International Journal of Health Sciences and Research Vol.11; Issue: 3; March 2021 Website: www.ijhsr.org Original Research Article ISSN: 2249-9571 International Journal of Health Sciences and Research (www.ijhsr.org) 38 Vol.11; Issue: 3; March 2021 Effect of Yoga-Nidra Programme on Depression, Anxiety, and Stress among Patients with Chronic Kidney Disease Receiving Haemodialysis Jayshree Kalita M.Sc. N (Medical-Surgical Nursing), Srimanta Sankaradeva University of Health Sciences, Guwahati, Assam. ABSTRACT Kidney disease is a non-communicable disease which affects 10% population worldwide. A study conducted by Harvard Medical School in partnership with 13 medical centers all over India found that 17% of Indians have some form of chronic kidney disease. Stress, anxiety and depression are very common with Kidney diseases receiving heamodialysis. A Non-equivalent control group pretest post- test design was used to assess the effectiveness of yoga nidra programme on reducing depression, anxiety, and stress among patients with chronic kidney disease receiving haemodialysis. Sample was collected by using purposive method and divided into experimental and control group. DASS 21 tool was used to assess the stress, anxiety and depression. Before giving Yoga-nidra programme pretest was done for both the group using DASS 21 tool. After Yoga-nidra programme is given to the experimental group, again posttest was done for both the group using same tool. Paired t test was done to see the effectiveness of the intervention. Result of the paired t test was found significant in experimental group. In control group, there is no significant reduction of stress, anxiety and depression with no intervention. Study result showed Yoga-nidra is a very effective relaxation technique in reducing stress, anxiety and depression among patients receiving haemodialysis. Key Words: Relaxation Therapy, Mental Health, Dialysis, Renal Insufficiency, Anxiety, Depression INTRODUCTION The prevalence of non- communicable diseases (NCDs) is surging globally. Chronic Kidney disease is a non- communicable disease which affects 10% population worldwide. Chronic kidney disease is an umbrella term that describes kidney damage or a decrease in the glomerular filtration rate (GFR) lasting for 3 months. 2010 Global Burden of Disease study ranked chronic kidney disease 27 th in the list of causes of total number of deaths worldwide in 1990, but rose to 18 th in 2010. Over 2 million people worldwide currently receive treatment with dialysis or a kidney transplant to stay alive. 1 A study conducted by Harvard Medical School in partnership with 13 medical centers all over India found that 17% of Indians have some form of chronic kidney disease. Statistics suggest that 20,00,000 people should be there in India on dialysis today. The reality is that there are only about 1,00,000. 2 Stress, anxiety and depression are the three terms often used interchangeably though has different meaning. Stress is a normal part of life. But, if it is constant, it can harm. It is usually characterized by a sense of feeling overwhelmed. Anxiety is nothing but a sense of fear. Depression is to an occurrence which is called “low mood”. 3 Stress, anxiety and depression often linked with persistent diseases. In a study, it was found that 63.9% of haemodialysis patients had anxiety, 60.5% had depression and 51.7% had stress. 4 “Stress, anxiety, depression can make physical problems worse. According to Dr. Jacobs, a depressed person is less likely to take care of physical health, cutting