Malahayati International Journal of Nursing and Health Science
Vol. 8 No. 5 (2025): Volume 8 Number 5

Depression and Hemoglobin levels in patients undergoing maintenance hemodialysis

Dina Simbolon (Departmen Keperawatan, Rumah Sakit Advent Bandung)
Evangeline Sitorus (Departmen Keperawatan, Rumah Sakit Advent Bandung)
Edrianne Katty Simanjuntak (Departmen Keperawatan, Rumah Sakit Advent Bandung)
Gilny Rantung (Fakultas Keperawatan, Universitas Advent Indonesia)



Article Info

Publish Date
02 Aug 2024

Abstract

Background: Depression is prevalent in hemodialysis patients and may contribute to anemia, yet its impact on hemoglobin levels remains underexplored. Purpose: To examined the association between depression severity and hemoglobin levels in Indonesian hemodialysis patients. Method: A cross-sectional study was conducted at a single-site hemodialysis unit from October to December 2024. A total of 101 patients were selected using purposive sampling. Depression severity was assessed using the Beck Depression Inventory-II (BDI-II), and hemoglobin levels were measured via venous blood samples. Spearman’s correlation and linear regression analysis were used to analyze the association. Results: Depression severity was negatively correlated with hemoglobin levels (r = -0.62, p < 0.01). Patients with severe depression had hemoglobin levels nearly 3 g/dL lower than those with minimal depression. Regression analysis showed depression severity significantly predicted hemoglobin levels (Adjusted R² = 0.38, p < 0.01). Conclusion: Higher depression severity is associated with lower hemoglobin levels in hemodialysis patients. Routine mental health screening should be integrated into nephrology care, with nurses playing a key role in early detection and intervention. Future multi-center studies are needed to enhance generalizability.

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Journal Info

Abbrev

minh

Publisher

Subject

Health Professions Nursing Public Health

Description

Malahayati International Journal of Nursing and Health Science is a peer-reviewed journal and provides a platform to publish areas of nursing and health science. The journal also seeks to advance the quality of research by publishing papers introducing or elaborating on new methods in nursing and ...