A comparison of quality of life and depression in hemodialysis and peritoneal dialysis patients

Ümit Çakmak; Feyza Bora; Yalçın Kahya; Sefa Derin; Mehmet İrfan Cihangir; Salih Açık; Selma Elverdi; Emre Günay; Ayshan Seyidova; İbrahim Ethem Hacıbebekoğlu; Ahmet Furkan Kenger; Semih Çalhan

Makale detayları

A comparison of quality of life and depression in hemodialysis and peritoneal dialysis patients

Yazarlar:

Ümit Çakmak | Feyza Bora | Yalçın Kahya | Sefa Derin | Mehmet İrfan Cihangir | Salih Açık | Selma Elverdi | Emre Günay | Ayshan Seyidova | İbrahim Ethem Hacıbebekoğlu | Ahmet Furkan Kenger | Semih Çalhan

Yayıncı:

MediHealth Academy Yayıncılık

Ana Başlıklar:

Nefroloji

Dergi:

Journal of Health Sciences and Medicine Vol.8 Issue 4, pp.692-696

Belge Tipi:

Makale

Yayın Tarihi:

7/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001355818

pISSN:

2636-8579

Anahtar kelimeler:

Özet:

 Aims: Chronic kidney disease CKD is a global public health problem and characterized by a progressive loss of kidney function over time, leading to complications such as anemia, mineral and bone disorders, cardiovascular disease, and decreased quality of life QoL. Depression is a common comorbidity in CKD patients. The aim of our study was to compare demographic and clinical data, QoL scales and depression scores in patients treated with hemodialysis HD and peritoneal dialysis PD. Methods: This prospective study included 143 dialysis patients from Akdeniz University Nephrology Clinic. Of these, 44 HD and 34 PD patients completed the 6-month follow-up. QoL was assessed using the WHOQOL-BREF scale, and depression levels were measured using the Beck Depression Scale BDS. A comparative analysis was conducted of demographic, laboratory and clinical characteristics in relation to KRT, gender and depression levels. Results: Female patients were significantly younger than males 42 vs. 55 years, p0.019 and had higher depression scores 19 vs. 13, p0.031. PD patients demonstrated significantly higher hemoglobin levels compared to HD patients 10.95 vs. 10.2 gdl, p0.008. A trend toward higher phosphorus levels was observed in PD patients 5.1 vs. 4.5 mgdl, p0.050. No significant differences were found in age, gender, calcium, albumin, CRP, vitamin D levels, KRT duration, or QoL measures between the HD and PD groups. Phosphorus levels were also higher in the moderatesevere depression group than the mild depression group 5.2 vs. 4.3 mgdl, p0.036. Individuals who completed primary or secondary education but did not attend university had higher depression scores 19 points compared to university graduates 11 points. Conclusion: This study demonstrates that women on dialysis have higher depression scores than men. Higher levels of education were associated with improved QoL and reduced depression, reflecting better disease management. Serum phosphate levels were elevated in moderate to severe depression groups. Furthermore, higher hemoglobin levels in PD patients compared to HD patients suggest that dialysis modality may affect anemia and QoL.

