Decision-making process in the pre-dialysis CKD patients: do anxiety, stress and depression matter? (original) (raw)
Related papers
2021
Anxiety and depression are psychological conditions that hemodialysis patients often suffer. Unresolved anxiety can cause depression. The research aims to determine the description of anxiety and depression in chronic renal disease (CKD) patients who undergo hemodialysis (HD) therapy in the initial phase. The study was a quantitative descriptive with a survey approach involving 43 HD patients for less than eight months. The research instrument implemented was the Hospital Anxiety and Depression Scale (HADS) questionnaire. The data were analyzed using descriptive analysis by presenting frequency and category distributions. The results discovered that 29 (62.8%) respondents suffered from anxiety; mild (32.6%), moderate (25.6%), and severe category (4.7%). Furthermore, 16 respondents (37.2%) experience depression; mild (20.9%), moderate (40.0.6%), and severe (2.3%) categories. Anxiety and depression are common symptoms among male and female respondents with direct vascular access, resp...
CHARACTERIZATION OF ANXIETY AND STRESS IN CHRONIC KIDNEY PATIENTS IN HEMODIALYSIS (Atena
CHARACTERIZATION OF ANXIETY AND STRESS IN CHRONIC KIDNEY PATIENTS IN HEMODIALYSIS, 2022
INTRODUCTION: Chronic diseases are not defined by their apparent or real severity, but by their incurable or very long duration. Adapting to the characteristics of kidney disease is an extremely complex process, with numerous implications and repercussions of various orders, and it is necessary to value the quality of this survival (RUDNICKI, 2007). Thus, in patients with CKD, who often present with anxiety, stress, pain and even fear of death, it is extremely important that the psychosocial context is understood so that effective measures are established. The current study, therefore, aims to characterize anxiety and stress in chronic renal patients on hemodialysis. METHODOLOGY: This is a cross-sectional, exploratory and quantitative study with a non-probabilistic sample on the relationship between pain and anxiety and stress in patients with chronic kidney disease. The questionnaires were applied at Hospital do Rim, in the city of Aracaju, state of Sergipe, and the population studied is made up of 65 patients. The questionnaires used, internationally validated, were: LIPP Stress Symptom Inventory (LIPP, 2000) and Beck Anxiety Scale (BECK, 1988). RESULTS: Coexistence of anxiety was observed in 100% of individuals with CKD on hemodialysis, for whom 53.8% had the severe form and 46.2%, the moderate form. In view of stress, however, 38.5% of individuals did not present this condition. Even so, it is a minority against the amount of 30.8% who accused resistance and another 30.8%, exhaustion. CONCLUSIONS: These data allow us to infer characteristics of the stimuli present in CKD that drive anxiety, as well as strategies possibly adopted to overcome stress. The disease itself and its treatment cause symptoms that radically alter the individual's biopsychosocial functioning. Therefore, the current study reveals the importance of maintaining or improving quality of life, which is one of the most important therapeutic goals for patients with chronic kidney disease undergoing hemodialysis.
CHARACTERIZATION OF ANXIETY AND STRESS IN CHRONIC KIDNEY PATIENTS IN HEMODIALYSIS (Atena Editora)
CHARACTERIZATION OF ANXIETY AND STRESS IN CHRONIC KIDNEY PATIENTS IN HEMODIALYSIS (Atena Editora), 2022
INTRODUCTION: Chronic diseases are not defined by their apparent or real severity, but by their incurable or very long duration. Adapting to the characteristics of kidney disease is an extremely complex process, with numerous implications and repercussions of various orders, and it is necessary to value the quality of this survival (RUDNICKI, 2007). Thus, in patients with CKD, who often present with anxiety, stress, pain and even fear of death, it is extremely important that the psychosocial context is understood so that effective measures are established. The current study, therefore, aims to characterize anxiety and stress in chronic renal patients on hemodialysis. METHODOLOGY: This is a cross-sectional, exploratory and quantitative study with a non-probabilistic sample on the relationship between pain and anxiety and stress in patients with chronic kidney disease. The questionnaires were applied at Hospital do Rim, in the city of Aracaju, state of Sergipe, and the population studied is made up of 65 patients. The questionnaires used, internationally validated, were: LIPP Stress Symptom Inventory (LIPP, 2000) and Beck Anxiety Scale (BECK, 1988). RESULTS: Coexistence of anxiety was observed in 100% of individuals with CKD on hemodialysis, for whom 53.8% had the severe form and 46.2%, the moderate form. In view of stress, however, 38.5% of individuals did not present this condition. Even so, it is a minority against the amount of 30.8% who accused resistance and another 30.8%, exhaustion. CONCLUSIONS: These data allow us to infer characteristics of the stimuli present in CKD that drive anxiety, as well as strategies possibly adopted to overcome stress. The disease itself and its treatment cause symptoms that radically alter the individual's biopsychosocial functioning. Therefore, the current study reveals the importance of maintaining or improving quality of life, which is one of the most important therapeutic goals for patients with chronic kidney disease undergoing hemodialysis.
