Abstract

MENA MAYAYO, María; CERDAN URRUTIA, Eva; PEREZ-SEOANE JUSTO, Ana  and  MANRIQUE ESCOLA, Joaquín. Association between functional dependency and affective-depressive symptomatology in patients on the haemodialysis programme. Rev Soc Esp Enferm Nefrol [online]. 2010, vol.13, n.4, pp.236-241. ISSN 1139-1375.

Depression is a very prevalent problem in patients with chronic renal disease undergoing haemodialysis. Accordingly, evaluating it is important not only from the diagnostic standpoint, but also because of its relationship with higher morbimortality. The aim of this study is to evaluate the relationship between physical dependency and affective-depressive symptomatology, together with other demographic variables. In order to evaluate the presence of depressive symptomatology, the Beck scale was used, to objectivize the degree of physical dependency, the Barthel scale was used. Both scales were applied to a sample of 94 patients undergoing dialysis at the hospital. Depressive symptomatology was found in 40%, although around 25% were receiving anti-depressive treatment. On evaluating the Barthel scale, we observed that the mean dependency is moderate, although half of the patients are independent. Patients receiving anti-depressive treatment obtained a higher score on the Beck scale than those who were not receiving such treatment, and therefore should be evaluated by a specialist to implement some kind of anti-depressive therapy. The depressive symptomatology is greater in females and increases with age. We think that the Beck scale could contribute to detecting patients who should be referred to a specialist for evaluation aimed at ruling out depressive pathology or re-evaluating the suitability of the treatments applied.

Keywords : Dependency; Depression; Haemodialysis; Barthel Scale; Beck Scale.

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