 Aims: Chronic kidney disease CKD is a global public health problem and characterized by a progressive loss of kidney function over time, leading to complications such as anemia, mineral and bone disorders, cardiovascular disease, and decreased quality of life QoL. Depression is a common comorbidity in CKD patients. The aim of our study was to compare demographic and clinical data, QoL scales and depression scores in patients treated with hemodialysis HD and peritoneal dialysis PD. Methods: This prospective study included 143 dialysis patients from Akdeniz University Nephrology Clinic. Of these, 44 HD and 34 PD patients completed the 6-month follow-up. QoL was assessed using the WHOQOL-BREF scale, and depression levels were measured using the Beck Depression Scale BDS. A comparative analysis was conducted of demographic, laboratory and clinical characteristics in relation to KRT, gender and depression levels. Results: Female patients were significantly younger than males 42 vs. 55 years, p0.019 and had higher depression scores 19 vs. 13, p0.031. PD patients demonstrated significantly higher hemoglobin levels compared to HD patients 10.95 vs. 10.2 gdl, p0.008. A trend toward higher phosphorus levels was observed in PD patients 5.1 vs. 4.5 mgdl, p0.050. No significant differences were found in age, gender, calcium, albumin, CRP, vitamin D levels, KRT duration, or QoL measures between the HD and PD groups. Phosphorus levels were also higher in the moderatesevere depression group than the mild depression group 5.2 vs. 4.3 mgdl, p0.036. Individuals who completed primary or secondary education but did not attend university had higher depression scores 19 points compared to university graduates 11 points. Conclusion: This study demonstrates that women on dialysis have higher depression scores than men. Higher levels of education were associated with improved QoL and reduced depression, reflecting better disease management. Serum phosphate levels were elevated in moderate to severe depression groups. Furthermore, higher hemoglobin levels in PD patients compared to HD patients suggest that dialysis modality may affect anemia and QoL.

 Aims: Chronic kidney disease CKD is a global public health problem and characterized by a progressive loss of kidney function over time, leading to complications such as anemia, mineral and bone disorders, cardiovascular disease, and decreased quality of life QoL. Depression is a common comorbidity in CKD patients. The aim of our study was to compare demographic and clinical data, QoL scales and depression scores in patients treated with hemodialysis HD and peritoneal dialysis PD. Methods: This prospective study included 143 dialysis patients from Akdeniz University Nephrology Clinic. Of these, 44 HD and 34 PD patients completed the 6-month follow-up. QoL was assessed using the WHOQOL-BREF scale, and depression levels were measured using the Beck Depression Scale BDS. A comparative analysis was conducted of demographic, laboratory and clinical characteristics in relation to KRT, gender and depression levels. Results: Female patients were significantly younger than males 42 vs. 55 years, p0.019 and had higher depression scores 19 vs. 13, p0.031. PD patients demonstrated significantly higher hemoglobin levels compared to HD patients 10.95 vs. 10.2 gdl, p0.008. A trend toward higher phosphorus levels was observed in PD patients 5.1 vs. 4.5 mgdl, p0.050. No significant differences were found in age, gender, calcium, albumin, CRP, vitamin D levels, KRT duration, or QoL measures between the HD and PD groups. Phosphorus levels were also higher in the moderatesevere depression group than the mild depression group 5.2 vs. 4.3 mgdl, p0.036. Individuals who completed primary or secondary education but did not attend university had higher depression scores 19 points compared to university graduates 11 points. Conclusion: This study demonstrates that women on dialysis have higher depression scores than men. Higher levels of education were associated with improved QoL and reduced depression, reflecting better disease management. Serum phosphate levels were elevated in moderate to severe depression groups. Furthermore, higher hemoglobin levels in PD patients compared to HD patients suggest that dialysis modality may affect anemia and QoL.

