Effect of depression on level of compliance with haemodialysis among chronic kidney disease patients at Moi Teaching and Referral Hospital, Kenya
DOI:
https://doi.org/10.58256/hjp.v4i1.1296Keywords:
Counselling, Depression, Haemodialysis, Chronic kidney diseaseAbstract
This study aimed to examine psychological factors influence on hemodialysis compliance by chronic kidney disease patients at Moi Teaching and Referral Hospital, Eldoret. The goal of the study was to find out whether psychological factors which includes depression affected the patients’ levels of compliance to hemodialysis. The study was guided by the principles of Reality therapy. Cross-sectional research design was used for the study. Simple random sampling was used to select a sample for the study where Slovin's method was used to select a sample of 133 patients to take part in the study. Questionnaires were used to collect data from the patients. Content validity through consultation with experts in the field of psychology and construct validity through extensive literature review to validate the statistics collection instruments. Data collected was analyzed using descriptive and inferential statistics. Descriptive statistics were evaluated in form of frequencies, percentages and averages while inferential statistics Chi-square tests for significance was used. The significance level used was p<0.05. The study established that there was no association between level of depression (X2 (30) =30.498, P=0.440 and level of compliance to hemodialysis among chronic kidney disease patients at MTRH. The study concluded that there was no significant association between psychological factors and level of compliance to hemodialysis among chronic kidney disease patients at MTRH. The researcher recommended continuous monitoring of patients’ levels of depression so as to offer counselling and psychiatric help to the patients which will enhance their mental wellbeing.
References
Ahlawat R, D'Cruz & Tiwari P (2018). Prevalence of depression and its associated
factors a cross- Sectional study. Saudi Journal of Kidney Disease Transplant;
:1165-73 among Patients of chronic kidney disease in a public tertiary care
hospital in India: A
Ahlawat R, D’Cruz & Tiwari P. (2016). Prevalence and Predictors of Medication Non-
Adherence in Patients of Chronic Kidney Disease: Evidence from A Cross
Sectional Study. J Pharma Care Health Sys 3: 152
Al-Sabbah, H., Basheer, K. N., Lu, K., Younis, M. (2019). Major risk factors in the onset
of end stage renal disease. Journal of Diabetes and Treatment (ISSN: 2574-7568)
American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental
Disorders. 5th ed. Arlington, VA: APA Press.
Atinga RA, Yarney L, Gavu NM (2018). Factors influencing long-term medication non-
adherence among diabetes and hypertensive patients in Ghana: a qualitative
investigation.
Abo, H.I., Mohga, E. & Mohamed, S., (2015). Effect of an Educational Program on
Adherence to Therapeutic Regimen among Chronic Kidney Disease Stage5
(CKD5) Patients under Maintenance Hemodialysis. Journal of Education and
Practice, 6(5).21–34
Bugnicourt, J. M., Godefroy, O., Chillon, J. M., Choukroun, G., Massy, Z. A. (2013).
Cognitive disorders and dementia in CKD: the neglected kidney-brain
axis. Journal of American Nephrology. 24, 353–363
Chakrabarti S (2014) Whats in a name? Compliance, adherence and concordance in
chronic psychiatric disorders. World Journal of Psychiatry.
Chilcot, J., Davenport, A., Wellsted, D., Firth, J., Farrington, K. (2011). An association
between depressive symptoms and survival in incident dialysis patients. Nephrology
Dialysis Transplant. 26, 1628–1634
Chironda G., Bhengu B. (2019). Barriers to management of Chronic Kidney Disease
(CKD) in a renal clinic in KwaZulu-Natal Province, South Africa. International
Journal of Africa Nursing Sciences 10; 116-123
Cukor D, Rosenthal DS, Jindal RM, Brown CD, Kimmel PL. (2009). Depression is an
important contributor to low medication adherence in hemodialyzed patients
and transplant recipients. Kidney International 75: 1223-9.
Creswell, J.W. (2014). Research design: Quantitative, Qualitative and Mixed Methods Approaches. (4th ed). Los Angeles, CA: Sage.
Fan L, Sarnak MJ, Tighiouart H, (2014). Depression and all-cause mortality in hemodialysis patients. American Journal of Nephrology; 40:12-8
Farrokhi F., Abedi N., Beyene J (2014). Association between depression and mortality in patients receiving long-term dialysis: a systematic review and meta-analysis. Am J Kidney Dis; 63:623–635.
Fischer, M. J., Kimmel, P. L., Greene, T., Gassman, J. J., Wang, X., Brooks, D. H. (2011).
Elevated depressive affect is associated with adverse cardiovascular outcomes
among African Americans with chronic kidney disease. Kidney International. 80,
–678.
