A survey of the quality of life in patients undergoing hemodialysis and its association with depression, anxiety and stress

Abstract

Background and Purpose: Hemodialysis patients face several physical and mental tension factors including depression, anxietyand stress, which could decrease their quality of life. This study aimed to identify the relationship between quality of life (QOL),depression, anxiety and stress in patients undergoing hemodialysis.Methods: This descriptive, analytical study was conducted on 160 hemodialysis patients (80 male and 80 female) using conveniencesampling at three hemodialysis centers in Sari, Mazandaran, Iran. Data collection was performed during three months using threequestionnaires of demographic characteristics, DASS-21 and quality of life (SF-36). Collected data were analyzed using descriptiveand inferential statistics.Results: In this study, the mean age of patients was 50.8±12.81 years, and 88.8%, 92.5% and 85.6% of the subjects had severedepression, anxiety and stress, respectively. Spearman’s correlation coefficient showed a significant inverse correlation betweenthe physical and mental domains of SF-36 questionnaire with depression (r=-0.38, r=-0.29), anxiety (r=-0.48, r=-0.45) and stress(r=-0.5, r=-0.57), respectively (P