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Kidney Week

Abstract: FR-PO1049

Factors Associated with Depression Among Patients with CKD on Maintenance Hemodialysis in a Secondary Private Hospital

Session Information

Category: Dialysis

  • 801 Dialysis: Hemodialysis and Frequent Dialysis

Author

  • Tahil, Jesse James P., Ormoc Sugarcane Planters’ Association – Farmers’ Medical Center, Department of Internal Medicine, Ormoc City, Leyte, Philippines
Background

Introduction: Globally, depression was noted to be prevalent among chronic kidney disease (CKD) patients especially on maintenance hemodialysis. This study determined the factors associated with depression among adult CKD patients on maintenance hemodialysis at Ormoc Sugarcane Planters’ Association – Farmers’ Medical Center (OSPA-FMC).

Methods

Utilized a cross-sectional analytic study, which includes adult CKD patients on maintenance hemodialysis enrolled at OSPA-FMC hemodialysis center. Interview schedule done to collect data including assessment of depression using PHQ 9 questionnaire. Data analysis applied descriptive and inferential statistics (Chi-square test and independent t-test).

Results

Included were 114 participants, mostly males (65%), 60–75 years old (46%), married (60%), college level (51.8%), catholic (63.2%) and has <P10,957 (40.4%) monthly family income. Majority were from Ormoc City (63.2%) and reported travel time of <30 minutes (56%) from residence to facility. Diabetes (45.6%) and hypertension (45.6%) were the common primary cause of hemodialysis. Almost all had co-morbid illness (98%). Significant associations noted between severity of depression to their age (p=0.003), highest educational attainment (p<0.001), monthly family income (p=<0.001), religion (p=0.004), primary cause of dialysis (p = 0.016) and presence of comorbid illnesses (p=0.040). Age (p<0.001), monthly family income (p< 0.001), religion (p< 0.001) and primary cause of dialysis (p = 0.011) demonstrated significant differences between patients with and without depression.

Conclusion

Findings revealed that depression is highly prevalent among adult patients with CKD on maintenance hemodialysis treatment and multifactorial, significantly associated with some socioeconomic and clinical conditions. Thus, the need for routine mental health screening and integration of psychosocial support during treatment.

Table 1 Associations of Depression and Its Severity to the Sociodemographic, Clinical Profile, and Hemodialysis Treatment Status Among Adult Patients with CKD on Maintenance Hemodialysis