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Published on: September 23, 2021
[Depression To The Chronic Hemodialysis Of the University Hospital OF Point G (Bamako-Mali)]
N Coulibaly1, S P Coulibaly2, M Coulibaly1
1Service de néphrologie et d'hémodialyse du Centre Hospitalier Universitaire du Point G.
Insights
Depression is highly prevalent in chronic hemodialysis patients, affecting 88% of those studied. This high rate underscores the need for mental health support in this population.
Area of Science:
- Nephrology
- Psychiatry
- Public Health
Context:
- Chronic hemodialysis is a life-sustaining treatment for end-stage renal disease.
- Patients undergoing hemodialysis often experience significant psychological distress.
- Mental health comorbidities can negatively impact treatment adherence and outcomes in dialysis patients.
Purpose:
- To determine the prevalence of depression among patients undergoing chronic hemodialysis.
- To identify sociodemographic, clinical, and biological factors associated with depression in this patient group.
Summary:
- A cross-sectional study involving 107 chronic hemodialysis patients (mean age 43.24 ± 14 years) found an 88% prevalence of depression.
- Depression was mild in 78.5%, moderate in 6.5%, and severe in 3% of patients.
- Anemia was present in 94 patients, with 76 of them experiencing mild depression.
Impact:
- The high prevalence of depression highlights a critical unmet need in chronic hemodialysis care.
- Findings suggest the importance of integrating mental health screening and interventions into routine nephrology care.
- Further research into associated factors may inform targeted therapeutic strategies to improve the quality of life for dialysis patients.
Objective:
Determine prevalence of the depression in a population of patients chronic hemodialysis. Look for the associated sociodemographic, clinical and biological factors.
Method:
It was a transverse study. She concerned the at least 18-years-old patients, followed in the center of Hemodialysis of the CHU at the rate of 2 - 3 sessions a week. The patients having agreed, were in dialysis at least for 3 months and benefited from an individual interview through an index card of investigation based of Hamilton's scale French version in 17 items.
Results:
On a sample of 107 patients, the average age was 43, 24 ± 14 years old with extremes between 20 and 75 years. The average duration in dialysis was of ±40, 37 36, 5 months with extremes between 4 and 144 months. Prevalence of the depression was 88 %. The depression was light in 78, 5 %, moderated in 6,5% and severe in 3 %. The anemia was present at 94 patient's among whom 76 had a light depression.
Conclusion:
We observed that prevalence of the depression remains high to the chronic hemodialysis.
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