Anxiety Level and Dialysis Adequacy of Patients Chronic Kidney Diseases During Covid-19 Pandemic in Indonesia

Authors

  • Supriyadi Politeknik Kesehatan Kemenkes Semarang
  • Umi Margi Rahayu Politeknik Kesehatan Kemenkes Semarang
  • Maria Suryani STIKes Elisabeth Semarang

DOI:

https://doi.org/10.32583/keperawatan.v15i2.781

Keywords:

anxiety, chronic kidney disease, dialysis adequacy, hemodialysis

Abstract

There was a conflicting result of previous studies about the correlation between anxiety and dialysis adequacy. The aim of this study was to evaluate the association of anxiety level with dialysis adequacy and uncover the association of age, leucocyte, and hemoglobin with anxiety and dialysis adequacy in chronic kidney disease patients undergoing hemodialysis during the Covid-19 pandemic. A cross-sectional study was conducted on 139 patients with chronic kidney disease at a hospital in Semarang, Indonesia. The anxiety was measured by Hamilton Rating Scale for Anxiety. Urea reduction rate (URR) was calculated using a standard formula to measure dialysis adequacy. Hemoglobin and leucocyte were analyzed in the laboratory. The Pearson correlation test was used in the study. There was no significant correlation between age, hemoglobin, and leucocyte with anxiety (p>0.005) and dialysis adequacy (P>0.005). There was a significant correlation between anxiety and dialysis adequacy (r= -0.207; p=0.014).

References

Aghsaeifard, Z., Zendehdel, A., Alizadeh, R., & Salehnasab, A. (2022). Chronic hemodialysis: Evaluation of dialysis adequacy and mortality. Annals of Medicine and Surgery, 76, 103541.

Barzegar, H., Moosazadeh, M., Jafari, H., & Esmaeili, R. (2016). Evaluation of dialysis adequacy in hemodialysis patients: A systematic review. Urology Journal, 13(4), 2744–2749.

Bikbov, B., Purcell, C. A., Levey, A. S., Smith, M., Abdoli, A., Abebe, M., Adebayo, O. M., Afarideh, M., Agarwal, S. K., Agudelo-Botero, M., & others. (2020). Global, regional, and national burden of chronic kidney disease, 1990--2017: a systematic analysis for the Global Burden of Disease Study 2017. The Lancet, 395(10225), 709–733.

Dehvan, F., Monjazebi, F., Khanghahi, M. E., Mohammadi, H., Gheshlagh, R., & Kurdi, A. (2018). Adequacy of dialysis in Iranian patients undergoing hemodialysis: a systematic review and meta-analysis. Nephro-Urology Monthly, 10(5).

Ebadi, A., Balouchi, A., Parvizy, S., & Nia, H. S. (2021). Dialysis adequacy among haemodialysis patients in eastern Mediterranean region: A systematic review and meta-analysis. Asia Pacific Journal of Health Management, 16(4), 96–115.

Elshahat, S., Cockwell, P., Maxwell, A. P., Griffin, M., O’Brien, T., & O’Neill, C. (2020). The impact of chronic kidney disease on developed countries from a health economics perspective: a systematic scoping review. PloS One, 15(3), e0230512.

Ferreira, E. de S., Moreira, T. R., da Silva, R. G., da Costa, G. D., da Silva, L. S., Cavalier, S. B. de O., Silva, B. O., Dias, H. H., Borges, L. D., Machado, J. C., & others. (2020). Survival and analysis of predictors of mortality in patients undergoing replacement renal therapy: a 20-year cohort. BMC Nephrology, 21(1), 1–14.

Hao, W., Tang, Q., Huang, X., Ao, L., Wang, J., & Xie, D. (2021). Analysis of the prevalence and influencing factors of depression and anxiety among maintenance dialysis patients during the COVID-19 pandemic. International Urology and Nephrology, 53(7), 1453–1461.

Hasan, L. M., Shaheen, D. A. H., El Kannishy, G. A. H., Sayed-Ahmed, N. A. H., & Abd El Wahab, A. M. (2021). Is health-related quality of life associated with adequacy of hemodialysis in chronic kidney disease patients? BMC Nephrology, 22(1), 1–12.

Hasani, J., Yazdani-charati, J., Espahbodi, F., Jafari, H., & others. (2020). Relationship of dialysis adequacy with depression and anxiety in hemodialysis patients. Journal of Health Research in Community, 6(2), 52–60.

