Depression among patients undergoing maintenance hemodialysis at a tertiary care center in Kathmandu, Nepal

  • Nora Ranjitkar Manandhar Patan Academy of Health Sciences, Lalitpur, Nepal
  • Rabi Shakya Patan Academy of Health Sciences, Lalitpur, Nepal
  • Bimal Pandey Patan Academy of Health Sciences, Lalitpur, Nepal
  • Pratik Wagley Patan Academy of Health Sciences, Lalitpur, Nepal
Keywords: chronic kidney disease, depression, hemodialysis

Abstract

Introductions:Patients with chronic kidney disease have a high burden of somatic symptoms which may be due to depression. This study analyses occurrence of depression in patients with chronic kidney disease (CKD) undergoing hemodialysis (HD) at a tertiary care center in Kathmandu, Nepal.

 Methods: This is a retrospective study done at Patan Hospital, a tertiary care teaching hospital of Patan Academy of Health sciences, Lalitpur, Nepal. Translated in Nepali language and validated Beck Depression Inventory (BDI) was used. A cut-off of 16/17 was used to define depression. 

 Results: Altogether 56 patients were included, mean age 54.375±17.87 years, time on HD 25.06±21.58 months, BDI score 19.18±10.16. The prevalence of depression was 51.8%. There was no significant differences of BDI score and rate of depression in genders, housing status, education level, alcohol intake, presence of co-morbidity and shift of HD. However, there was a significant association of BDI score and the employment status, p=0.026 and the affordability of erythropoiesis stimulating agent, p=0.033.

 Conclusions: Depression was common in patients undergoing hemodialysis treatment and the rate of depression was significantly lower in the patients who were employed and used of erythropoiesis stimulating agent.

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Author Biographies

Nora Ranjitkar Manandhar, Patan Academy of Health Sciences, Lalitpur, Nepal

Department of Internal Medicine

Rabi Shakya, Patan Academy of Health Sciences, Lalitpur, Nepal

Department of Internal Medicine

Bimal Pandey, Patan Academy of Health Sciences, Lalitpur, Nepal

Department of Internal Medicine

Pratik Wagley, Patan Academy of Health Sciences, Lalitpur, Nepal

Department of Internal Medicine

Published
2018-12-30
How to Cite
Manandhar, N., Shakya, R., Pandey, B., & Wagley, P. (2018). Depression among patients undergoing maintenance hemodialysis at a tertiary care center in Kathmandu, Nepal. Journal of Patan Academy of Health Sciences, 5(2), 4-11. https://doi.org/10.3126/jpahs.v5i2.23982
Section
General Section: Original Articles