Psychosocial Impacts of Chronic Kidney Disease and Dialysis Therapy
Abstract
Background: Chronic Kidney Disease (CKD) has been a significant global health problem and a source of an enormous burden on the healthcare system and psychological distress for diagnosed patients. This study aims to understand the psychosocial impacts of CKD and dialysis therapy on patients undergoing dialysis in LAUTECH Teaching Hospital, Osogbo. Methodology: A descriptive study design was used, and the sampling technique was purposive. Subject participation was voluntary and preceded informed consent. Patients that had CKD and undergoing dialysis were identified. Data were collected, cleaned, and analysed using SPSS Version 23. Results: Patients perceptions of life and social limitations due to CKD and dialysis therapy revealed that 74.1% of the respondents always feel anxious, 67.8% feel that adjusting to dialysis is difficult, 85.5% of the respondents think that CKD and dialysis therapy is making them poorer, 90.3% feel they were neglecting important activities in life due to dialysis therapy. There was a significant relationship between patients’ perception of life and social limitations and the perceived influence of dialysis therapy on family functions and support persons (p<0.05) as well as the level of income and behavioural compliance. Conclusion: Our study revealed that CKD and dialysis therapy have major psychosocial impacts on the patients although many can cope well. We recommend more financial supports and interventions for CKD patients undergoing dialysis therapy.
Â
Doi: 10.28991/SciMedJ-2021-0302-5
Full Text: PDF
Keywords
References
What is chronic kidney disease? National institute of diabetes and digestive and kidney disease. (2017). Available Online: https://www.niddk.nih.gov/health-information/kidney-disease/chronic-kidney-disease-ckd/what-is-chronic-kidney-disease. (accessed on 4 April 2021).
Papadakis, E. (2010). Approach of patients with kidney disease and patients with betathalassemia in a general hospital in crete and investigation of their quality of life. Thesis. Available Online: https://mph.med.uoc.gr/files/Dissertations/ Papadakis%20Evag_2010.pdf (accessed on 4 April 2021).
Theofilou, P.A. (2011). Sexual functioning in chronic kidney disease: the association with depression and anxiety. Hemodialysis International. 16(1):76-81. doi:10.1111/j.1542-4758.2011.00585.x.
Lozano, R., Naghavi, M., Foreman, K., Lim, S., Shibuya, K., Aboyans, V., Abraham, J., Adair, T., Aggarwal, R., Ahn, S. Y., Alvarado, M., Anderson, H. R., Anderson, L. M., Andrews, K. G., Atkinson, C., Baddour, L. M., Barker-Collo, S., Bartels, D. H., Bell, M. L., Benjamin, E. J., … & Memish, Z. A. (2012). Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet (London, England), 380(9859), 2095–2128. doi:10.1016/S0140-6736(12)61728-0.
Chukwuonye, I. I., Ogah, O., Anyabolu, E., Ohagwu, K., Nwabuko, O. C., Onwuchekwa, U., … Oviasu, E. (2018). Prevalence of chronic kidney disease in Nigeria: systematic review of population-based studies. International Journal of Nephrology and Renovascular Disease, Volume 11, 165–172. doi:10.2147/ijnrd.s162230.
Bikbov, B., Purcell, C. A., Levey, A. S., Smith, M., Abdoli, A., Abebe, M., … Agudelo-Botero, M. (2020). Global, regional, and national burden of chronic kidney disease, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. The Lancet, 395(10225), 709–733. doi:10.1016/s0140-6736(20)30045-3.
Khalil, A., Frazier, K., Lennie, T., & Sawaya, P. (2011). Depression symptoms and dietary adherence in patients with end stage renal disease. Journal of Renal Care. 37(1):30-39. doi: 10.1111/j.1755-6686.2011.00202.x.
Bakris, G., & Ritz, E. (2009) Hypertension and kidney disease; a marriage that should be prevented. Hong Kong Journal of Nephrology. 11(1):1-4. doi:10.1016/S1561-5413(09)60001-6.
Pendse, S., Singh, A., & Zawada, E. (2008). Initiation of dialysis. Handbook of Dialysis. 4th ed. New York, NY, 14-21.
Ptfuntner, A., Wier, L.M, & Stock, C. (2013) Most frequent procedures performed in U.S hospital, 2011. HCUP; statistical October 2013. Agency for health care research and quality, Rockville M.D. Available Online: http://www.hcup-us.ahrq.gov/reports/statbriefs/sb165.pdf (accessed on 4 April 2021).
