Does Tunneled Catheter Affect Depression and Anxiety in Hemodialysis Patients?


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Çankaya E., Doğan H., Bilen N., Aykent M. B., Özcan H.

AVES YAYINCILIK A.Ş. journal of midwifery and health sciences, cilt.6, sa.1, ss.1-6, 2023 (Scopus) identifier

Özet

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.