Anxiety among short-term and long-term Dialysis Patients
The Journal of Medical Sciences
Background: Common symptoms of anxiety are palpitations, tremors, dyspepsia, numbness, tingling, nervousness, shortness of breath, sweating, and a feeling of dread. These symptoms, if they occur, can reduce a person's quality of life. Objectives: The main objective was to study the incidence of anxiety in chronic kidney disease (CKD) patients undergoing hemodialysis (HD). Materials and methods: Patients were recruited of either sex undergoing HD. Sociodemographic and anxiety-related details were collected. Result and discussion: The study found that anxiety disorder is highly prevalent in patients undergoing HD and thus replicated the findings of previous studies. The study also adds to the existing literature by throwing light on patients' age-segregated anxiety levels and various sociodemographic factors, and possible underlying reasons for the population. These patients should undergo a psychological evaluation in the early phase of illness so that timely and appropriate interventions can be done and their quality of life can be enhanced by reducing the disease burden. Conclusion: Future studies should explore the other comorbidities in CKD patients and also biopsychosocial impact of these symptoms and their effect on disease progression.
Mental health, depression and anxiety in maintenance dialysis patients
Iranian journal of kidney diseases
Depression and anxiety are among the most common comorbid illnesses in people with end-stage renal disease (ESRD). Patients with ESRD face many challenges which increase the likelihood that they will develop depression or anxiety or worsen these conditions. These include a general feeling of unwellness; specific symptoms caused by ESRD or the patient's treatment; major disruptions in lifestyle; the need to comply with treatment regimens, including dialysis schedules, diet prescription, and water restriction; ancillary treatments and hospitalizations; and the fear of disability, morbidity, and shortened lifespan. Depression has been studied extensively in patients on maintenance dialysis, and much effort has been done to validate the proper screening tools to diagnose depression and to define the treatment options for patients on maintenance dialysis with depression. Anxiety is less well studied in this population of patients. Evidence indicates that anxiety is also common in maintenance dialysis. More attention should be paid to measuring the incidence and prevalence and developing methods of diagnosis and treatment approaches for anxiety in patients with ESRD. In this review, we attempted to underscore those aspects of depression and anxiety that have not been investigated extensively, especially with regard to anxiety. The interaction between racial/ethnic characteristics of patients on maintenance dialysis with depression and anxiety needs to be studied more extensively, in order to assess better approaches to healthcare for these individuals.
