The role of socio-demographic factors in depression and anxiety of patients on hemodialysis: an observational cross-sectional study

Gerogianni, Georgia; Lianos, Evangelos; Kouzoupis, Anastasios V.; Polikandrioti, Maria; Grapsa, Eirini

doi:10.1007/s11255-017-1738-0

Cited by 59 publications

(60 citation statements)

References 44 publications

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“…A study from Nepal [3] had shown 94.3% survival rate among transplant patients after one year follow-up. Dialysis patients often face mental health problems due to their health conditions which might led to a compromised QOL as identi ed by previous studies [33,35,36]. Renal transplant patients had a higher QOL in social domain than the dialysis patients in our study.…”

Section: Discussionsupporting

confidence: 67%

Health related quality of life among end stage renal disease patients from low income country, Nepal: a cross sectional study using WHOQOL-BREF

Ranabhat¹,

Khanal²,

Mishra³

et al. 2020

Preprint

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Abstract Background Little is known about the health-related quality of life (HRQOL) among end stage renal diseases (ESRD) patients in Nepal. This study examined the health-related quality of life of among the dialysis and transplant patients in Nepal. Methods Nepali Version of WHOQOL-BREF questionnaire was administered using face to face interviews among ESRD patients, from two large national referral centers in Nepal. The differences in socio-demographic characteristics among ESRD patients were examined using Chi-square test. The group differences in QOL were examined using Mann-Whitney U test and Kruskal-wallis tests. Results Of the 161 participants, 92 (57.1%) were transplant patients and 62 (42.9%) were dialysis patients. Hypertension (70.9%) was the commonest co-morbidity among ESRD patients. Dialysis patients scored significantly lower than the transplant patients in all the four domains as well as in overall perception of quality of life and general health. Ethnicity (p = 0.020), socio-economic status (p < 0.001), educational status (p < 0.001) and employment status (p = 0.009) was significantly associated with the overall QOL in ESRD patients. Across patient groups, educational status (p = 0.012) was positively significant with the QOL in dialysis patients while residence (p = 0.023), socio-economic status (p < 0.001), educational status (p = 0.004) and diabetes status (p = 0.010) was significantly associated with the QOL in transplant patients. Conclusion The overall QOL of the renal transplant recipient was higher than those of the patients on maintenance hemodialysis; this was true in all the four domains of the WHOQOL-BREF. ESRD patient with low HRQOL should be prioritized for risk modification intervention.

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Section: Discussionsupporting

confidence: 67%

Health related quality of life among end stage renal disease patients from low income country, Nepal: a cross sectional study using WHOQOL-BREF

Ranabhat¹,

Khanal²,

Mishra³

et al. 2020

Preprint

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“…The scarce number of research studies on the theme reveal very dissimilar percentages [30,31] and it is difficult to compare them, as has already been seen in the very articles included in the meta-analysis [19][20][21][22][23][24]26,27]. Even so, meta-analyzing the collected data on the prevalence of this disease gives as a broad view of the magnitude of the problem and allows for the estimation of a percentage which unveils the real importance of the phenomenon, so as to face it with strategies of prevention and early detection [18][19][20].…”

Section: Discussionmentioning

confidence: 99%

“…Some of the articles included in this review propose the realization by primary care nursing professionals programs aimed at evaluating and assisting people who are in this period of their lives [20][21][22], helping people to find new activities that motivate them [29], encouraging them to participate in community groups [24], helping individuals to deal with the new situation [22] and finding activities that increase their self-esteem again [26].…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Depression in Retirees: A Meta-Analysis

