PREVALENCE OF DEPRESSION AND ANXIETY IN END STAGE KIDNEY DISEASE PATIENTS ON MAINTENANCE HEMODIALYSIS

Introduction: Patients with Chronic Kidney Disease(CKD) are thought to be highly susceptible to emotional problems because of the chronic stress related to disease burden, dietary restrictions, functional limitations, associated comorbidities, adverse effects of medication, changes in self-perception and fear of death. Aims and Objective : To evaluate the prevalence of depression and anxiety with their effect on quality of life in end stage kidney disease patients on maintenance hemodialysis. Material and Methods : This is a cross sectional observational study conducted between January and March 2024 at Department of Nephrology, D.Y. Patil University, School of Medicine, Nerul, Navi Mumbai.30 adults of either sex with chronic kidney disease on maintenance dialysis were included in the study.Patients not willing to participate were excluded. PHQ-9 questionnaire is used to screen for depression and Scoring GAD-7 for anxiety severity in patients with end-stage renal disease. Results : Minimal depression in PHQ-9 scoring was found in 16 (53.33%) cases and mean was 5.07+3.85 and minimal Anxiety level (GAD-7 Scoring) was found in 21 (70.00%) cases and mean was 3.83+3.68. Conclusion : CKD patients undergoing hemodialysis need early psychiatric evaluation and any interventions if indicated.This will improve their overall quality of life.