JKKI : Jurnal Kedokteran dan Kesehatan Indonesia
JKKI, Vol 14, No 3, (2023)

Anxiety and depression in family caregivers of hemodialysis patients: Incidence, risk factors, and correlation

Akbar Zulkifli Osman (dr. Soehadi Prijonegoro Public Hospital, Sragen, Indonesia)
Eska Agustin Putri Susanti (Department of Psychiatry, Faculty of Medicine, Universitas Islam Indonesia, Yogyakarta, Indonesia)
Reza Ishak Estiko (Faculty of Medicine, Universitas Islam Indonesia, Yogyakarta, Indonesia)
Meiza Fadhila Azzahra (Faculty of Medicine, Universitas Islam Indonesia, Yogyakarta, Indonesia)
Andika Danendra Widyadhana (Faculty of Medicine, Universitas Islam Indonesia, Yogyakarta, Indonesia)



Article Info

Publish Date
30 Dec 2023

Abstract

Background: Chronic kidney disease (CKD) imposes a significant global burden, with diabetes and hypertension being major contributors. In the severe stage, CKD patients require long-term hemodialysis (HD) treatment and rely on family caregivers for support. Caregivers often experience mental health challenges, including anxiety and depression, which can impact their quality of life and patient outcomes.Objective: This study aimed to identify the anxiety and depression incidence in HD family caregivers at Soehadi Prijonegoro Regional Public Hospital (SPRPH), identify the risk factors associated with these conditions, and investigate the relationship between anxiety and depressionMethods: A cross-sectional analysis was carried out at the Hemodialysis Department from November 2022 to February 2023. Caregivers accompanying CKD patients undergoing HD participated voluntarily. Anxiety and depression levels were evaluated using the Hamilton Anxiety Rating Scale (HAM-A) and Hamilton Depression Rating Scale (HAM-D). Results: Out of 106 participants, 66% were female. Most caregivers (99%) experienced anxiety, with 91% classified as mild and 8% as mild to moderate. Depression was reported by 42%, with 2% experiencing mild to moderate symptoms. Spearman’s analysis revealed a significant correlation between anxiety and depression (p=0.000). No specific caregiver characteristics were found to be associated with anxiety or depression.Conclusion: Family caregivers of HD patients demonstrated a high incidence of anxiety and a lower prevalence of depression. Anxiety levels were correlated with depression levels. We did not identify specific risk factors for these mental health conditions among caregivers. These findings emphasize the need for mental health screening and appropriate management to improve the quality of life for HD family caregivers.

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Journal Info

Abbrev

JKKI

Publisher

Subject

Medicine & Pharmacology Public Health

Description

JKKI: Jurnal Kedokteran dan Kesehatan Indonesia is a peer-reviewed journal in the field of medical and health sciences. This journal is designed as a place of dissemination of information and scientific knowledge, which publishes three times a year. It publishes original article, article review, and ...