Does Tunneled Catheter Affect Depression and Anxiety in Hemodialysis Patients?

Year 2023, , 1 - 6, 07.04.2023

Erdem Çankaya Hasan Doğan Nurhan Bilen Mahmut Başar Aykent Halil Özcan

https://doi.org/10.5152/JMHS.2022.223160

Abstract

Objective: Hemodialysis is the most common renal replacement therapy for end-stage renal disease. The incidence of depression and anxiety in hemodialysis patients was found to be higher than in the normal population.
Methods: One hundred sixty-six hemodialysis patients without neurological disease were included in the study. Beck Depression and Beck Anxiety Inventory questionnaires were answered by the patients. The groups who entered hemodialysis with arteriovenous fistula and those who entered with a tunneled catheter were compared. At the same time, the groups who were registered on the kidney transplant waiting list and those who were not registered were compared. In the present study, we aimed to compare depression and anxiety levels in hemodialysis patients.
Results: The patients who had applied to a transplantation program had statistically significantly lower anxiety scores compared to patients who did not (6–11, p=.000). The calculated anxiety score and depression score of the hemodialysis patients with fistula was statistically significantly lower than the hemodialysis patients with catheters (6–10 and 9.5–15; p=.001, p=.002, respectively).
Conclusion: According to the presented study, we speculate that the presence of tunnel catheter and lack of application to a transplantation program were significant risk factors for anxiety and depression disorder in hemodialysis patients or at least contribute to severity of the depression or anxiety disorder in hemodialysis patients.

Keywords

Anxiety, catheter, depression, hemodialysis, transplantation

Tünelli Kateter Hemodiyaliz Hastalarında Depresyon ve Anksiyeteyi Etkiler mi?

Abstract

Amaç: Hemodiyaliz, son dönem böbrek hastalığı (SDBY) için en yaygın renal replasman tedavisidir. Hemodiyaliz hastalarında depresyon ve anksiyete insidansı normal popülasyona göre daha yüksek olduğu tespit edilmiştir. Bu çalışmada hemodiyaliz hastalarında depresyon ve anksiyete düzeylerini karşılaştırmayı amaçladık.
Yöntemler: Nörolojik hastalığı olmayan 166 hemodiyaliz hastası çalışmaya dahil edildi. Beck Depresyon Envanteri ve Beck Anksiyete Envanteri anketleri hastalar tarafından yanıtlandı. Puanlama aynı envanter kullanılarak yapıldı. Hemodiyalize AV fistül ile girenler ile tünel kateter ile girenler karşılaştırıldı. Aynı zamanda böbrek nakli bekleme listesine kayıtlı olan ve olmayan gruplar da karşılaştırıldı.
Bulgular: Transplantasyon programına başvuran hastalar, başvurmayan hastalara göre istatistiksel olarak anlamlı düzeyde daha düşük anksiyete puanlarına sahipti (6–11, p=,000). Fistüllü hemodiyaliz hastalarının hesaplanan anksiyete puanı ve depresyon puanı, kateterli hemodiyaliz hastalarına göre istatistiksel olarak anlamlı derecede düşüktü (sırasıyla 6 ila 10 ve 9,5 ila 15; p=,001, p=,002).
Sonuç: Sunulan çalışmaya göre, tünel kateter varlığının ve bir transplantasyon programına başvurulmamasının hemodiyaliz hastalarında anksiyete ve depresyon bozukluğu için önemli risk faktörleri olduğunu veya en azından hemodiyaliz hastalarında depresyon veya anksiyete bozukluğunun şiddetine katkıda bulunduğunu düşünüyoruz.