Ganu, V. J., Boima, V., Adjei, D. N., Yendork, J. S., Dey, I. D., Yorke, E., Mate-Kole, C. C.,
& Mate-Kole, M. O. (2018). Depression and quality of life in patients on long
term hemodialysis at a national hospital in Ghana: a cross-sectional study. Ghana
medical journal, 52(1), 22–28
Griva K, Lai AY, Lim HA, Zhenli Yu Z., Foo MYY. (2014). Non adherence in Patients on
Peritoneal Dialysis: A Systematic Review
Hodel NC, Hamad A, Praehauser C, Mwangoka G, Kasella IM, Reither K. (2018). The
epidemiology of chronic kidney disease and the association with non-communicable and
communicable disorders in a population of sub-Saharan Africa. PloS one; 13(10)
Igiraneza G, Ndayisimiye B, Nkheshimana M, Dusabejambo V & Onyema O (2018).
profile Clinical and outcome of patients with Acute Kidney Injury requiring
Hemodialysis. Two years’ experience at a tertiary hospital in Rwanda. BioMed
Research International.
Kaze AD, Ilori T, Jaar BG, Echouffo-Tcheugui JB (2018). Burden of chronic kidney
disease on the African continent: a systematic review and meta-analysis. BMC
Nephrology; 19(1):125
Khan, A., Khan, A.H., Adnan, A.S. Suleiman, S.A.S., Mushtaq, S. (2019). Prevalence and
predictors of depression among hemodialysis patients: a prospective follow-up
study. BMC Public Health 19, 531
Khalil AA, Frazier SK, Lennie TA, Sawaya B. (2011). Depressive symptoms and dietary
adherence in patients with end stage renal disease. Journal of Renal Care 37: 30-9.
Liyanage T, Ninomiya T, Jha V, Neal B, Patrice HM, Okpechi I. (2015). Worldwide
access to treatment for end-stage kidney disease: a systematic review. Lancet
May 16; 385(9981):1975–82
Miranda, A. S., Cordeiro, T. M., Dos Santos Lacerda Soares, T. M., Ferreira, R. N.,
Simoes, E. S. A. C. (2017). Kidney-brain axis inflammatory cross-talk: from bench to
bedside. Clinical Science (London) 131, 1093–1105
Mukakarangwa M.C., Chironda G., Bhengu B., Katende G. (2018). Adherence to
Hemodialysis and Associated Factors among End Stage Renal Disease Patients
at Selected Nephrology Units in Rwanda. A Descriptive Cross-Sectional Study.
Nursing Research
Naalweh, K.S.; Barakat, M.A.; Sweileh, M.W.; Al-Jabi, S.W.; Sweileh, W.M.; Sa’ed, H.Z.
(2017). Treatment adherence and perception in patients on maintenance hemodialysis: A
Cross–sectional study from Palestine. BMC Nephrology 18, 178.
Naghavi, S., Mehrolhassani, M. H., Nakhaee, N., Yazdi-Feyzabadi, V (2019). Effective
factors in non-compliance with therapeutic orders of specialists in outpatient
clinics in Iran: BMC Health Serv Res 19, 413.
Ndanyi M (2022) Healthcare. The Star Documentary on MTRH kidney patients.
Palmer S, Vecchio M, Craig JC, (2014). Prevalence of depression in chronic kidney
disease: systematic review and meta-analysis of observational studies. Kidney
International journal 84: 179-91
Rosenthal Asher, D., Ver Halen, N., Cukor, D. (2012). Depression and non-adherence
predict mortality in hemodialysis treated end-stage renal disease
patients. Hemodialysis international. International Symposium on Home
Hemodialysis, 16(3), 387–393
Shirazian, S., Grant, C.D., Aina, O. (2017). Depression in chronic kidney disease and end-
stage renal disease: similarities and differences in diagnosis, epidemiology, and
management. Kidney Int Rep. 2: 94–107
Sigamani, A. (2012). Prevalence, risk factors and awareness of hypertension in India: A
systematic Review J Hum Hypertens; 33
Stanifer JW, Muiru A, Jafar TH, Patel UD (2016). Chronic kidney disease in low- and middle-
income countries. Nephrology Dialysis Transplant; 31(6):868–74
Tchape ODM., Tchapoga YB., Atuhaire C., Priebe G., Cumber SN. (2018). Physiological
and psychosocial stressors among hemodialysis patients in the Buea Regional
Hospital, Cameroon. Pan African Medical Journal. 30:49
WHO, (2003). Adherence to Long - Term Therapies: Evidence for action. Geneva: World
Health Organization.
Waiyaki,W., Khasakhala, L., Oladipo, R. (2017). Factors Associated with Elevated
Depression in Family Caregivers of End Stage Kidney Disease in Nairobi County, Kenya.
PhD, Daystar University
Weisbord S.D., Mor M.K., Sevick M.A. Associations of depressive symptoms and pain
with dialysis adherence, health resource utilization, and mortality in patients
receiving chronic hemodialysis. Clin J Am Soc Nephrol. 2014; 9:1594–1602
Zigmond A.S., Snaith RP. (1983). The Hospital Anxiety and Depression Scale. Acta
Psychiatry Scand 67:361-70
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