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Enfermería Nefrológica

On-line version ISSN 2255-3517Print version ISSN 2254-2884

Abstract

GOMEZ VILASECA, Lídia et al. Prevalence of anxiety and depression in hemodialysis patients. Enferm Nefrol [online]. 2015, vol.18, n.2, pp.112-117. ISSN 2255-3517.  http://dx.doi.org/10.4321/S2254-28842015000200006.

Introduction: Hemodialysis patients have symptoms and emotional disorders such as anxiety and depression. There are few studies that evaluate diagnosis using the Hospital Anxiety and Depression Scale (HADS); our aim is to determine the prevalence of anxiety and depression in patients with chronic kidney disease on hemodialysis. Methods: Cross-sectional study during the first quarter of 2012 was carried out. It was conducted in the hemodialysis service of the Palamós Hospital. Patients on chronic hemodialysis with a dialysis vintage at least than a month were included. Age, sex, height, weight, body mass index, Charlson index, time on hemodialysis and number of drugs were recorded. HADS (Spanish version of Caro-Ibanez) scale was used. Results: 49 patients were analyzed, 25% being women. The mean age was 67.2 years, the average Charlson index was 4.6 (SD: 4.5), a dialysis vintage of 39.9 months (SD: 43.8) and an average BMI of 26.9 (SD: 4.5). The patients in the morning shift were 52.9% and in the evening shift were 50.9%. Depressive symptomatology was represented in 42.9% (95% CI 33.7% -60.6%) and anxiety symptoms in 32.7% (95% CI 21.2% -46.6%) according to HADS scale. The anxiety has significant association with lower body mass index and female, while depression is significantly associated with higher age, lower body mass index and the morning shift. Conclusion: There is a high prevalence of anxiety and depression in patients with chronic kidney disease on hemodialysis. A low body mass index is associated with anxiety and depression, older age with depression, and anxiety is more common in women. Our study suggests that greater control, monitoring and treatment of emotional disorders in patients with chronic kidney disease are necessary.

Keywords : depression; anxiety; hemodialysis; hads scale; diagnosis.

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