Keywords

: Endişe, kateter, depresyon, hemodiyaliz, transplantasyon

References

• Cicero, I., Bezerra, L., Silva, B. C., & Elias, R. M. (2018). Decision-making process in the pre-dialysis CKD patients: Do anxiety, stress and depression matter? BMC Nephrology, 27, 98.
• Cohen, S. D., Cukor, D., & Kimmel, P. L. (2016). Anxiety in patients treated with hemodialysis. Clinical Journal of the American Society of Nephrology, 11(12), 2250–2255. [CrossRef]
• Collister, D., Rodrigues, J. C., Mazzetti, A., Salisbury, K., Morosin, L., Rabbit, H., Brimble, K. S., Walshet, M. (2019). Single questions for the screening of anxiety and depression in hemodialysis. Canadian Journal of Kidney Health and Disease, 24(6), 1–7.
• Cukor, D., Rosenthal, D. S., Jindal, R. M., Brown, C. D., & Kimmel, P. L. (2009). Depression is an important contributor to low medication adherence in hemodialyzed patients and transplant recipients. Kidney International, 75(11), 1223–1229. [CrossRef]
• Cukor, D., Ver Halen, N., & Fruchter, Y. (2013). Anxiety and quality of life in ESRD. Seminars in Dialysis, 26(3), 265–268. [CrossRef]
• Gerogianni, G., Lianos, E., Kouzoupis, A., Polikandrioti, M., & Grapsa, E. (2018). The role of socio-demographic factors in depression and anxiety of patients on hemodialysis: An observational cross-sectional study. International Urology and Nephrology, 50(1), 143–154. [CrossRef]
• Gerogianni, G., Polikandrioti, M., Babatsikou, F., Zyga, S., Alikari, V., Vasilopoulos, G., Gerogianni, S., & Grapsa, E. (2019). Anxiety-depression of dialysis patients and their caregivers. Medicina, 55(5), 168. [CrossRef]
• Goh, Z. S., & Griva, K. (2018). Anxiety and depression in patients with endstage renal disease: Impact and management challenges - A narrative review. International Journal of Nephrology and Renovascular Disease, 11, 93–102. [CrossRef]
• Halen, N. V., Cukor, D., Constantiner, M., & Kimmel, P. L. (2012). Depression and mortality in end-stage renal disease. Current Psychiatry Reports, 14(1), 36–44. [CrossRef]
• Hill, N. R., Fatoba, S. T., Oke, J. L., Hirst, J. A., O'Callaghan, C. A., Lasserson, D. S., & Hobbs, F. D. (2016). Global prevalence of chronic kidney disease - A systematic review and meta-analysis. PLoS One, 11(7), e0158765. [CrossRef]
• Hou, Y., Li, X., Yang, L., Liu, C., Wu, H., Xu, Y., Yang, F., & Du, Y. (2014). Factors associated with depression and anxiety in patients with end-stage renal disease receiving maintenance hemodialysis. International Urology and Nephrology, 46(8), 1645–1649. [CrossRef]
• Ulusoy, S., & Kal, Ö. (2020). Relationship among coping strategies, quality of life, and anxiety and depressive disorders in hemodialysis patients. Therapeutic Apheresis and Dialysis, 24(2), 189–196. [CrossRef]
• Kimmel, P. L., Fwu, C. W.,Abbott, K. C., Moxey-Mims, M. M., Mendley, S., Norton, J. M., & Eggers, P. W. (2019). Psychiatric illness and mortality in hospitalized ESKD dialysis patients. Clinical Journal of the American Society of Nephrology, 14(9), 1363–1371. [CrossRef]
• Kraus, M. A., Fluck, R. J., Weinhandl, E. D., Kansal, S., Copland, M., Komenda, P., & Finkelstein, F. O. (2016). Intensive hemodialysis and healthrelated quality of life. American Journal of Kidney Diseases, 68(5S1), S33–S42. [CrossRef]
• Loosman, W. L., Rottier, M. A., Honig, A., & Siegert, C. E. H. (2015). Association of depressive and anxiety symptoms with adverse events in Dutch chronic kidney disease patients: A prospective cohort study. BMC Nephrology, 16, 155. [CrossRef]
• Mosleh, H., Alenezi, M., Al Johani, S. A., Alsani, A., Fairaq, G., & Bedaiwi, R. (2020). Prevalence and factors of anxiety and depression in chronic kidney disease patients undergoing hemodialysis: A cross-sectional single-center study in Saudi Arabia. Cureus, 12(1), e6668. [CrossRef]
• Ozen, N., Cinar, F. I., Askin, D., Mut, D., & Turker, T. (2019). No adherence in hemodialysis Patients and Related Factors: A Multicenter Study. Journal of Nursing Research, 27(4), e36. [CrossRef]
• Palmer, S., Vecchio, M., Craig, J. C., Tonelli, M., Johnson, D. W.,Nicolucci, A., Pellegrini, F., Saglimbene, V., Logroscino, G., Fishbane, S., & Strippoli, G. F. (2013). Prevalence of depression in chronic kidney disease: Systematic review and meta-analysis of observational studies. Kidney International, 84(1), 179–191. [CrossRef]
• Park, H. C., Yoon, H. B., Son, M. J., Jung, E. S., Joo, K. W., Chin, H. J., Oh, K. H., Lim, C. S., Kim, Y. S., Ahn, C., Han, J. S., Kim, S., Hahm, B. J., & Oh, Y. K. (2010). Depression and health-related quality of life in maintenance hemodialysis patients. Clinical Nephrology, 73(5), 374–380. [CrossRef]
• Shammari, N. A., Modahka, A. A.,Ansari, E. A., Al-Kandari, M., Ibrahim, K. A., Al-Sanea, J., et al. (2020). Prevalence of depression, anxiety, and their associations among end-stage renal disease patients on maintenance hemodialysis: A multi-center population-based study. Psychology, Health and Medicine, 29, 1–9.
• Thomas, Z., Novak, M., Platas, S. G. T., Gautier, M., Holgin, A. P., Fox, R., Segal, M., Looper, K. J., Lipman, M., Selchen, S., Mucsi, I., Herrmann, N., & Rej, S. (2017). Brief mindfulness meditation for depression and anxiety symptoms in patients undergoing hemodialysis: A Pilot Feasibility Study. Clinical Journal of the American Society of Nephrology, 12(12), 2008–2015. [CrossRef]