Resumo

MORENO NUNEZ, Eutropio et al. Study of the prevalence of anxious and depressive disorders in patients under haemodialysis. Rev Soc Esp Enferm Nefrol [online]. 2004, vol.7, n.4, pp.17-25. ISSN 1139-1375.

Introduction and objectives: The lives of patients under haemodialysis are subject to different stressful, threatening situations. This means that a not inconsiderable percentage of patients suffer anxious and depressive disorders as a normal reaction to such situations, which might be unnoticed by the health personnel attending them. Furthermore, these affective disorders may influence the perception of their state of health. The aim of the work is to discover the prevalence of these anxious and depressive disorders in our patients under haemodialysis and see the influence on their quality of life (CVRS). Methodology: The study was carried out with 75 patients, 50 of whom were men. Patients over 65 years of age were excluded and also those having been on an HD programme for under 6 months, or those presenting psychotic, neurological disorders or decompensation of their physical state. The depression was measured with two scales: Beck Inventory (BDI) and the Hamilton Scale (HDRS). The anxiety was measured with the Hamilton Scale for anxiety (HARS) and the CVRS with the Spanish version of the COOP/WONCA laminas. Results: Symptoms of depression were present in a fairly high percentage of our patients: 53.3% with HDRS and 44% with BDI and 46.6% in the anxious side. On analysing the results, we observed that the sociodemographic variables, and those related to the dialysis process, were not predisposing factors of anxiety and depression. We find a good correlation (Pearson C.) between the CVRS measured with the COOP/WONCA and the states of anxiety (r = 0.52 (HARS), p<0.001) and depression (r = 0.64 (BDI) and 0.75 (HDRS); p<0.001). Conclusions: There is a large prevalence of symptoms of anxiety and depression among our patients, associated with factors related to the CVRS and their functional capacity.

Palavras-chave : Haemodialysis; Anxiety; Depression; Quality of life (CVRS).

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