et al. 2020

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Background: Retirement is a final life stage characterized by the ceasing of work and the loss of a routine, social relations, role, status, accomplishments, and aspirations, etc. Many times it is accompanied by negative feelings and can provoke different psychoemotional reactions such as depression, among others. The aim of this study is to analyze the prevalence of depression, as well as its psychoeducational approach in retirees. Methods: A paired systematic review with meta-analysis was conducted in different databases—Medline, Scopus, CUIDEN, CINAHL, LILACS and PsycINFO. Original studies were included in English, Spanish and French that were published in the last 10 years, and which approached depression in retirees. Results: A total of 11 articles were selected after applying inclusion and exclusion criteria. The mean value of the prevalence levels of depression in retirees obtained in the meta-analysis was 28%. Depression is more frequent in retirees, with mandatory retirement, retirement due to illness, and anticipated retirement presenting higher levels of this disease. The health role in the psychoeducational approach is highlighted in 41.6% (n = 5). Conclusions: With almost one-third of retirees suffering from depression, it is necessary to implement prevention and early detection measures to approach a public health problem.

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“…This study found that postdialysis unemployment was an independent risk factor for HRQOL. Most patients on MHD lose their jobs because of the regular dialysis treatment and reduced ability to work (Gerogianni, Lianos, Kouzoupis, Polikandrioti, & Grapsa, ). Armaly et al () found that unemployed people were more anxious.…”

Section: Discussionmentioning

confidence: 99%

The health‐related quality of life among patients on maintenance haemodialysis: Evaluation using the “EQ‐5D”

Yuan

Yang

Zhang

et al. 2019

Journal of Clinical Nursing

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Purpose We conducted a cross‐sectional investigation of health‐related quality of life (HRQOL) among maintenance haemodialysis (MHD) patients, and determined important predictive factors of HRQOL in these patients. Methods Psychological factors were evaluated with the Hospital Anxiety and Depression Scale (HADS), the Pittsburgh Sleep Quality Index (PSQI) and the General Self‐Efficacy Scale (GSES). HRQOL was evaluated with the EQ‐5D. Laboratory data (albumin, haemoglobin and C‐reactive protein) were collected for medical evaluation. We also collected participants’ demographic data, including gender, age, et al. This study was in compliance with the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) checklist. Results The mean EQ‐5D score was 0.86 ± 0.12, mean HADS‐anxiety score was 5.27 ± 3.41, mean HADS‐depression score was 5.29 ± 3.58, mean PSQI score was 7.00 ± 4.23 and mean GSES score was 6.86 ± 2.03. Participants’ mean haemoglobin was 108.18 ± 16.45 g/L, mean albumin was 41.80 ± 4.61 g/L and mean C‐reactive protein was 8.88 ± 18.50 mg/L. HRQOL was negatively correlated with HADS‐anxiety (r = −0.390, p < 0.001), HADS‐depression (r = −0.385, p < 0.001), PSQI (r = −0.285, p < 0.001) and C‐reactive protein (r = −0.198, p = 0.034). HRQOL was positively correlated with GSES (r = 0.205, p = 0.007). Age (p < 0.001), anxiety (p < 0.001), depression (p = 0.002), and postdialysis unemployment (p < 0.001) were independent risk factors for HRQOL. Conclusion Different health interventions should be implemented to improve patients’ HRQOL. Relevance to clinical practice The results will provide evidence for establishing healthcare interventions to maintain or improve HRQOL among this patient population.

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The role of socio-demographic factors in depression and anxiety of patients on hemodialysis: an observational cross-sectional study

Abstract: The overall study findings indicated a significant correlation between the levels of anxiety and depression in patients on hemodialysis. Patients with high levels of anxiety had higher levels of depression and those with high depression scores had higher anxiety scores.

Cited by 59 publications

References 44 publications

Health related quality of life among end stage renal disease patients from low income country, Nepal: a cross sectional study using WHOQOL-BREF

Health related quality of life among end stage renal disease patients from low income country, Nepal: a cross sectional study using WHOQOL-BREF

Prevalence of Depression in Retirees: A Meta-Analysis

The health‐related quality of life among patients on maintenance haemodialysis: Evaluation using the “EQ‐5D”

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