Clinical Research in Nephrology & Kidney Diseases
2020 | Volume 1 | Article 1002 014 © 2020 - Medtext Publications. All Rights Reserved.
Assessment of Depression among End Stage Renal Disease
Hemodialysis Patients at the National Ribat University
Hospital and Ibn Sena Specialized Hospital (July-2017)
Research Article
Helali MAH
1
, Ibrahim A. Ali
2*
, Osman MA
1
, Elmalik AB
3
and Alsayed AHY
1
1
Faculty of Medicine, National Ribat University, Khartoum, Sudan
2
Department of Physiology, National Ribat University, Khartoum, Sudan
3
Faculty of Medicine, Omdurman Islamic University, Khartoum, Sudan
Citation: Helali MAH, Ibrahim A. Ali, Osman MA, Elmalik AB, Alsayed
AHY. Assessment of Depression among End Stage Renal Disease He-
modialysis Patients at the National Ribat University Hospital and Ibn
Sena Specialized Hospital (July-2017). Clin Res Nephrol Kidney Dis.
2020;1(1):1002.
Copyright: © 2020 Helali MAH
Publisher Name: Medtext Publications LLC
Manuscript compiled: Mar 20
th
, 2020
*Corresponding author: Ibrahim A. Ali, Department of Physiology,
Faculty of Medicine, National Ribat University, Khartoum, Sudan, E-mail:
hemamedicine@gmail.com
Abstract
Introduction: End-Stage Renal Disease (ESRD) disease is a public health problem worldwide that is highly associated with psychological disorders particularly
in those treated with hemodialysis. Te worldwide commonest psychological disorder encountered in them is depression.
Objectives: Tis study was aimed to assess the mood and depressive symptoms in hemodialysis patients admitted at the National Ribat University Hospital and
Ibn Sina Specialized Hospital.
Methodology: It is a cross-sectional prospective study conducted at hemodialysis units of National Ribat University Hospital and Ibn Sina Specialized Hospital.
One hundred twenty patients undergoing regular hemodialysis for more than six months were included in the study. Te Beck's Depression inventory scale was
used. It’s a self-administered psychometric test for measuring the severity of depression and commonly used in general population and primary care. Statistical
analysis was performed using SPSS version 25.0. A verbal consent from any patient afer explaining the purpose of the study. Ethical approvals were taken from
the National Ribat University Hospital and Ibn Sena Specialized hospital.
Results: One hundred-twenty patients were enrolled which included forty (66.7%) were male and twenty (33.3%) were females. Te prevalence of depression
among patients was 41%. Te prevalence of severe, moderate and mild depression was 6.6%, 23.3% and 11.7% respectively.
Conclusion: Te results of this study showed that depression is common among dialysis patients as in other countries. So Early diagnosis and efective treatment
of depression can improve quality of life, prognosis, and survival of patients.
Keywords: ESRD; Depression; Renal dialysis; Hemodialysis
Introduction
End-Stage Renal Disease (ESRD) is a chronic, deadly disease, with
a glomerular fltration rate of 15 mL/min/1.73 m2. Tis disease afects
most, if not all, body systems, where a study found that ESRD patients
have diferent symptoms in the following order: fatigue was 71%,
pruritis was 55%, constipation was 53%, anoryxia was 49%, pain was
47%, sleep disturbance was 44%, where as anxiety, shortness of breath,
nausea and depression were 38%, 35%, 33% and 27%, respectively [1].
Tey are a signifcant segment of chronic renal failure patients,
with a 4-fold increase from 100,000 to 400,000 over the past 20
years [2]. Te incidence of complications during renal dialysis was
estimated at about 41% [3]. One of these complications is depression.
Depression is one of the most serious complications for ESRD
patients, and it is that a large proportion of people with it resort to
suicide to end their sufering [4]. It is also a problem that the ignoring
may have serious consequences.
In addition, depression in ESRD patients is difcult to determine
because its symptoms interfere with the uremia. Depression during
hemodialysis may afect the patient's response to treatment that may
reach the withdrawal stage. Tis makes matters worse, and makes the
likelihood of death even higher. Indeed, one study reported that the
prevalence of depression in ESRD patients was unidentifable, but a
study found that the percentage of depression features in renal dialysis
patients was 44% [5,6].
We have noticed that statistics seem high, and the consequences
are serious. Unfortunately, few papers have studied this problem in
the world at large, and in Sudan in particular. In this study, we aim
to assess the prevalence of depression, and to determine its severity
in renal dialysis patients at both the National Rabat University
Hospital and Ibn Sina Specialized Hospital. Tis will be done using
the Beck Depression Inventory scale. With this study, we are seeking
to reinforce and clarify the hidden image of this problem, if we know
about as much as we can, we can deal with it correctly and reduce it.
We are also working to see its efects positively on the high mortality
rate.