Psychological Problems Among Patients Undergoing Hemodialysis

Abstract

Background: Chronic Renal Failure is a public health problem that has serious impact on mental and psychological health of patients undergoing hemodialysis. Hemodialysis, which is a renal replacement treatment, causes various psychiatric and psychosocial problems. Aim: This study aimed to assess the psychological problems among patients undergoing hemodialysis. Subject and Methods: This study was exploratory descriptive, A convenient sample was selected while this study was performed on 100 patients undergoing hemodialysis treatment at Makkah hospital. Data were collected using 1) Socio- demographic Questionnaire, 2) Rosenberg Self-Esteem scale 3) Body Image Scale 4) Beck Anxiety Inventory (BAI) and 5) Beck depression inventory (BDI). Results: The result of this study showed that (78%) of the studied patients were having moderate self-esteem and (79%) of them were having a positive body image. Also, (68%) of the studied patients were having mild anxiety and (32%) of them were having moderate to severe anxiety. In addition, (37%) of the studied patients did not have depression symptoms while (44 %) of the studied patients were having mild depression. There is a negative significant correlation between self esteem, age and marital status and a positive significant correlation between marital status and depression. Conclusions: the study concluded tha[1]t Patients undergoing hemodialysis had symptoms of depression and anxiety. Also some patients were having some level of low self-esteem and body- image disturbance. Recommendations: The study recommended that screening patients for psychological problems and planning a comprehensive management plan that includes pharmacological and psychosocial interventions treatment. Also, provide psychological counseling for hemodialysis patients and nurses who work with them.