Hill, N. R., Fatoba, S. T., Oke, J. L., Hirst, J. A., O’Callaghan, C. A., Lasserson, D. S., & Hobbs, F. D. R. (2016). Global prevalence of chronic kidney disease--a systematic review and meta-analysis. PloS One, 11(7), e0158765.

Hong, W., & Lee, Y.-J. (2019). The association of dialysis adequacy, body mass index, and mortality among hemodialysis patients. BMC Nephrology, 20(1), 1–8.

Lee, K.-M., Kim, J.-S., Hwang, S., Cho, N. J., Park, S., Gil, H. W., & Lee, E. Y. (2022). The Higher the CKD Stage, the Higher the Psychological Stress in Patients with CKD during COVID-19 Pandemic. Journal of Clinical Medicine, 11(16), 4776.

Lee, T., Flythe, J. E., & Allon, M. (2021). Dialysis care around the world: a global perspectives series. Kidney360, 2(4), 604.

Levin, A. S., Bilous, R. W., Coresh, J., & others. (2013). Chapter 1: Definition and classification of CKD. Kidney Int. Suppl, 3, 19–62.

Liang, K. V, Zhang, J. H., & Palevsky, P. M. (2019). Urea reduction ratio may be a simpler approach for measurement of adequacy of intermittent hemodialysis in acute kidney injury. BMC Nephrology, 20(1), 1–7.

Najafi, A., Keihani, S., Bagheri, N., Jolfaei, A. G., & Meybodi, A. M. (2016). Association between anxiety and depression with dialysis adequacy in patients on maintenance hemodialysis. Iranian Journal of Psychiatry and Behavioral Sciences, 10(2).

Pecoits-Filho, R., Okpechi, I. G., Donner, J.-A., Harris, D. C. H., Aljubori, H. M., Bello, A. K., Bellorin-Font, E., Caskey, F. J., Collins, A., Cueto-Manzano, A. M., & others. (2020). Capturing and monitoring global differences in untreated and treated end-stage kidney disease, kidney replacement therapy modality, and outcomes. Kidney International Supplements, 10(1), e3--e9.

Shafiee, M., Tayefi, M., Hassanian, S. M., Ghaneifar, Z., Parizadeh, M. R., Avan, A., Rahmani, F., Khorasanchi, Z., Azarpajouh, M. R., Safarian, H., & others. (2017). Depression and anxiety symptoms are associated with white blood cell count and red cell distribution width: a sex-stratified analysis in a population-based study. Psychoneuroendocrinology, 84, 101–108.

Solehati, T., & Kosasih, C. A. (2015). Konsep dan aplikasi relaksasi : dalam keperawatan maternitas (Edisi Pert). Refika Aditama.

Somji, S. S., Ruggajo, P., & Moledina, S. (2020). Adequacy of hemodialysis and its associated factors among patients undergoing chronic hemodialysis in dar es Salaam, Tanzania. International Journal of Nephrology, 2020.

Strongman, K. T. (1995). Theories of Anxiety. New Zealand Journal of Psychology, 24(2), 7. https://www.psychology.org.nz/journal-archive/NZJP-Vol242-1995-1-Strongman.pdf.

Sultan, B. O., Fouad, A. M., & Zaki, H. M. (2022). Adherence to hemodialysis and medical regimens among patients with end-stage renal disease during COVID-19 pandemic: a cross-sectional study. BMC Nephrology, 23(1), 1–9.

Suriyong, P., Ruengorn, C., Shayakul, C., Anantachoti, P., & Kanjanarat, P. (2022). Prevalence of chronic kidney disease stages 3--5 in low-and middle-income countries in Asia: A systematic review and meta-analysis. PloS One, 17(2), e0264393.

Utomo, W., Dewi, A. P., & others. (2021). Characteristics of patients undergoing hemodialysis during Covid-19 pandemic. Enfermeria Clinica, 31, 597–600.

Xi, L. C., Michael, G., Chen, Z., Anuar, N. H. M., Yong, K. H. M., & Tagore, R. (2016). Anxiety and depression in haemodialysis patients in relation to dialysis adequacy and nutritional status. European Psychiatry, 33(S1), S388--S388.

Downloads

Published

04/11/2023

How to Cite

Supriyadi, Rahayu, U. M. ., & Suryani, M. (2023). Anxiety Level and Dialysis Adequacy of Patients Chronic Kidney Diseases During Covid-19 Pandemic in Indonesia. Jurnal Keperawatan, 15(2), 905–912. https://doi.org/10.32583/keperawatan.v15i2.781