SP653ANXIETY AND DEPRESSION DISORDERS IN HEMODIALYSIS PATIENTS

Abstract

INTRODUCTION: Hemodialysis has a severe impact on the lives of hemodialysis patients, causing adjustment difficulties and psychological distress, including depression and anxiety. The purpose of this work is to assess the prevalence of depressive and anxiety disorders and to identify the factors associated with them. METHODS: This is a cross-sectional study involving 94 patients undergoing periodic hemodialysis in 4 hemodialysis centres over a period of 2 months. We included dialysis patients over 18 years of age with a minimum duration of 3months in hemodialysis. We excluded patients who were unable to respond or complete the questionnaires or who refused to participate in the study.The Anxiety and Depression Scale (ADH) was used to diagnose and assess the severity of anxiety and depression in this population.For all patients, we collected the following comorbidities, anthropometric parameters, and adequate dialysis criteria: extracellular volume, nitrogenous waste, nutrition, phosphocalcic balance, anemia, and inflammatory state. RESULTS: 94 patients were included, 68% of whom were male. The median age is 51 years.2 patients had been followed for a psychiatric condition. Arteriovenous fistula is the approach for 92% of patients. According to the HAH scale, 32% of patients have a definite anxiety state and 52% a definite depressive state. Depression is more frequent in elderly patients while depression occurs more frequently in young people.These 2 pathologies are correlated with each other and with the female sex and the history of high blood pressure, and coffee consumption and smoking are correlated with anxiety, but we have not found a significant correlation between the adequate dialysis criteria and the psychological criteria studied. CONCLUSIONS: Our results (32% of anxious patients) are lower than expected. Accompanying measures in the pre-dialysis patient's care journey can explain our results.The lack of a link between dialysis adequacy parameters and depression in our patients may reflect good management and regular follow-up. However, the importance of the incidence of depression in hemodialysis underlines the importance of collaboration between nephrologists and psychiatrists for comprehensive and quality care of these patients.