Depression and chronic renal patients on hemodialysis: associated factors

ABSTRACT Objective: to verify the association of sociodemographic and clinical variables, life habits and functional capacity with symptoms indicative of depression in chronic renal patients on hemodialysis. Method: cross-sectional study developed from February to October of 2017 with 183 patients undergoing hemodialysis in two renal units located in the state of Rio Grande do Sul. Data collected with clinic and sociodemographic questionnaire and Beck Depression Inventory. Analysis with descriptive and analytical statistics and the chi-square test. Results: 55.2% of participants were elderly, 66.4% men, 90.7% retired, and 60.3% presented depressive symptoms. An association was found between symptoms indicative of depression and the female sex, greater number of comorbidities and post-hemodialysis intercurrences, emotional and physical symptoms, inactivity, failing to perform usual activities and the need for assistance in day-to-day. Conclusion: depressive symptoms are associated with burden of comorbidities, greater number of disease complications, hemodialytic intercurrences and functional dependence. Physical exercise practice can be an effective care strategy.

摘要
研究目的：旨在探讨社会人口学特征、临床变量、生活习惯与功能状态，与血液透析（hemodialysis）慢性肾病患者抑郁样症状的相关性。
研究方法：本研究为横断面研究，于2017年2月至10月期间开展，纳入巴西南里奥格兰德州两家肾脏诊疗中心的183名接受血液透析治疗的慢性肾病患者。研究采用临床与社会人口学问卷、贝克抑郁量表（Beck Depression Inventory）收集相关数据，运用描述性统计学、分析性统计学方法及卡方检验进行数据分析。
研究结果：55.2%的受试者为老年人，66.4%为男性，90.7%为退休人员，60.3%的受试者存在抑郁样症状。研究发现，抑郁样症状与女性性别、更多的合并症数量、血液透析后并发症、情绪与躯体症状、活动量不足、无法完成日常活动以及日常活动需他人协助存在显著相关性。
研究结论：抑郁样症状与合并症负担、更多的疾病并发症、血液透析相关并发症及功能依赖密切相关。规律的体育锻炼可作为一项有效的临床照护策略。