TREATMENT ADHERENCE AND DEPRESSION IN PATIENTS WITH CHRONIC KIDNEY DISEASE IN A TERTIARY HOSPITAL IN NORTH-WEST NIGERIA.

Author: Joseph Monday MAIGARI

Manuscript ID: AFMJ-Aug-2024-7953 Date Published: 2024-10-16 13:55:53


Background:

Treatment adherence to prescribed medical treatment is critical in chronic kidney disease (CKD) treatment and care for better outcomes. The study aims to explore the relationship between treatment adherence and depression in CKD patients.

Methods:

A cross-sectional descriptive study carried out at the Nephrology Clinic of the Ahmadu Bello University Teaching Hospital, Zaria where 200 eligible patients with CKD were recruited by simple random sampling. They were administered with the socio-demographic/clinical and treatment adherence questionnaire. Subjects were administered with the Schedule for Clinical Assessment in Neuropsychiatry depression module to generate diagnoses of depression.

Results:

The mean age of patients was 42.3 ±13.2 years with a male preponderance (54.5%). The prevalence rate of depression in the sample was 30.0%. These were made up of 7.0% depressive episodes, 9.5% recurrent depression, 7.5% bipolar depression and 6.0% dysthymia. Non-depressed patients had a higher adherence rate to treatment (57.0%) than those with depression (25.0%).

Conclusion:

Treatment adherence is higher in patients without depression in CKD than in those with depression. Depression is also prevalent in patients with CKD requiring identification and treatment to improve treatment outcomes.



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