Psychological assessment in children with chronic kidney disease on regular hemodialysis
Elzakzouk, A., Elgendy, S., Afifi, W., El Bakry, S., Amin, E., Abd Elhakim, R. (2020). Psychological assessment in children with chronic kidney disease on regular hemodialysis. EKB Journal Management System, 15(2), 48-59. doi: 10.21608/geget.2021.39271.1013
Amany Elzakzouk; Soha Elgendy; Wesam Afifi; Shewikar El Bakry; Ezzat Amin; Rashad Abd Elhakim. "Psychological assessment in children with chronic kidney disease on regular hemodialysis". EKB Journal Management System, 15, 2, 2020, 48-59. doi: 10.21608/geget.2021.39271.1013
Elzakzouk, A., Elgendy, S., Afifi, W., El Bakry, S., Amin, E., Abd Elhakim, R. (2020). 'Psychological assessment in children with chronic kidney disease on regular hemodialysis', EKB Journal Management System, 15(2), pp. 48-59. doi: 10.21608/geget.2021.39271.1013
Elzakzouk, A., Elgendy, S., Afifi, W., El Bakry, S., Amin, E., Abd Elhakim, R. Psychological assessment in children with chronic kidney disease on regular hemodialysis. EKB Journal Management System, 2020; 15(2): 48-59. doi: 10.21608/geget.2021.39271.1013

Psychological assessment in children with chronic kidney disease on regular hemodialysis

GEGET
Article 5, Volume 15, Issue 2, December 2020, Page 48-59  XML PDF (296.33 K)
Document Type: Original Article
DOI: 10.21608/geget.2021.39271.1013
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Authors
Amany Elzakzouk email 1; Soha Elgendy1; Wesam Afifi1; Shewikar El Bakryorcid 2; Ezzat Aminorcid 3; Rashad Abd Elhakim1
1Department of Pediatrics, Faculty of Medicine, Benha university, Benha, Egypt.
2Department of Neuropsychiatery ,Faculty of Medicine, Benha university, Benha, Egypt.
3Department of Pediatrics, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Abstract
Introduction: Interestingly, health care professionals have the tendency to focus on the biological dimension of the disease or other technical issues related to hemodialysis machine and usually underestimate symptoms from mental sphere. Encouraging patients to express their feelings and addressing their psychological needs may be an essential measure to confront with this debilitating disease.  
Aim of Study: The objective of our study were to assess the presence, possible factors related and consequences of psychological disorders   in children with CKD on regular hemodialysis.
Methods: This study was  cross sectional study which carried out in nephrology unit of the pediatric department during the period from February 2019 to December 2019.It were comprised (141) children with CKD  on regular hemodialysis of both sexes after obtaining informed consent from children's parents. All patients were subjected to history (age, sex, residence, birth order, level of education, socioeconomic status), examination and specific investigations.
Results: This study showed that, a male predominance. Regarding anxiety grade, mild were 18 (12.8%), moderate were 54 (38.3%) and severe were 69 (48.9%). Regarding depression grade, mild were 50 (35.5%), moderate were 54 (38.3%), and severe were 19 (13.5%) while no depression was found among 18 (12.8%).There were statistically significant positive correlations between anxiety score and duration of dialysis. There were statistically significant positive correlations between anxiety score and depression score.
Conclusion: Frequency of anxiety and depression is high in CKD Patients. There were statistically significant positive correlations between anxiety score and depression score.
Keywords
Chronic kidney disease; Hemodialysis; Psychological disorders
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