Anxiety And Depression in Chronic Kidney Disease (CKD) Patients in The Initial Phase of Hemodialysis Therapy

Abstract

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, respondents with two times per week HD in the first two months of HD process, adult, pre and elderly and aoccupied respondents. Screenings are carried out routinely to detect anxiety and depression as early as possible and to provide interventions according to the needs of patients through nursing care approaches.