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Prevalence of depression among chronic kidney disease patients at Bugando Medical Centre, Mwanza, Tanzania

By: Contributor(s): Material type: TextTextPublisher number: Phone: +255 28 298 3384 Fax: +255 28 298 3386 Email: vc@bugando.ac.tz Website: www.bugando.ac.tz Language: English Language: Kiswahili Publication details: Mwanza, Tanzania : Catholic University of Health and Allied Sciences [CUHAS - Bugando] : ©19.04.2021Description: xi; 32 Pages; Includes References and AppendicesSubject(s): Summary: Abstract: Background: Depression is a mood disorder that causes a persistent feeling of sadness and loss of interest in activities which was once enjoyable. You may have trouble doing normal day-to-day activities, and sometimes you may feel as if life isn’t worth living. Depression is a mental illness that is highly ignored by the society and it is associated with chronic illness such as Chronic Kidney Disease. Chronic kidney disease is defined by glomerular filtration rate. (GFR) of less than 60mL/min per 1.73 m2 this study aims at determining the prevalence of depression among chronic kidney disease patients. Purpose of the study: The purpose of this study was to determine the prevalence of depression among chronic kidney disease patients admitted at Bugando medical centre. And to assess psychological factors, precipitate depression among CKD patients at BMC. Methodology: The study was Cross sectional prospective done at BMC, 112 participants with CKD were purposeful selected and filled a validated PHQ-9 questionnaire. Results: The PHQ-9 score questionnaire was given to 112 CKD patients where 30 (26.8%) were female and 82 (73.2%) were male. And the prevalence of depression among the CKD patients was 69.6% where 50.9% had moderate depression, 16.1% had moderately severe depression and 2.7% had severe depression. Also, psychological factors associated with depression among CKD patients were as follows; suicide ideation 8% where 7.1% had suicide ideation for several days and 0.9% had suicide ideation more than half the day. Thought of a failure was 67%, little interest in doing things that was once pleasurable to the patient was 90%, feeling down or depressed was 66% trouble staying asleep or initiating sleep was 56%. Conclusion: In this study depression prevalence was high by 69.6% among CKD patients. Associated with little interest in doing pleasurable things, thought of failure, feeling down and trouble staying asleep or initiating sleep. Recommendation: To increase number of centers providing dialysis services in hospitals within the country and to include mental health services (psychiatrist and psychologist/counsellors) in CKD treatment package
Item type: UNDERGRADUATE DISSERTATIONS
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UNDERGRADUATE DISSERTATIONS MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO NFIC 1 UD2013
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Abstract:

Background: Depression is a mood disorder that causes a persistent feeling of sadness and loss of interest in activities which was once enjoyable. You may have trouble doing normal day-to-day activities, and sometimes you may feel as if life isn’t worth living. Depression is a mental illness that is highly ignored by the society and it is associated with chronic illness such as Chronic Kidney Disease. Chronic kidney disease is defined by glomerular filtration rate. (GFR) of less than 60mL/min per 1.73 m2 this study aims at determining the prevalence of depression among chronic kidney disease patients.

Purpose of the study: The purpose of this study was to determine the prevalence of depression among chronic kidney disease patients admitted at Bugando medical centre. And to assess psychological factors, precipitate depression among CKD patients at BMC.

Methodology: The study was Cross sectional prospective done at BMC, 112 participants with CKD were purposeful selected and filled a validated PHQ-9 questionnaire.

Results: The PHQ-9 score questionnaire was given to 112 CKD patients where 30 (26.8%) were female and 82 (73.2%) were male. And the prevalence of depression among the CKD patients was 69.6% where 50.9% had moderate depression, 16.1% had moderately severe depression and 2.7% had severe depression. Also, psychological factors associated with depression among CKD patients were as follows; suicide ideation 8% where 7.1% had suicide ideation for several days and 0.9% had suicide ideation more than half the day. Thought of a failure was 67%, little interest in doing things that was once pleasurable to the patient was 90%, feeling down or depressed was 66% trouble staying asleep or initiating sleep was 56%.

Conclusion: In this study depression prevalence was high by 69.6% among CKD patients. Associated with little interest in doing pleasurable things, thought of failure, feeling down and trouble staying asleep or initiating sleep.

Recommendation: To increase number of centers providing dialysis services in hospitals within the country and to include mental health services (psychiatrist and psychologist/counsellors) in CKD treatment package

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