G-3244

Comparative Evaluation of Anxiety, Depression, and Quality of Life in Patients Receiving Hemodialysis and Peritoneal Dialysis

 Fateme Kamali ¹, Farzaneh Najafi ², Roya Hemayati ², Parvane Rashidpour ¹, Ashraf Rouhbakhsh ¹ ©, Amin Ziyaei ³ ℗   

 
Abstract

1. Title: Comparative Evaluation of Anxiety, Depression, and Quality of Life in Patients Receiving Hemodialysis and Peritoneal Dialysis 2. Introduction: Many diseases, particularly chronic ones, have numerous psychiatric ramifications. As a result, it is regularly found to see an individual develops a psychiatric disorder after experiencing a physical illness. Kidney failure does not differ in this regard. Hemodialysis and peritoneal dialysis both take place within the stressful setting of treating kidney failure, and therefore, each treatment can represent a loss of health; a change in health or decrease in quality of life will ultimately affect the patients' mental health and quality of life. This study aims to compare the prevalence of anxiety, depression, and quality of life among patients undergoing hemodialysis and peritoneal dialysis. 3. Methods and Materials: This descriptive cross-sectional study was conducted on 128 patients at the dialysis ward of Khorshid Hospital in Isfahan between 2023 and 2024. The sample consisted of 64 patients undergoing hemodialysis and 64 patients on peritoneal dialysis. Data were collected using the Hospital Anxiety and Depression Scale (HADS) and the World Health Organization Quality of Life Questionnaire (WHOQOL-BREF). Statistical analysis was performed using SPSS software. Ethical approval was obtained under the code IR.SSU.MEDICINE.REC.1402.016 4. Results: According to the research outcomes, both groups reported significantly greater anxiety and depression than the general population and previous studies from other countries. Mild to severe anxiety was present in 39.1% of hemodialysis patients and 32.8% of peritoneal dialysis patients. Mild to severe depression was reported in 56.2% of hemodialysis patients and 42.2% of peritoneal dialysis patients. Where the findings of other quality of life domains were concerned, the mean physical health score by peritoneal dialysis patients (57.76 %) was significantly greater than that of hemodialysis patients (45.9%), with a p-value = 0.000. Overall health score means for treatment reported by peritoneal dialysis patients (53.91%) were higher than hemodialysis patients (46.9%) and statistically significant, p-value = 0.048. 5. Conclusion and Discussion: This study demonstrated that the type of dialysis, age, gender, educational attainment, and duration of treatment are addressed differently by the patients' quality of life. The patients receiving peritoneal dialysis scored significantly better in some aspects, such as mental health, physical health, environmental health, and overall health, whereas both groups had no general difference in depression and anxiety levels. The clarity and results of this research show the necessity for considering both types of dialysis and the biopsychosocial factors when planning treatment.

Keywords: Anxiety, Depression, Quality of Life, Hemodialysis, Peritoneal Dialysis