 Giriş: Kronik böbrek hastalığı KBH, yüksek morbidite ve mortalite ile ilişkili küresel bir sağlık sorunudur. Depresyon, özellikle majör depresif bozukluk MDB, diyaliz hastalarında yaygın olarak görülmekte ve tedaviye uyumsuzluk, malnütrisyon ve artan mortalite gibi olumsuz sonuçlarla ilişkilendirilmektedir. Bu çalışma, hemodiyaliz HD ve periton diyaliz PD hastalarında depresyon ve yaşam kalitesini değerlendirerek optimal diyaliz yöntemi seçimine rehberlik etmeyi amaçlamaktadır. Materyal ve Metotlar: Bu çalışmaya, Akdeniz Üniversitesi Nefroloji Kliniğinde tedavi gören 143 diyaliz hastası dahil edilmiştir. Bunlardan 44 HD ve 34 PD hastası 6 aylık takibi tamamlamıştır. Yaşam kalitesi WHOQOL-BREF ölçeği ile, depresyon düzeyleri ise Beck Depresyon Ölçeği BDÖ kullanılarak değerlendirilmiştir. Bulgular: HD grubundaki kadınların ortalama yaşı 9,7 yıl, erkeklere 11 yıl göre daha düşük bulunmuştur p0,049. Hemoglobin düzeylerinde cinsiyetler arasında anlamlı fark saptanmıştır p0,024. Yüksek eğitim düzeyi, daha düşük depresyon skorları ile ilişkilendirilmiştir üniversite mezunları: 11 puan; ilkorta öğretim: 19 puan. Fiziksel sağlık skorları, psikolojik sağlık r0,46, sosyal ilişkiler r0,50 ve depresyon r-0,47 ile korelasyon göstermiştir. Psikolojik sağlık skorları ise sosyal ilişkiler r0,44 ve depresyon r-0,53 ile ilişkili bulunmuştur. Diyaliz süresi ile yaşam kalitesi veya depresyon skorları arasında anlamlı bir ilişki saptanmamıştır. Sonuç: HD ve PD hastaları arasında yaşam kalitesi veya depresyon düzeyleri açısından anlamlı bir fark gözlenmemiştir. Orta ve şiddetli depresyonu olan hastaların tüm yaşam kalitesi alanlarında daha düşük skorlar aldığı belirlenmiştir. Daha yüksek fiziksel sağlık ve sosyal ilişki skorları ile genç yaş, daha düşük depresyon ile ilişkilendirilmiştir. Diyaliz hastalarında depresyon ve yaşam kalitesinin düzenli izlenmesi, zamanında psikiyatrik müdahale ve tedavi sonuçlarının iyileştirilmesi için kritik öneme sahiptir.

Makale detayları

A comparison of quality of life and depression in hemodialysis and peritoneal dialysis patients

Yazarlar:

Ümit Çakmak | Feyza Bora | Yalçın Kahya | Sefa Derin | Mehmet İrfan Cihangir | Salih Açık | Selma Elverdi | Emre Günay | Ayshan Seyidova | İbrahim Ethem Hacıbebekoğlu | Ahmet Furkan Kenger | Semih Çalhan

Yayıncı:

MediHealth Academy Yayıncılık

Ana Başlıklar:

Nefroloji

Dergi:

Journal of Health Sciences and Medicine Vol.8 Issue 4, pp.692-696

Belge Tipi:

Makale

Yayın Tarihi:

7/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001355818

pISSN:

2636-8579

Hemodialysis

peritoneal dialysis

depression

quality of life

WHOQOL-BREF

Beck Depression ScaleHemodiyaliz

Periton Diyalizi

Depresyon

Yaşam Kalitesi

WHOQOL-BREF

Beck Depresyon Ölçeği

Sayı

Makale detayları

Yazarlar: Ümit Çakmak | Feyza Bora | Yalçın Kahya | Sefa Derin | Mehmet İrfan Cihangir | Salih Açık | Selma Elverdi | Emre Günay | Ayshan Seyidova | İbrahim Ethem Hacıbebekoğlu | Ahmet Furkan Kenger | Semih Çalhan

Yayıncı: MediHealth Academy Yayıncılık

Ana Başlıklar: Nefroloji

Dergi: Journal of Health Sciences and Medicine Vol.8 Issue 4, pp.692-696

Belge Tipi: Makale

Yayın Tarihi: 7/2025

Belge Dili: İngilizce

Document ID (Org No.): 2001355818

pISSN: 2636-8579

Sayı

Yazarlar:

Ümit Çakmak | Feyza Bora | Yalçın Kahya | Sefa Derin | Mehmet İrfan Cihangir | Salih Açık | Selma Elverdi | Emre Günay | Ayshan Seyidova | İbrahim Ethem Hacıbebekoğlu | Ahmet Furkan Kenger | Semih Çalhan

Yayıncı:

MediHealth Academy Yayıncılık

Ana Başlıklar:

Nefroloji

Dergi:

Journal of Health Sciences and Medicine Vol.8 Issue 4, pp.692-696

Belge Tipi:

Makale

Yayın Tarihi:

7/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001355818

pISSN:

2636-8579