in quality of life, PCS, and MCS.…”

Section: Discussionmentioning

confidence: 99%

Physical Activity and Health-Related Quality of Life of Patients on Hemodialysis with Comorbidities: A Cross-Sectional Study

Hsu

Tzeng

2022

IJERPH

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Patients on hemodialysis with multiple comorbidities have limited physical activity, resulting in poor health, low activity participation, and low quality of life. Accordingly, the nursing care provided to such patients should include regular physical activity training programs. Therefore, this cross-sectional descriptive study investigated whether patients on hemodialysis with and without comorbidities have different levels of physical activity and health-related quality of life (HRQoL); the correlations among the comorbidities, physical activity, and HRQoL of the two cohorts were also assessed. The 36-Item Short-Form Health Survey version 2 and International Physical Activity Questionnaire were employed to collect data from 120 patients on hemodialysis. An independent samples t-test and univariate and multivariate linear regression analyses were conducted. The overall HRQoL of patients with comorbidities was lower than that of patients without comorbidities (p = 0.008). Compared with patients who participated in low-intensity physical activity, the overall HRQoL of patients who participated in moderate-intensity physical activity was higher (p < 0.001). The overall HRQoL of patients with comorbidities who participated in low-intensity physical activity was lower than that of those who participated in moderate-intensity physical activity (p < 0.001). Moderate-intensity physical activity was correlated with higher HRQoL for patients with comorbidities. This finding supports the implementation of effective physical activity intervention measures. Furthermore, it supports the promotion of patient self-management and the implementation of regular exercise programs and lifestyle changes, and patients on hemodialysis can benefit from the future management of physical activities.

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Mental health status and quality of life in patients with end-stage renal disease undergoing maintenance hemodialysis

Cited by 15 publications

References 34 publications

Level of Depression and Anxiety on Quality of Life Among Patients Undergoing Hemodialysis

Level of Depression and Anxiety on Quality of Life Among Patients Undergoing Hemodialysis

Effectiveness of Acupuncture on Health-Related Quality of Life in Patients Receiving Maintenance Hemodialysis

Physical Activity and Health-Related Quality of Life of Patients on Hemodialysis with Comorbidities: A Cross-Sectional Study

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