Depression, anxiety, and quality of life in patients undergoing hemodialysis and renal transplantation

M. Nasreldin, N. Madbouly, S. El-khashab, Ibrahim Sehsah, M. Ghallab, M. Moneer, Hend E. Habiba, Mohamed Eldin, S. El-Makawi
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引用次数: 1

Abstract

Background End-stage renal disease (ESRD) is a severe and debilitating disease. Insignificant data exist on depression, anxiety, quality of life (QoL), and life satisfaction in patients on hemodialysis (HD) in comparison with patients with renal transplantation (RT). Aim The aim of this study was to compare the presence and severity of depression and accompanying anxiety symptoms between HD patients and RT recipients and to correlate both depression and anxiety with the QoL and life satisfaction affection in both groups of patients. Patients and methods A comparative cross-sectional study was conducted on 64 patients with ESRD who were recruited consecutively from the nephrology outpatient clinic of Kasr Al Ainy, Cairo University Hospitals, over a period of 1 year. Patients were applied the Physical, Cognitive, Affective, Social, Economic and Ego Questionnaire to assess QoL, Beck Depression Inventory to assess depression, Middlesex Hospital Questionnaire to assess anxiety, and Life Satisfaction Scale for life satisfaction. Results The study results showed that depression, anxiety, and somatization in the HD group showed significant higher scores than the RT group. Patients on HD were significantly less satisfied with their life and showed lower scores on the physical domain, whereas patients with RT had significant lower scores on the economic domain of QoL. Life satisfaction and most domains of QoL were negatively correlated with depression, anxiety, and somatization in the HD group. Conclusion Depression accompanied with a variety of anxiety symptoms constituted determinants of poor QoL in the setting of ESRD and consequently, less life satisfaction. HD patients showed higher levels of depression, anxiety, and somatization along with poorer QoL and less life satisfaction than patients with RT.
血液透析和肾移植患者的抑郁、焦虑和生活质量
终末期肾病(ESRD)是一种严重的、使人衰弱的疾病。与肾移植(RT)患者相比,血液透析(HD)患者在抑郁、焦虑、生活质量(QoL)和生活满意度方面的数据不显著。目的本研究的目的是比较HD患者和RT接受者之间抑郁和伴随焦虑症状的存在和严重程度,并将抑郁和焦虑与两组患者的生活质量和生活满意度影响联系起来。患者和方法对开罗大学医院Kasr Al Ainy肾内科门诊连续招募的64例ESRD患者进行了为期1年的比较横断面研究。采用身体、认知、情感、社会、经济和自我问卷评估患者的生活质量,贝克抑郁量表评估患者的抑郁,米德尔塞克斯医院问卷评估患者的焦虑,生活满意度量表评估患者的生活满意度。结果研究结果显示,HD组抑郁、焦虑、躯体化得分显著高于RT组。HD患者对生活的满意度明显较低,在物理领域得分较低,而RT患者在生活质量的经济领域得分明显较低。HD组的生活满意度和大部分生活质量与抑郁、焦虑和躯体化呈负相关。结论抑郁伴多种焦虑症状是ESRD患者生活质量差的决定因素,导致生活满意度降低。HD患者比RT患者表现出更高的抑郁、焦虑和躯体化水平,同时生活质量较差,生活满意度较低。
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