Abstract

Study design was cross-sectional. Study was conducted in the two renal dialysis units of the Korle-Bu Teaching hospital in Accra, Ghana. One hundred and six participants on haemodialysis were recruited for the study. The Patient Health Questionnaire and the World Health Organization Quality of Life instrument were used to assess depression and quality of life. Forty five percent of participants screened positive for symptoms of depression. Approximately 19% obtained low scores on overall quality of life. There were significant negative correlations between the following: Depression and overall QoL, Depression and duration of dialysis treatment and Depression and income level. There was positive correlation between overall QoL and duration of dialysis, treatment and income. Depressive symptoms were common amongst patients on long term hemodialysis. Haemodialysis patients who obtained low scores on quality of life measures were more likely to screen positive for depressive symptoms. Screening for depressive symptoms among these patients is critical as early treatment may improve their general wellbeing. Not indicayed.

Highlights

  • Studies on End Stage Renal Disease (ESRD) have reported an increase in the burden of the disease worldwide due to increasing prevalence of diabetes and hypertension.[1,2] Studies have reported an increase in ESRD cases by approximately 70% in the past 20 years.[3]

  • Complications of hemodialysis may contribute to diminished working capacity and adversely affect individual productivity.[7]. Factors such as financial dependence, inability to carry out family responsibilities, and engage in active social life, have been attributed to reduced quality of life in patients on long-term hemodialysis

  • The present study examined the prevalence of depression and quality of life status among patients with ESRD on hemodialysis

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Summary

Introduction

Studies on End Stage Renal Disease (ESRD) have reported an increase in the burden of the disease worldwide due to increasing prevalence of diabetes and hypertension.[1,2] Studies have reported an increase in ESRD cases by approximately 70% in the past 20 years.[3]. Complications of hemodialysis (i.e., hypotension, headache and air embolism) may contribute to diminished working capacity and adversely affect individual productivity.[7] Factors such as financial dependence, inability to carry out family responsibilities, and engage in active social life, have been attributed to reduced quality of life in patients on long-term hemodialysis. These factors may result in mental health issues such as depression, anxiety and impaired cognition.[8] www.ghanamedj.org Volume 52 Number 1 March 2018

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