Yusof, Mahyuzy
Kemurungan dalam kalangan pesakit
Kegagalan renal peringkat akhir
(ESRF) yang menerima rawatan
hemodialisis dl Kelantan.
Documentation.
Pusat Pengajian Sains Perubatan, Universiti Sains Malaysia.
(Submitted)
Abstract
Introduction: Individuals with ESRF face a variety of chronic recurrent stressors and
significant lifestyle disruption. Thus, depression is common, but often underdiagnosed
among this population.
Objective: To study the prevalence of depression, physician-diagnosed depression
among ESRF with hemodialysis. Researchers also assessed the association of
depression with sociodemographic profiles, length of hemodialysis, comorbidities and 2
blood parameters which are level of serum albumin and hemoglobin.
Methodology: This was a cross-sectional study. Sample was represented by 74
hemodialysis patient selected from 4 dialysis centres around Kelantan. Depression was
measured by the standard Beck Depression Inventory (BDI-SF) with score of 0-63.
Score ~ 14 indicated presence of depression.
Result: Forty- six percent (46%) of the subjects had a BDI score ~14. Depression was
found statistically significant with unemployed (p=O.OOOI), low level of education
(p=0.033), low financial status (p=0.014) and poor social support (p=<O.OOOI).
Interestingly, this study also found BDI scores seem to agree with Coping Model
(Honeytnoon, Disenchantment, Discouragement and Long Term Adaptation).
Depression significantly reaches high level during the first 2 years after initiation of
dialysis and after five years of treatment. However, this study found no statistically
significant in the association of depression and level of serum albumin and hemoglobin.
Conclusion: The data suggest that the prevalence of depression is high but likely
underdiagnosed and undertreated among hemodialysis patients. BDI is a short andsimple questionnaire that can help identify ESRF and hemodialysis patients with
depression.
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