Study of anxiety and depression in patients undergoing maintenance hemodialysis for chronic renal failure
Journal Title: MedPulse -International Medical Journal - Year 2017, Vol 4, Issue 5
Abstract
Background: End-stage renal disease (ESRD) is the most advanced stage of kidney failure in which kidney function is irreversibly lost. Incidence of ESRD have increased in recent times due to increase in life expectancy and increase in prevalence of life style diseases such as diabetes and hypertension. Renal transplant is the most ideal therapy for this disorder followed by hemodialysis. The limited availability of transplants relative to need consigns the majority of patients on dialysis. Hemodialysis (HD), typically performed in tertiary health care settings, remains the most commonly utilized modality worldwide. Patients with ESRD have to go for hemodialysis procedure on regular basis and they requires modifications related to diet, fluid control, and medication intake. In addition to the physical impairments, many HD patients face emotional challenges, particularly depression and anxiety. Depression is more common in patients on dialysis than in general population and is associated with poor prognosis. Early recognition of risk factors associated with psychiatric symptoms will improve the prognosis in this population group. This study will assess the prevalence of, and risk factors associated with depression and anxiety in patients of ESRD on maintenance HD. Objectives: 1.To assess prevalence of depression and anxiety in ESRD patients on chronic hemodialysis. 2. To assess factors causing depression and anxiety in ESRD patients on chronic hemodialysis. Methods: A cross sectional, observational study was conducted at B.V.D.U.M.C. & H. Sangli. Patients Of chronic renal failure who were on maintenance dialysis for more than 6 months were assessed for depression and anxiety using Beck’s Depression Inventory, Beck’s Anxiety Inventory. Statistical test were applied to assess the data. Results: As the duration of dialysis increased severity of depression increased but severity of anxiety decreased.
Authors and Affiliations
Anuj Khandelwal, Sudhir J Gaikwad, Mahesh A Kumbhar, Vinay V Joshi, Sagar V Kulkarni, Nitin P Patil
Keywords
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