Griva, K., Jayasena, D., Davenport, A., Harrison, M., & Newman, S. P. (2009). Illness and treatment cognitions and health related quality of life in end stage renal disease. British Journal of Health Psychology, 14(1), 17–34. doi:10.1348/135910708x292355.
Hinkle, J. L., & Cheever, K. H. (2013). Clinical handbook for Brunner & Suddarth's textbook of medical-surgical nursing. Lippincott Williams & Wilkins.
Anees, M., Hameed, F., Mumtaz, A., Ibrahim, M., & Saeed, K. M. (2011). Dialysis-related factors affecting quality of life in patients on hemodialysis. 2011; 5(1): 9-14.
Tsai, Y.-C., Chiu, Y.-W., Hung, C.-C., Hwang, S.-J., Tsai, J.-C., Wang, S.-L., … Chen, H.-C. (2012). Association of Symptoms of Depression with Progression of CKD. American Journal of Kidney Diseases, 60(1), 54–61. doi:10.1053/j.ajkd.2012.02.325.
Kalsoom, U. (2019). Gender role in anxiety, depression and quality of life in chronic kidney disease patients. Pakistan Journal of Medical Sciences, 36(2). doi:10.12669/pjms.36.2.869.
Santhi S, A., Samson, R., Srikanth, & D, P. (2018). Effectiveness of physical activity on depression, anxiety, stress and quality of life of patients on hemodialysis. Biomedical Research, 29(9). doi:10.4066/biomedicalresearch.29-18-177.
Ibahim, N., Mohamed, P.A.R., Teo, S., Din, C.N., Halim, A., Gafor, A., & Ismail, R. (2016) Association between health related quality of life and psychological distress at different stages of chronic kidney disease. Sains Malaysiana. 45(5) 753-759.
Oneib, B., El Filali, A., Bentata, Y., & Ada, N. (2017). Depression and anxiety disorders in chronic hemodialysis patients and their quality of life: A cross-sectional study about 106 cases in the northeast of morocco. Saudi Journal of Kidney Diseases and Transplantation, 28(2), 341. doi:10.4103/1319-2442.202785.
Ng, H. J., Tan, W. J., Mooppil, N., Newman, S., & Griva, K. (2014). Prevalence and patterns of depression and anxiety in hemodialysis patients: A 12-month prospective study on incident and prevalent populations. British Journal of Health Psychology, 20(2), 374–395. doi:10.1111/bjhp.12106.
Saad, M., El-Douaihy, Y., Moussaly, E., Rondla, C., Boumitri, C., Daoud, M., & El Sayegh, S. (2015). Predictors of quality of life in patients with end-stage renal disease on hemodialysis. International Journal of Nephrology and Renovascular Disease, 119. doi:10.2147/ijnrd.s84929.
Lilympaki, I., Makri, A., Vlantousi, K., Koutelekos, I., Babatsikou, F., & Polikandrioti, …. (2016). Effect of Perceived Social Support on the Levels of Anxiety and Depression of Hemodialysis Patients. Materia Socio Medica, 28(5), 361. doi:10.5455/msm.2016.28.361-365.
Zyoud, S. H., Al-Jabi, S. W., Sweileh, W. M., Arandi, D. A., Dabeek, S. A., Esawi, H. H., … Awang, R. (2015). Relationship of treatment satisfaction to health-related quality of life among Palestinian patients with type 2 diabetes mellitus: Findings from a cross-sectional study. Journal of Clinical & Translational Endocrinology, 2(2), 66–71. doi:10.1016/j.jcte.2015.03.002.
Saffari, M., Pakpour, A. H., Naderi, M. K., Koenig, H. G., Baldacchino, D. R., & Piper, C. N. (2013). Spiritual coping, religiosity and quality of life: A study on Muslim patients undergoing haemodialysis. Nephrology, 18(4), 269–275. doi:10.1111/nep.12041.
Unsal Avdal, E., Ayvaz, İ., Özgursoy Uran, B. N., Yildirim, J. G., Sofulu, F., & Pamuk, G. (2020). Opinions of hemodialysis and peritoneum patients regarding depression and psychological problems which they experience: A qualitative study. Journal of Infection and Public Health, 13(12), 1988–1992. doi:10.1016/j.jiph.2020.02.041.
DOI: 10.28991/SciMedJ-2021-0302-5
Refbacks
- There are currently no refbacks.
Copyright (c) 2021 Elizabeth Adedamola Adeyemi, Yusuff Adebayo Adebisi, Abdulhammed Opeyemi Babatunde