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Volume: 6 Issue: 4 November 2008 - Supplement - 1



Depression and anxiety are among the principal manifestations of chronic illness and play a central role in patients’ experience with life-limiting disease. Chronic renal insufficiency and hemodialysis (HD) treatment is a clinical condition with a huge impact on patient quality of life. hemodialysis patients must confront the burdens of long-term illness and numerous treatment-associated stressors. The purpose of this study was to determine the depression and anxiety in chronic pretransplant patients. This was a descriptive survey study performed in the Mashad University of Medical Sciences during the year 1384.150 patients regularly treated with hemodialysis were chosen through sensor sampling. Depression was measured using CES-D (The Center for Epidemiological Studies Depression Scale) and anxiety was studied by Eshpil Berger standard questionnaire. Results were given in average values with standard deviation. Comparisons between categorical data were performed using Student’s t test, X2 test. Values of P less than 0.05 were considered significant. This study revealed that prevalence of depression was 64.5 percent in pretransplant patients (Cut-off value was 16). This group had 51.4 percent prevalence of State Anxiety and 49.0 percent of Trait Anxiety. Statistical analysis demonstrated that there is a meaningful correlation between depression and history of graft failure (p<0.04), dialysis duration (p<0.01), family income (p<0.001) and working status (p<0.02). However, there was no significant correlation between depression scales and demographic factors including age, gender, frequency of dialysis and married status. Our study showed that a substantial number of patients before transplantation experienced depression and anxiety. With regarding to this problem, necessity for having consulting and psychotherapy center in hemodialysis ward is emphasized.

Volume : 6
Issue : 4
Pages : 201

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Mashad University of Medical Sciences ,Mashad ,Iran