Hubungan Lama Menjalani Hemodialisis Dengan Tingkat Depresi Pada Pasien Gagal Ginjal Kronis Di RSUD Panembahan Senopati

Abstract

Patients with chronic kidney disease (CKD) undergoing hemodialysis face the demands of recurrent therapy, activity restrictions, and alterations in social roles, all of which can elevate the risk of psychological distress. The duration of hemodialysis treatment is potentially associated with depression levels; however, this relationship remains inconsistent across different populations. This study aimed to analyze the correlation between the duration of hemodialysis and the level of depression among patients with CKD at Panembahan Senopati Hospital. A quantitative correlational design with a cross-sectional approach was employed. A total of 187 patients with complete data were included in the analysis. The duration of hemodialysis was categorized into 1–3 years and >3 years, while depression levels were assessed using the Beck Depression Inventory-II (BDI-II). Univariate and bivariate analyses were performed, utilizing the Spearman rank correlation test. The results indicated that 107 respondents (57.2%) had undergone hemodialysis for 1–3 years, while 80 respondents (42.8%) had received treatment for over 3 years. Regarding depression levels, 63 patients (33.7%) were classified as normal, 53 (28.3%) exhibited mild depression, 45 (24.1%) presented with moderate depression, and 26 (13.9%) experienced severe depression. The Spearman test revealed a statistically significant relationship between the duration of hemodialysis and the level of depression (r = 0.147; p = 0.045). However, the observed correlation was very weak, suggesting that the duration of hemodialysis should be considered as merely one clinical indicator rather than the sole determinant of depression in these patients.