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Depression among end-stage renal disease patients undergoing hemodialysis: a cross-sectional study from Palestine

机译:血液透析患者末期肾病患者的抑郁症:巴勒斯坦的横断面研究

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BackgroundThe impact of end-stage renal disease on the patient’s psychological status necessitates the value of increasing depression awareness. The current study aimed to assess the depression prevalence among Palestinian hemodialyzed patients and its association with patients’ characteristics.MethodsA convenience clustered sampling technique was followed. Sample was collected from ten hemodialysis centers in the West Bank, Palestine, during 3 months in 2015. We used the Beck Depression Inventory-II scale (BDI-II) to evaluate depression among participants. All data were analyzed using Statistical Package for the Social Sciences version 16.0.Results Two hundred and eighty-six hemodialyzed patients were interviewed. The mean age (± standard deviation) of the patients was 52.0 ± 14.3 years, and most participants were males 172 (60.1%). Regarding the dialysis characteristics, the median of years of dialysis was 2 years (1–4). The prevalence of depression was 73.1%. Elderly patients ( p = 0.001), female ( p = 0.036), living in rural areas or camp ( p = 0.032), low income ( p = 0.041), unemployment ( p = 0.001), not doing regular exercise ( p = 0.001), and having multi comorbidities ( p = 0.001) were significantly associated with more depression scores. The results of binary logistic regression showed that only patients who were living in camps, patients who were previously employed, and patients who were not practicing exercise remained significantly associated with a higher depression score. ConclusionsThis study is the first one confirmed about depression and its prevalence among hemodialyzed patients in the West Bank, Palestine. Compared to other communities, the study found a higher depression prevalence rate. There is a need to offer psychological interviews and non-pharmacological and pharmacological interventions.
机译:背景阶段肾病对患者心理状况的影响需要增加萧条意识的价值。目前的研究旨在评估巴勒斯坦血液透析患者的抑郁症及其与患者特征的关联。接下来是一定的分类集群采样技术。在2015年3个月内,在巴勒斯坦西岸的十个血液透析中心收集了样品。我们使用了BECK抑郁症II级(BDI-II)来评估参与者之间的抑郁症。使用统计包来分析所有数据,用于社会科学版16.0.0.结果,有两百八十六个血液透析患者进行了采访。患者的平均年龄(±标准偏差)为52.0±14.3岁,大多数参与者是男性172(60.1%)。关于透析特征,透析年的中位数为2年(1-4)。抑郁症的患病率为73.1%。老年患者(P = 0.001),女性(P = 0.036),住在农村地区或营地(P = 0.032),低收入(P = 0.041),失业(P = 0.001),不进行常规运动(P = 0.001 ),具有多功能性(P = 0.001)与更多的抑郁症分数显着相关。二元逻辑回归的结果表明,只有在营地居住的患者,患者才雇用,以及没有练习的患者仍然与更高的抑郁症分数明显相关。结论STERHIS研究是第一个证实抑郁症的抑郁症及其在西岸,巴勒斯坦血液透析患者中​​的患病率。与其他社区相比,该研究发现较高的抑郁症患病率。有必要提供心理访谈和非药理学和药理学干预措施。

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