Impact of hemodialysis on the wellbeing of chronic kidney diseases patients: a pre-post analysis

Um-E-Kalsoom Um-E-Kalsoom,Israr Ahmad,Sabiha Khan

doi:10.1186/s43045-020-00060-x

Abstract

BackgroundHemodialysis may have serious psychological impact upon patients suffering from chronic kidney diseases. The aim of the present study is to investigate the impact of hemodialysis on the wellbeing of individuals with chronic kidney diseases (CKD).ResultA sample consists of (N = 100) CKD patients referred from neurology ward of Leady Reading Hospital Peshawar. Data was collected from both male (50%) and female (50%) in 2017. Participants were divided into two groups on the basis of pre-set criteria. In group I, individuals with 4–5 stage of CKD referred first time for dialysis treatment were recruited. Group II comprised of CKD patients with 1–3 stage. Demographic data sheet, Pakistan Anxiety and Depression, WHO Quality of Life scale, and Perceived Social support scale (PSS) were used to test the hypotheses. Paired sample t test was use to see the difference between pre- and post-analysis of depression, anxiety, QOL, and PSS in group I (experimental group). Results suggests significant difference on depression (p > .001), anxiety (p > .001), and QOL (p > .001), while no significant difference was reported on perceived social support (p <.673). Findings also indicate no significant difference between group I and group II on QOL depression, anxiety, and PSS.ConclusionThe findings concluded that patients under hemodialysis treatment suffered from depression, anxiety, and poor quality of life.

Highlights

Hemodialysis may have serious psychological impact upon patients suffering from chronic kidney diseases
The findings concluded that patients under hemodialysis treatment suffered from depression, anxiety, and poor quality of life
The findings further reported religious belief, CD stage IV and above, physical activity, and sleep disturbance were the correlates of developing depression in chronic kidney diseases (CKD) patients [9]

Summary

Introduction

Hemodialysis may have serious psychological impact upon patients suffering from chronic kidney diseases. The findings further reported religious belief, CD stage IV and above, physical activity, and sleep disturbance were the correlates of developing depression in CKD patients [9]. Anxiety is another commonly cooccurring psychopathology with CKD/ESRD. Another study investigated gender role in quality of life, depression, and anxiety in chronic kidney diseases sufferers. Hemodiyalsis comprised of complex treatment for CKD sufferers which requires focus visits to dialysis center or hospital, usually visiting hospital 2–3 times per week. These patients may feel significant changes in their routine life. A study reported that clinical and social demographic variables may affect QOL of CKD patients on dialysis treatment [13]

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