<![CDATA[Background: Patients with chronic kidney disease receiving hemodialysis often experience anxiety, irrespective of their treatment duration, due to the chronic nature of the condition. While anxiety is known to impact blood pressure, the correlation between anxiety levels and blood pressure in patients awaiting hemodialysis remains unclear and requires further study. Objective: The objective of this study is to determine the association between anxiety levels and blood pressure in patients awaiting hemodialysis. Methods: A quantitative cross-sectional study was conducted among 152 patients with chronic kidney disease undergoing hemodialysis, recruited through total sampling at the Hemodialysis Unit between April and May 2025. The Hamilton Anxiety Rating Scale (HARS) was used to evaluate anxiety levels, and blood pressure and Mean Arterial Pressure (MAP) were recorded before hemodialysis. The relationship between variables was analyzed using the Spearman rank test. Results: The characteristics of respondents were dominated by males (57.9%, n=88), aged late elderly (32.9%, n=50), with secondary education (73.7%, n=112), not working (61.8%, n=94), and had undergone hemodialysis therapy for more than 1-5 years (57.9%, n=88). The majority of respondents did not experience anxiety (78.3%, n=119). In addition, the majority of respondents had high blood pressure (57.2%, n=87). No significant relationship between anxiety levels and blood pressure in patients before hemodialysis was found (p=0.202). Conclusion: The findings indicate that patients undergoing hemodialysis for 1 to 5 years typically exhibit low anxiety levels. However, blood pressure remains elevated in this population, likely due to the underlying chronic kidney disease pathophysiology. Regular hemodynamic monitoring by nursing staff is crucial, even in patients with low anxiety. Additional research is needed to identify other factors related to blood pressure management in chronic kidney disease patients.]]>
