The Relationship Between Depression and Quality of Life in Patients Undergoing Hemodialysis in Indonesia

Abstract

Patients undergoing hemodialysis (HD) must spare four hours a day, three days a week, irrespective of the patient’s schedule. Thus, it is common for chronic kidney disease (CKD) patients to be depressed, and with the progression of CKD, their overall quality of life (QOL) could decrease. Therefore, this study aimed to examine the relationship between depression and QOL among patients undergoing hemodialysis in Indonesia. This cross-sectional research was conducted at a West Java Province, Indonesia, public health center, from August to December 2020. The inclusion criteria of participants were over the age of 20 and having been undergoing HD for at least six months. Depression was evaluated using the Beck Depression Inventory-II (BDI-II) and QOL was measured using The Kidney Disease and Life Quality-SFTM v1.3 Survey (The KDQOL-SFTM v1.3). Pearson’s correlation analysis was used to investigate the correlation between depression and QOL. There were 190 respondents out of 225 (response rate: 84.4%), including 100 patients with CKD stages 1-3 (response rate: 75.6%). No correlation was found between demographic characteristics and QOL in HD patients (p > 0.05). The Indonesian KDQOL-SFTM v1.3 was associated with the BDI-II, and r ranged from 00.354 to 0.486. In order to increase QOL, it is recommended that depression is treated with routine follow-up in a collaborative care approach because intensive treatment is not normally reproduced in real-world practices.
 Keywords: quality of life, depression, hemodialysis, cross-sectional, Indonesia