Literature Review Kejadian Depresi Pasien Gagal Ginjal Kronis yang Menjalani Terapi Hemodialisis

Abstract

Chronic kidney failure patients can experience depression due to physiological, psychological, socioeconomic changes and can reduce quality of life. This research aimed to identify depression in chronic kidney disease patients undergoing hemodialysis. This research was a literature review that applied the PRISMA checklist. Articles were obtained from Sage Journals, ScienceDirect, PubMed, ResearchGate, ProQuest, Google Scholar, and Garuda databases published from 2016-2021 and met the criteria. The article's quality assessment used JBI Critical Appraisal Tools. A total of 11 articles with a cross sectional design were included in this study. The depression occurrences were between 44% to 100% in three articles conducted in Indonesia and 32.4% to 68% in seven articles undertaken in various countries. Most of the patients in this study experienced depression in the mild category. Five articles stated that respondents underwent hemodialysis for less than one year, three articles stated that respondents underwent hemodialysis between one to three years, and three articles did not mention the duration of hemodialysis. Depression can occur in patients undergoing hemodialysis for less than 12 months or in patients undergoing hemodialysis for longer. Factors that influence depression are the hemodialysis duration, gender, age, education, marital status, occupation, income, fatigue, mental fatigue, sleep patterns, physical symptoms, and living arrangements. Holistic nursing care and proper support from family are needed to resolve depression in chronic kidney failure patients undergoing hemodialysis.