Depression and coping strategies among haemodialysis patients of Bagmati Province, Nepal
DOI:
https://doi.org/10.18203/2319-2003.ijbcp20251829Keywords:
Coping strategies, Depression, Haemodialysis, PatientsAbstract
Background: Haemodialysis is therapeutic procedure of purifying blood used for management of acute and chronic renal failure. Financial burden, dialysis and other treatment procedures also add as stressor among patients undergoing haemodialysis treatment. Depression is most frequent psychological problem reported by chronic kidney patients but is also underdiagnosed and underrated among them. The prevalence of depression is reported higher among chronic kidney patients undergoing dialysis treatment compared to general population with higher risk of deaths and hospitalization. This study aimed to assess the depression and coping strategies among haemodialysis patients of Bagmati Province.
Methods: Quantitative cross-sectional study design was used in this research to collect the data from 3 Haemodialysis Centre viz. Kathmandu, Chitwan and Manthali as it covered the haemodialysis patients from Bagmati province. 370 participants were selected from Bagmati province of Nepal via simple random sampling technique. Nepali language version of Hospital Anxiety and Depression Scale (HADS) and Brief COPE Inventory scale were used to measure the depression and coping mechanism among the respondents. The descriptive and inferential statistics was used for data analysis.
Results: Nearly two-fifths (38.6%) of the respondents showed the symptoms of depression followed by no depression (35.9%) and borderline depression (25.4%). There was significant association between level of depression and coping strategies.
Conclusions: The finding from the study highlight the high prevalence of depressive symptoms. There is significant association between level of depression and coping strategies indicating need for targeted mental health intervention including promotion of effective coping mechanism in the targeted population.
Metrics
References
Kovesdy CP. Epidemiology of chronic kidney disease. Kidney Int Suppl. 2022;12(1):7–11.
Khadka S, Adhikari R, Paudel T. Depression among Chronic Kidney Diseases Patients Receiving Haemodialysis. J Karnali Academy of Health Sci. 2020;21;3(2):73–9. DOI: https://doi.org/10.3126/jkahs.v3i2.31326
National Institute of Diabetes and Digestive and Kidney Diseases. National Institutes of Health. 2022. Chronic Kidney Disease (CKD). NIDDK. Available at: https://www.niddk.nih.gov. Accessed on 21 November 2024.
Centers for Disease Control and Prevention. GA: US Department of Health and Human Services, Centers for Disease Control and Prevention. 2021. Chronic Kidney Disease in the United States, 2021. Available at: https://www.cdc.gov/kidneydisease. Accessed on 21 December 2024.
Liyanage T, Toyama T, Hockham C, Ninomiya T, Perkovic V, Woodward M, et al. Prevalence of chronic kidney disease in Asia: a systematic review and analysis. BMJ Glob Health. 2022;1;7(1):7525. DOI: https://doi.org/10.1136/bmjgh-2021-007525
Lv JC, Zhang LX. Prevalence and Disease Burden of Chronic Kidney Disease. Adv Exp Med Biol. 2019;1165:3–15. DOI: https://doi.org/10.1007/978-981-13-8871-2_1
Kovesdy CP. Epidemiology of chronic kidney disease: an update. Kidney. 2022;1;12(1):7–11. DOI: https://doi.org/10.1016/j.kisu.2021.11.003
Ghimire M, Vaidya S, Upadhyay HP. Prevalence of Newly Diagnosed End-Stage Renal Disease Patients in a Tertiary Hospital of Central Nepal, Chitwan: A Descriptive Cross-sectional Study. J Nepal Medical Association. 2021;59(233):61–4. DOI: https://doi.org/10.31729/jnma.4971
Poudyal A, Karki KB, Shrestha N, Aryal KK, Mahato NK, Bista B, et al. Prevalence and risk factors associated with chronic kidney disease in Nepal: evidence from a nationally representative population-based cross-sectional study. BMJ Open. 2022;12(3):57509. DOI: https://doi.org/10.1136/bmjopen-2021-057509
Sharma SK, Dhakal S, Thapa L, Ghimire A, Tamrakar R, Chaudhary S, et al. Community-Based Screening for Chronic Kidney Disease, Hypertension and Diabetes in Dharan. J Nepal Medical Association. 2013;;52(189):205–12. DOI: https://doi.org/10.31729/jnma.548
Sharma I, Bhattarai M, Sigdel MR. Global Dialysis Perspective: Nepal. Kidney360. 2022;28;3(7):1269–74. DOI: https://doi.org/10.34067/KID.0001672022
Teles F, de Azevedo VFD, de Miranda CT, de Melo Miranda MP, Teixeira MDC, Elias RM. Depression in Haemodialysis patients: the role of dialysis shift. Clinics. 2014;69(3):198–202. DOI: https://doi.org/10.6061/clinics/2014(03)10
Elliott DA. Haemodialysis. Clin Tech Small Anim Pract. 2000;15(3):136–48. DOI: https://doi.org/10.1053/svms.2000.18297
Rosenberg M. Overview of the management of chronic kidney disease in adults. Available at: https://www.uptodate.com/contents. Accessed on 21 January 2025.
