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Sep 21, 2023Article Details
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Psychological status of patients with chronic kidney disease undergoing haemodialysis
Abstract
Aim and objectives: This study is aimed at assessing the psychological status of patients with CKD undergoing haemodialysis.
Method: 52 consenting adult patients with CKD undergoing maintenance Haemodialysis were included to assess their psychological status and compared with 57 physically fit individuals to serve as controls. General health questionnaire (GHQ28 designed by Dr David Goldberg) was administered to the patients and controls. Scores of 1-3 were considered as “no psychological disturbance”; score of four is considered as “indeterminate” while scores of five and above are considered as “positive evidence of psychological disturbance”. Patients’ demographic data were compared with controls. Serum samples were taken from the patients for electrolytes, urea, creatinine, calcium, phosphate, total protein albumin and virology. Ultrasonography was also done on all the patients.
Results: 52 patients aged between 14 and 75yrs with a mean±SD of 35.29±14.17 and 57 controls aged 15 to 75 with mean±SD of 32.46±13.82 were studied. There is no significant difference in the ages of the patients and controls (p=0.79). They comprise of 41 males and 11 females, and 45 males and 12 females among patients and controls. There is no significant difference in the sex distribution of the study groups (p=0.99). Majority of both patients and the control groups are married and have attained degree with no significant difference in the marital status and highest educational status attained (p=0.23 and p=1.72 respectively). Majority of the patients (17) and controls (20) were professionals with no significant difference in the occupation (p=0.70) We have found a significant difference in the prevalence of psychological disturbance in the study groups with more among the patients than controls (p=0.03).
Conclusion and recommendation: Psychological disturbance is common among CKD patients undergoing haemodialysis compared to controls. The reason for this finding needs to be investigated.
