Prevalence of Psychiatric Morbidity in Patients with Chronic Kidney Disease.
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 12
Abstract
Back ground: Chronic Kidney Disease (CKD) is emerging to be an important chronic disease globally. Chronic kidney disease is a multifaceted problem having both physical and psychologicaldisturbances for the patient. Patients with chronic medical conditions often have to adjust their aspirations, lifestyle, and employment. Many grieve about their predicament before adjusting to it, but others have protracted distress and may develop psychiatric disorders, most commonly depression or anxiety. CKD patients are dependent on procedures and a group of qualified medical professionals for the rest of his/her life. CKD, as a medical condition hassuch a degree of dependence for the maintenance treatment. Aim: To assess the prevalence of psychiatric disorders among CKD patients. Method: Cross sectional study, conducted in Department of Nephrology, Kilpauk Medical College for 6 months from February 2017 to August 2017. Patients in the age group of 18 – 60 years, diagnosed to have Chronic Kidney Disease by Consultant Nephrologist and on various treatment modalities (conservative treatment, hemodialysis andpost-renal transplantation) were included in this study. Patients diagnosed to have mental illness prior to the onset of CKD were excluded. Results: A total of 110 patients consented to participate in the study.Of the 110 patients, 36.4% (n=40) were in conservative treatment, 31.8% (n= 35) were in hemodialysis, 31.8% (n=35) were post renal transplant patients. The presence of psychiatric illnesses were highest in conservative treatment (52.5%) than in patients undergoing hemodialysis (42.9%) than in patients in post renal transplantation (31.4%). Among the psychiatric illnesses major depressive disorder was the most common in all three groups. Family history of psychiatric illness had no correlation with presence of psychiatric illness. A high prevalence of psychiatric illnesses in patients with chronic kidney disease (42.7%) has been observed in this study and also in previous studies. The presence of psychiatric illnesses in chronic kidney disease needs to be effectively identified and managed.
Authors and Affiliations
Tamilselvi M
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