Unsal Avdal E, Ayvaz İ, Özgursoy Uran BN, Yildirim JG, Sofulu F, Pamuk G. Opinions of Haemodialysis and peritoneum patients regarding depression and psychological problems which they experience: A qualitative study. J Infect Public Health. 2020;13(12):1988–92. DOI: https://doi.org/10.1016/j.jiph.2020.02.041
Cengić B, Resić H. Depression in Haemodialysis Patients. Bosn J Basic Med Sci. 2010;10(1):73-8.
Cengić B, Resić H. Depression in Haemodialysis Patients. Bosn J Basic Med Sci. 2010;10(1):1. DOI: https://doi.org/10.17305/bjbms.2010.2653
Ranabhat K, Khanal P, Mishra SR, Khanal A, Tripathi S, Sigdel MR. Health related quality of life among haemodialysis and kidney transplant recipients from Nepal: A cross sectional study using WHOQOL-BREF. BMC Nephrol. 2020;21(1):1–8. DOI: https://doi.org/10.1186/s12882-020-02085-0
Shrestha S, Ghotekar LR, Sharma SK, Shangwa PM, Karki P. Assessment of Quality of Life in Patients of End Stage Renal Disease on Different Modalities of Treatment. J Nepal Medical Asso. 2008;1;47(169):1–6. DOI: https://doi.org/10.31729/jnma.205
Dehghan M, Namjoo Z, Mohammadi Akbarabadi F, Fooladi Z, Zakeri MA. The relationship between anxiety, stress, spiritual health and mindfulness among patients undergoing Haemodialysis: A survey during the COVID-19 outbreak in Southeast Iran. Health Sci Rep. 2021;4(4):461. DOI: https://doi.org/10.1002/hsr2.461
Sadat hoseini AS, Razaghi N, Khosro Panah AH, Dehghan Nayeri N. A Concept Analysis of Spiritual Health. J Rel Health. 2017;58(4):1025–46. DOI: https://doi.org/10.1007/s10943-017-0522-x
Aghajani M, Afaze MR, Morasai F. The Effect of Spirituality Counseling on Anxiety and Depression in Haemodialysis Patients. Evidence Based Care. 2014;1;3(4):19–28.
Durmuş M, Ekinci M. The Effect of Spiritual Care on Anxiety and Depression Level in Patients Receiving Haemodialysis Treatment: a Randomized Controlled Trial. J Religion Health. 2021;61(3):2041–55. DOI: https://doi.org/10.1007/s10943-021-01386-4
Risal A, Manandhar K, Linde M, Koju R, Steiner TJ, Holen A. Reliability and Validity of a Nepali-language Version of the Hospital Anxiety and Depression Scale (HADS). Kathmandu Univ Med. 2015;13(50):115–24. DOI: https://doi.org/10.3126/kumj.v13i2.16783
Rana M, Prajapati R, Chaudhari J, Gautam B, Gurung B. Quality of life and coping in parents raising children with duchenne muscular dystrophy (DMD) In Nepal. J Psych Association of Nepal. 2020;9(2):30–41. DOI: https://doi.org/10.3126/jpan.v9i2.36282
Shanmukham B, Varman M, Subbarayan S, Sakthivadivel V, Kaliappan A, Gaur A, et al. Depression in Patients on Haemodialysis: A Dilapidated Facet. Cureus. 2023;14(9):1237. DOI: https://doi.org/10.7759/cureus.29077
García-Martínez P, Ballester-Arnal R, Gandhi-Morar K, Castro-Calvo J, Gea-Caballero V, Juárez-Vela R, et al. Perceived Stress in Relation to Quality of Life and Resilience in Patients with Advanced Chronic Kidney Disease Undergoing Haemodialysis. International J Enviro Res Public Health. 2021;18(2):536. DOI: https://doi.org/10.3390/ijerph18020536
Alencar SBV, de Lima FM, Dias LDA, Dias VDA, Lessa AC, Bezerra JM, et al. Depression and quality of life in older adults on Haemodialysis. Braz J Psychiatry. 2020;42(2):195–200. DOI: https://doi.org/10.1590/1516-4446-2018-0345
Hedayati SS, Minhajuddin AT, Toto RD, Morris DW, Rush AJ. Validation of Depression Screening Scales in Patients With CKD. American J Kidney Dis. 2009;1;54(3):433–9. DOI: https://doi.org/10.1053/j.ajkd.2009.03.016
Santos NC, Miravitlles M, Camelier AA, de Almeida VDC, Tosta Maciel RRB, Rosa CFW. Prevalence and Impact of Comorbidities in Individuals with Chronic Obstructive Pulmonary Disease: A Systematic Review. Tuberc Respir Dis (Seoul). 2022;85(3):205. DOI: https://doi.org/10.4046/trd.2021.0179
Lee SE, Han K, Kang YM, Kim SO, Cho YK, Ko KS, et al. Trends in the prevalence of metabolic syndrome and its components in South Korea: Findings from the Korean National Health Insurance Service Database (2009–2013). PLoS One. 2023;13(3):194490. DOI: https://doi.org/10.1371/journal.pone.0194490
Downloads
Published
How to Cite
Issue
Section
