Abstract
Human aging is a complex physiological process influenced by various individual and health factors. This study aimed to investigate psychological distress in elderly patients undergoing hemodialysis through an integrative literature review. The guiding question was: "What are the main symptoms of psychological distress in elderly patients undergoing hemodialysis?" Scientific descriptors "Renal dialysis", "anxiety", "aged", and "psychological distress" were used. After the search, inclusion and exclusion criteria were applied, resulting in 17 articles found in Medline (n = 16) and LILACS (n = 1). After excluding 4 articles, 9 from Medline and 1 from LILACS, six were selected for analysis. The results revealed a predominance of male patients in the studied samples. The most commonly reported symptoms of psychological distress were anxiety, depression, distress, stress, and sleep disturbances. However, there was a scarcity of studies specifically addressing psychological distress in elderly patients undergoing hemodialysis, highlighting the need for further research to understand the implications of this distress in this population. It is emphasized the importance of providing adequate psychological support and training to deal with these symptoms, which can negatively impact the quality of life of elderly patients undergoing hemodialysis.
Publisher
Psicologia e Saude em Debate
Reference15 articles.
1. Brasil. Lei nº 10.741/2003 e Lei nº 13.466/2007. Estatuto do Idoso. https://www.planalto.gov.br/ccivil_03/leis/2003/l10.741.htm#:~:text=LEI%20No%2010.741%2C%20DE%201%C2%BA%20DE%20OUTUBRO%20DE%202003.&text=Disp%C3%B5e%20sobre%20o%20Estatuto%20do%20Idoso%20e%20d%C3%A1%20outras%20provid%C3%AAncias.&text=Art.,a%2060%20(sessenta)%20anos.&text=Art.,-2o%20O
2. Alshogran, O. Y., Al-Bashaireh, A. M., Al-Domi, H. A., Al Zoubi, N. A., Alnawaiseh, N. A., & Al-Daghmi, F. W. (2019). Investigating the Contribution of NPSR1, IL-6 and BDNF Polymorphisms to Depressive and Anxiety Symptoms in Hemodialysis Patients. Progress in Neuro-Psychopharmacology and Biological Psychiatry, 94, 109657. https://doi.org/10.1016/j.pnpbp.2019.109657
3. Chilcot, J., Wellsted, D., Farrington, K., & Spencer, B. (2015). Screening for psychological distress using the Patient Health Questionnaire Anxiety and Depression Scale (PHQ-ADS): Initial validation of structural validity in dialysis patients. General hospital psychiatry, 50, 15-19. https://doi.org/10.1016/j.genhosppsych.2017.09.007
4. El-Majzoub, S., Fata Nahas, A., El-Khoury, J., & Mahfoud, Z. (2019). Psychosocial distress and health service utilization in patients undergoing hemodialysis: a prospective study. Psychosomatics, 60(4), 385-392. https://doi.org/10.1016/j.psym.2018.10.001
5. Freitas, M. C., Queiroz, T. A., & Sousa, J. A. V. (2010). O significado da velhice e da experiência de envelhecer para os idosos. Revista da Escola de Enfermagem da USP, 44, 407-412.