Psychiatric and Psychosocial Status of Elderly Patients Undergoing Dialysis

Author:

Iordanidis Pantazis1,Alivanis Polichronis1,Lakovidis Apostolos1,Dombros Nicholas1,Tsagalidis Ioannis1,Balaskas Elias1,Derveniotis Vasilis1,Lerodiakonou Charalambos1,Tourkantonis Achilles1

Affiliation:

1. Third Department of Psychiatry and First Department of Internal Medicine, Aristotelian University of Thessalomki, AHEPA Hospital, Thessalom'ki, Greece

Abstract

We Investigated the psychiatric and psychosocial status of 31 elderly (age >65 years) end-stage renal disease patients undergoing hemodialysis (HO) (17 patients) and continuous ambulatory peritoneal dialysis (CAPO) (14 patients). There was no difference between the two groups In terms of age (67.3:1:.2.3 and 68.5:1:.4.3 In HO and CAPO groups, respectively), duration of dialysis treatment, and biochemical profile. The psychiatric and psychosocial status of the patients was assessed using the standardized psychiatric Interview (SPI), Hamilton's depression scale (HRS-O), and a questionnaire for the evaluation of the psychosocial Impact of the method of treatment. Sixteen of 31 patients presented with psychiatric morbidity (9 mild, 5 moderate, 2 severe). However, there was no significant relationship between psychiatric morbidity and method of dialysis (HO or CAPO). The mean values of SPI (21.47:1:.16.38 and 17.14:1:.13) and HRS-O (20.91:1:.17.33 and 15.41:1:.13.13) scores for the HO and CAPO groups, respectively, did not differ significantly. The analysis of the results of the questionnaire regarding the Impact of the method of treatment on psychosocial status Indicated that the HO patients felt that their lives were more dependent on factors that they could not Influence (I.e., the dialysis equipment, etc.). Our findings suggest that the psychiatric status of elderly patients undergoing chronic dialysis treatment Is not affected by the method of treatment, a factor that should be taken Into consideration when deciding the proper dialysis treatment for these patients.

Publisher

SAGE Publications

Subject

Nephrology,General Medicine

Cited by 7 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. End-of-life care for people with severe mental illness: the MENLOC evidence synthesis;Health and Social Care Delivery Research;2022-03

2. Vancomycin and Ciprofloxacin: Systemic Antibiotic Administration for Peritoneal Dialysis-Associated Peritonitis;Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis;2004-09

3. Dialysis in the elderly;Replacement of Renal Function by Dialysis;2004

4. Depression in chronic haemodialysed patients;Nephrology;2003-06

5. Psychiatric complications of hemodialysis at a kidney center in Nigeria;Journal of Psychosomatic Research;1997-05

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