MỨC ĐỘ TRẦM CẢM VÀ CÁC YẾU TỐ LIÊN QUAN Ở NGƯỜI BỆNH CHẠY THẬN NHÂN TẠO ĐỊNH KỲ TẠI BỆNH VIỆN CHỢ RẪY

Abstract

Introduction: End-stage chronic kidney disease is a global health problem with a high prevalence. Periodic dialysis is the most commonly used renal replacement therapy today. Objective: To determine the level of depression and related factors in patients undergoing regular hemodialysis at Cho Ray Hospital. Subjects and methods: A cross-sectional study was conducted on 174 patients undergoing end-stage hemodialysis at the Hemodialysis Department of Cho Ray Hospital, who were interviewed directly using a pre-prepared questionnaire from January 2025 to December 2025. Results: The average depression score of patients was 14.47 ± 8.5, of which 54.2% were female and 51.7% were in the 18–49 age group. Most patients lived with their families (92.5%) and were married (79.7%). The duration of hemodialysis was over 5 years, accounting for 48.3%. The rates of hypertension and diabetes were 67.2% and 21.8%, respectively. Complications recorded included fatigue (47.7%), anemia (41.4%) and cramps (20.7%). The rate of depression in hemodialysis patients was 52.3%, of which mild depression was 27.0%, moderate depression was 20.1% and severe depression was 5.2%. Conclusion: The rate of depression in patients undergoing regular hemodialysis at Cho Ray Hospital is high (52.3%). Factors independently associated with depression include: older age, anemia and fatigue. It is necessary to strengthen depression screening and psychosocial interventions for hemodialysis patients, especially the elderly and those with complications of anemia and fatigue.