Influence of combination hemodialysis/hemoperfusion against score of depression in regular hemodialysis patients

1st International Conference on Tropical Medicine and Infectious Diseases (ICTROMI) Faculty of Medicine Universitas Sumatera Utara

Permatasari, T.D.^1,3 ; Thamrin, A.^1,3 ; Hanum, H.^2,3

Division of Nephrology and Hypertension, Department of Internal Medicine, Faculty of Medicine, Universitas Sumatera Utara, Medan, Indonesia^1

Division of Psychosomatic, Department of Internal Medicine, Faculty of Medicine, Universitas Sumatera Utara, Medan, Indonesia^2

Haji Adam Malik General Hospital, Medan, Indonesia^3

关键词: Acid-base balance;    Chronic kidney disease;    Cognitive decline;    Hemodialysis patient;    Life expectancies;    Pathogenic factors;    Psychological distress;    Uremic toxins;   

Others  :  https://iopscience.iop.org/article/10.1088/1755-1315/125/1/012107/pdf
DOI  :  10.1088/1755-1315/125/1/012107

来源: IOP

【 摘 要 】

Patients with chronic kidney disease, have a higher risk for psychological distress such as anxiety, depression and cognitive decline. Combination of Hemodialysis (HD)/hemoperfusion (HP) regularly able to eliminate uremic toxin with mild-to-large molecular weight better. HD/HP can remove metabolites, toxin, and pathogenic factors and regulate the water, electrolyte and acid-base balance to improve the quality of patient's sleep and appetite also reduces itching of the skin, which in turn improve the quality and life expectancy. This research was a cross sectional research with a pre-experimental design conducted from July to September 2015 with 17 regular hemodialysis patients as samples. Inclusion criteria were regular hemodialysis patients and willingly participated in the research. The assessmentwas conducted using BDI to assess depression. To obtained the results, data were analyzed using T-Test and showed that that the average BDI score before the combination of HD/HP 18.59±9 to 8.18±2.83 after the combination (p