Iranian Journal of Psychiatry and Behavioral Sciences, 2016
Background: Depression and anxiety are common among hemodialysis patients and affect their treatment outcomes. Dialysis adequacy also affects the hemodialysis patients' survival rates. Objectives: This study aimed to evaluate the correlation between anxiety and depression with dialysis adequacy. Patients and Methods: In this cross-sectional study, 127 hemodialysis patients (73 males, 57.5%) with the mean age of 55.7 ± 17.5 were enrolled. Demographic and recent laboratory data were collected using self-administered questionnaires and by reviewing medical records. Dialysis adequacy measures including the Kt/V and urea reduction rate (URR) were calculated using standard formulas. The Hospital Anxiety and Depression Scale (HADS) was used to diagnose depression and anxiety. Independent sample t-test and Chisquare test were used to compare the values in different groups. Pearson correlations and linear regression were used to analyze the data using SPSS version 21. Results: The prevalence rates of depression and anxiety (HADS score ≥ 8) were 31.5% and 41.7%, respectively. The prevalence of both conditions was significantly higher in women than in men (P < 0.05). The mean values of Kt/V and URR were not different in patients with and without depression or anxiety. The anxiety scores were correlated with age (P = 0.007, r =-0.24) and parathyroid hormone (P = 0.04, r =-0.19). Younger age and lower parathyroid hormone were the only factors that predicted higher scores of anxiety in linear regression. The Kt/V or URR were not significantly correlated with depression and anxiety scores. Conclusions: Depression and anxiety are common among hemodialysis patients. There are no statistically significant correlation between depression and anxiety and dialysis adequacy.
Applied Nursing Research, 2018
Background: Dialysis is a lifelong treatment required by end stage renal disease patients who are not able to undergo renal transplantation. Dialysis impacts the patients' quality of life drastically, increasing the risk of mortality. Depression and anxiety are commonly reported among dialysis patients, but their prevalence and correlates vary by sociocultural context. Objective: The aim of this study is to examine the prevalence of anxiety and depression and associated factors among patients receiving hemodialysis at a major tertiary referral medical center in Lebanon that receives patients from all over the country. Design: A cross-sectional, descriptive design was used. Methods: Ninety patients receiving hemodialysis were targeted using convenience sampling, with a final sample size of 83 patients. The patients were interviewed while undergoing their dialysis session using the Hospital Anxiety and Depression Scale, and asked demographic and clinical questions. Results: The majority of participants were married men over 60 years of age; 48% achieved high school education. Depression was prevalent in 40.8% and anxiety in 39.6%, with 20 patients (24.1%) having both conditions. Although 24.1% self-reported anxiety symptoms, only 2.4% were taking anxiolytics. Illiterate patients had significantly higher depression scores than those with higher levels of education (p = 0.021). Patients who were living with their family had higher anxiety scores than those living alone (p = 0.014). Conclusion: Anxiety and depression are underdiagnosed and undertreated in Lebanese dialysis patients. Screening and appropriate referral to mental health specialists are needed.
Indian Journal of Nephrology, 2011
End-stage kidney disease (ESKD) is associated with depression and anxiety disorders. [3,4] Causes and effects of depression in ESKD patients with or without dialytic support have been addressed [5-7] but anxiety somehow has not received that much attention. Anxiety is a physiological and psychological state characterized by cognitive, somatic, emotional, and behavioral components. These components combine together to create the painful feeling that is typically recognized as uneasiness, apprehension, or worry. Anxiety is a normal reaction to stress but extreme anxiety is a problem in itself as it leads to mental health problems and reduced quality of life and subjective wellbeing. Among ESKD patients undergoing hemodialysis, besides the disease itself, accompanying modifications in the occupational, marital, familial, societal, and personal life provide a sufficient base to give rise to anxiety. The effects of illness, dietary constraints, time restrictions, financial burdens, feeling of handicap, psychological strain of awareness of impending death, and many such factors impede the normal life and normal ways
Depression and anxiety among patients with chronic kidney disease receiving hemodialysis
2018
Introduction: Depression and anxiety are among the most common comorbid illnesses in people with end-stage renal disease. The current study aimed to assess the actual pattern of symptoms of depression and anxiety in the hemodialysis population in Qazvin. Methods: For this purpose, 80 individuals (40 hemodialysis patients and 40 individuals as the control group) have participated in this study. All participants completed Beck Depression Inventory and Cattell Anxiety Inventory. Additionally, clinical status, socioeconomic and demographic variables of patients have been collected and analyzed by appropriate statistical methods (independent T-test and chi-square test). Results: In examining the variables of depression in terms of severe and mild depression, there have been 14 hemodialysis patients (35%) versus 34 (85%) individuals from the control group, in terms of moderate depression-severe index there has been 26 (65%) versus 6 (15%). Regarding the anxiety variable in terms of the ma...