Prevalence and Factors Associated with Depression among End Stage Kidney Disease Patients in Somdetphraphutthaloetla Hospital
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Abstract
Objectives: To study the prevalence of depression in end-stage renal disease patients undergoing hemodialysis and the factors associated with depression in this patient group.
Methods: A cross-sectional descriptive study in 72 end-stage renal disease patients undergoing hemodialysis at Somdetphraphutthaloetla hospital. Data were collected using two questionnaires: a general information questionnaire and the 9-question depression screening (9Q). Descriptive and inferential statistics were used for data analysis.
Results: Of the total 72 patients, the majority were female (52.8%) with a mean age of 53.3 years. Their marital status was single (36.1%), married (38.9%), and divorced (15.3%). The highest educational level attained by most patients was primary school (54.2%). Most patients were unemployed (72.2%) and had universal health coverage (62.5%). 65.3% received financial support. The median income of the patients was 0 baht. The median duration of dialysis was 2 years. The median hemodialysis frequency was 2 sessions per week. The average number of medications taken per day was 14.3 pills. The prevalence of depression was 15.3% in this patient group. Lack of financial support was significantly associated with depression (odds ratio = 6.902, 95%CI = 1.635 - 29.135). No significant associations were found between depression and gender, age, marital status, education level, occupation, healthcare coverage, caregiver, family conflicts, underlying diseases, income, dialysis duration, dialysis frequency, and number of medications.
Conclusion: The study found a 15.3% prevalence of depression in end-stage renal disease patients undergoing hemodialysis. Lack of financial support was a significant risk factor for depression.
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