Depresión en pacientes del programa de hemodiálisis en el noreste de México

Introduction

The depression is a subdiagnosed problem in patients in hemodialysis with renal chronic insufficiency, increasing the risk of mortality.

Objectives

To determine the prevalence, range of age and predominant sex of depression in patients of the program of hemodialysis inside 5 hospitals of medical attention in Monterrey's metropolitan area, located in the northwest of Mexico.

Material and methods

observational, transversely study. Selection criteria: patients in the program of hemodialysis, both sexes, major of 19 years, with informed assent, excluding patients with additional pathologies, less than one month in the program, previous diagnosis of depression, which were in protocol of transplant and which they refused to inform. There was applied the inventory of depression of Beck II to 225 patients.

Results

The global depression prevalence was 47.1% (106), of which, 43 (19.1%) had slight depression, 31 (13.8%) moderate depression and 32 (14.2%) severe depression. Being in use measures of frequency, X² of Pearson and estimation of risk, was statistical significance in relation to the night shift, feminine sex, time inside the program and number of meetings.

Conclusions

Depression global prevalence in the patients studied was high. A detection test of depression must be realized in each one of patients enrolled in the hemodialysis program; furthermore, a protocol of attention must be standardized in every hospital in order to improve the quality of attention.