The Impact of Anxiety and Depression on the Quality of Life of Hemodialysis Patients

Vasilopoulou, Chrysoula; Bourtsi, Eirini; Giaple, Sophia; Κoutelekos, Ioannis; Theofilou, Paraskevi; Polikandrioti, Maria

doi:10.5539/gjhs.v8n1p45

Cited by 69 publications

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References 27 publications

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“…Similar results are coming from Greece by Vasilopoulou et al, (7) who showed that 47.8% of hemodialysis patients experienced high levels of anxiety while 38.2% high level of depression. Raymond et al, (8) claimed that up to one-third of patients with chronic kidney disease may experience depression.…”

Section: Discussionsupporting

confidence: 84%

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Effect of Perceived Social Support on the Levels of Anxiety and Depression of Hemodialysis Patients

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Purpose:of this study was to explore the effect of social support on the levels of anxiety and depression of hemodialysis patients.Material and Methods:258 patients undergoing hemodialysis were enrolled. A questionnaire developed for the purpose of the study was used to collect data through the interview process. Apart from socio-demographic, clinical and other characteristics, the questionnaire also included the Multidimensional Scale of Perceived Social Support (MSPSS) to assess social support from significant others, family and friends, and the questionnaire Hospital Anxiety and Depression Scale (HADs) to assess the levels of anxiety and depression of patients.Results:53,9% of the participants were male while 34,1% of the participants were >70 years old. 32,9% and 30,2% of the participants felt high levels of anxiety and depression, respectively. Analysis of data showed a statistically significant association between anxiety/depression and social support from significant others, family and friends (p=<0,001 for all associations). In particular, patients with high levels of anxiety and depression felt less support from their significant others, family and friends. The multinomial logistic regression, showed a statistically significant effect of social support from friends in anxiety levels (p=0,004). An one point increase of the support from friends seems to reduce by 57% the probability of having high levels of anxiety. In addition, statistically significant effect of social support from significant others, family and friends was observed on the levels of depression (p=<0,001, p=0,001 & p=0,003, respectively). Specifically, an one point increase of the support from significant others, family and friends it was found to reduce by 77%, 71% and 56% respectively the probability of experiencing high levels of depression.Conclusions:Phyco-social evaluation is essential when providing holistic care to hemodialysis patients.

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Section: Discussionsupporting

confidence: 84%

“…Failure to early diagnosis and treatment of depression in hemodialysis patients is mainly attributed to overlapping symptoms associated with uremia such as anorexia, fatigue and sleep disturbances (7, 21, 22, 23). In the present study, 55% of the participants reported suffering from insomnia.…”

Section: Discussionmentioning

confidence: 99%

Effect of Perceived Social Support on the Levels of Anxiety and Depression of Hemodialysis Patients

et al. 2016

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“…In addition, the estimated prevalence of major depression in hemodialysis patients is 5% to 20%. 12,13 These factors may have had negative effects on their walking ability after major amputation.…”

Section: Discussionmentioning

confidence: 99%

Mortality rates and walking ability transition after lower limb major amputation in hemodialysis patients

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Sasaki

Fujishima

et al. 2016

Journal of Vascular Surgery

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“…For instance, age seems to play an important role in this association as younger patients tend to be healthier thus enjoying higher levels of social support compared to those of advanced age who may perceive themselves as a burden to others (20). Furthermore, absence of difficulties within social and family environment or non-concealment of the disease are social characteristics that increase the average quality of life in hemodialysis patients (32). Though several theories may be suggested in an effort to explain this association, it seems that social support is up to some extent necessary for patients undergoing hemodialysis.…”

Section: Discussionmentioning

confidence: 99%

The Effect of Perceived Social Support on Hemodialysis Patients' Quality of Life

et al. 2016

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Background:Association between perceived social support and quality of life in hemodialysis patients represents a new area of interest.Aim:The aim of this study was to explore the effect of social support on the quality of life of hemodialysis patients.Material and Methods:In this study 258 hemodialysis patients were enrolled. Data was collected using a questionnaire which consisted of three parts: a) the Multidimensional Scale of Perceived Social Support (MSPSS) to assess perceived social support, b) the Missoula-VITAS Quality of Life Index (MVQOLI–15) to assess quality of patients’ life and c) the socio-demographic, clinical and other variables of patients. To test the existence of association between quality of life and social support the correlation coefficient of Spearman was used. Multiple linear regression was performed to estimate the effect of social support on quality of life (dependent variable), adjusted for potential confounders. The analysis was performed on SPSS v20.Results:Patients felt high support from significant others and family and less from friends (median 6, 6 and 4.5 respectively). Patients evaluated their quality of life in its entirety as moderate in the total and “overall quality of life” score (median 17.2 and 3 respectively). Regarding the association between social support and quality of life, results showed that the more support patients had from their significant others, family and friends, the better quality of life they had. (rho =0,395, rho =0,399 and rho=0,359, respectively).Conclusions:Understanding the relation between social support and quality of life should prompt health professionals to provide beneficial care to hemodialysis patients.

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The Impact of Anxiety and Depression on the Quality of Life of Hemodialysis Patients

Cited by 69 publications

References 27 publications

Effect of Perceived Social Support on the Levels of Anxiety and Depression of Hemodialysis Patients

Effect of Perceived Social Support on the Levels of Anxiety and Depression of Hemodialysis Patients

Mortality rates and walking ability transition after lower limb major amputation in hemodialysis patients

The Effect of Perceived Social Support on Hemodialysis Patients' Quality of Life

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