Department of Psychiatry and Mental Health Nursing, Syiah Kuala University, Banda Aceh, Indonesia.
Department of Internal Medicine, Syiah Kuala University, Banda Aceh, Indonesia.
Int J Psychiatry Med. 2021 Jan;56(1):40-50. doi: 10.1177/0091217420913382. Epub 2020 Mar 26.
Routine dialysis is stressful. It has the possibility of leading to depression and anxiety and also reducing patients' quality of life. Despite these significant consequences, these comorbidities have been rarely studied among Indonesian patients. This study aims to examine the rate of depression, anxiety, and the role of acceptance of their illness on patients' quality of life.
A total of 213 patients undergoing hemodialysis in three general hospitals in Aceh, Indonesia, were included in the study. The presence of depression, anxiety, and the quality of life of each patient was assessed using the hospital anxiety and depression scale and WHO quality of life-BREF questionnaires.
The prevalence of depression and anxiety was 46% and 30.5%, respectively. Depression was only associated with the presence of anxiety and the duration of hemodialysis. Anxiety was negatively associated with quality of life but positively associated with depression and the prescription of an anxiolytic. Overall quality of life was associated with age, body mass index, the presence of anxiety, and acceptance of the illness. Acceptance of the illness was also independently associated with almost every domain of patients' quality of life.
The rates of depression and anxiety among patients undergoing hemodialysis in the current study setting are relatively similar to the rates in other settings. Patients' acceptance of their illnesses is significantly associated with the occurrence of anxiety and quality of life. Therefore, health practitioners should help patients accept their illnesses and the administration of regular hemodialysis.
常规透析会带来压力。它有可能导致抑郁和焦虑，还会降低患者的生活质量。尽管存在这些严重后果，但印度尼西亚患者的这些合并症很少得到研究。本研究旨在检查抑郁、焦虑的发生率，以及对疾病的接受程度对患者生活质量的影响。
本研究纳入了印度尼西亚亚齐省 3 家综合医院中 213 名接受血液透析的患者。使用医院焦虑抑郁量表和世界卫生组织生活质量简表评估每位患者的抑郁、焦虑和生活质量状况。
抑郁和焦虑的发生率分别为 46%和 30.5%。抑郁仅与焦虑的存在和血液透析的持续时间有关。焦虑与生活质量呈负相关，与抑郁和安定类药物的处方呈正相关。总体生活质量与年龄、体重指数、焦虑的存在和对疾病的接受程度有关。对疾病的接受程度也与患者生活质量的几乎每个方面都独立相关。
在当前研究环境中，接受血液透析的患者中抑郁和焦虑的发生率与其他环境中的发生率相似。患者对疾病的接受程度与焦虑和生活质量的发生显著相关。因此，医疗保健从业者应帮助患者接受他们的疾病和定期进行血液透析。
