Saguban Reynita, AlAbd Asmaa Mohamed Ali, Rondilla Evalyn, Buta Joyce, Marzouk Salwa Ali, Maestrado Richard, Sankarapandian Chandrakala, Alkubati Sameer A, Mostoles Romeo, Alshammari Salman Amish, Alrashidi Maha Sanat, Gonzales Analita, Lagura Grace Ann, Gonzales Ferdinand
College of Nursing, University of Hail, Hail 55473, Saudi Arabia.
Medical-Surgical Nursing Department, College of Nursing, Princess Nourah bint Abdulrahman University, P.O. Box 84428, Riyadh 11671, Saudi Arabia.
Healthcare (Basel). 2025 Jan 31;13(3):294. doi: 10.3390/healthcare13030294.
BACKGROUND/OBJECTIVES: This study aims to determine the level of anxiety, depression, and sleep disturbances in patients with chronic kidney disease, as well as the interactions between the three comorbidities, and the implications it has for health practitioners.
A descriptive cross-sectional study, following the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines, was implemented whereby 179 patients with chronic kidney disease attending a government hospital were recruited to this study.
Our results showed that 65.9% of the participants had the metrics of severe anxiety while 34.1 percent had moderate anxiety. Further, it was reported that more than half 51.4% of participants had poor sleep quality. The levels of depression reported by the patients were roughly 40.2% minimal depression, 29.6% mild, 21.2% moderate, and 8.9% depression that was severe. There was a significant correlation between mental health disease together with sociodemographic variables such as gender, marital status, educational status, and nationality ( < 0.05). Cut points of those aged 26-35 found younger patients experiencing higher anxiety levels (cut point (AOR = 2.792; = 0.021)), and they also had poorer sleep quality (AOR = 0.403; = 0.020).
Our findings illustrate the importance of more frequent early mental health measures and strategies that help patients with chronic kidney diseases. The main study limitation was the cross-sectional design, which allows for correlational but not causal statements to be made. We address a gap in the literature with our results by noting specific demographic characteristics that are associated with poor mental health in chronic kidney disease populations and discuss practical and policy recommendations aimed at enhancing the mental well-being of chronic kidney disease patients.
背景/目的：本研究旨在确定慢性肾病患者的焦虑、抑郁和睡眠障碍水平，以及这三种合并症之间的相互作用，及其对医疗从业者的影响。
按照加强流行病学观察性研究报告（STROBE）指南实施了一项描述性横断面研究，招募了179名在政府医院就诊的慢性肾病患者参与本研究。
我们的结果显示，65.9%的参与者有严重焦虑指标，而34.1%有中度焦虑。此外，据报告超过一半（51.4%）的参与者睡眠质量差。患者报告的抑郁水平大致为40.2%为轻度抑郁，29.6%为轻度，21.2%为中度，8.9%为重度抑郁。心理健康疾病与社会人口统计学变量如性别、婚姻状况、教育程度和国籍之间存在显著相关性（<0.05）。在26 - 35岁的人群中，发现年轻患者的焦虑水平较高（切点（优势比=2.792；P = 0.021）），并且他们的睡眠质量也较差（优势比=0.403；P = 0.020）。
我们的研究结果说明了对慢性肾病患者采取更频繁的早期心理健康措施和策略的重要性。主要研究局限性在于横断面设计，这使得只能进行相关性而非因果性陈述。我们通过指出慢性肾病患者中与心理健康不佳相关的特定人口统计学特征来填补文献中的空白，并讨论旨在提高慢性肾病患者心理健康水平的实际和政策建议。
