Depression and Medication Adherence in Continuous Ambulatory Peritoneal Dialysis Patients
Keywords:
depression; medication adherence; continuous ambulatory peritoneal dialysis patientsAbstract
Background and Objectives: The number of continuous ambulatory peritoneal dialysis (CAPD) patients had been trending upwards every year. Meanwhile, many people were suffering from depression. This study was conducted to observe the prevalence of depression and to analyze the relationship between depression and medication adherence among CAPD patients.
Methods: This cross-sectional descriptive study was performed in 115 CAPD patients at HRH Princess Maha Chakri Sirindhorn medical center.
Results: The prevalence of depression was 40%. The factors affecting depression were education level, duration (years) of having chronic kidney disease, duration (years) of undergoing CAPD and serum albumin level. There was a relationship between depression and medication adherence in CAPD patients (p = 0.034). Those patients with depression had lower level of medication adherence than those without depression. Moreover, depression tended to be associated with those who undergoing CAPD for the first 5 years.
Conclusion: Forty percent of CAPD patients at HRH Princess Maha Chakri Sirindhorn medical center had depression. Depression was associated with lower medication adherence. Therefore, the screening for depression should be considered in patients undergoing CAPD particularly in the first 5 years.
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