Psychological wellbeing and treatment adherence among cardio-renal syndrome patients in Yemen: a cross section study

BackgroundAnxiety and depression are associated with adverse outcomes in cardiorenal syndrome patients undergoing hemodialysis, including decreased quality of life, poorer clinical parameters, and lower treatment adherence.ObjectiveThis study aimed to examine the level of psychological wellbeing and...

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Main Authors: Adel Omar Laradhi, Yan Shan, Mohamed Elsayed Allawy
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Medicine
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Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2024.1439704/full
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author Adel Omar Laradhi
Adel Omar Laradhi
Yan Shan
Mohamed Elsayed Allawy
Mohamed Elsayed Allawy
author_facet Adel Omar Laradhi
Adel Omar Laradhi
Yan Shan
Mohamed Elsayed Allawy
Mohamed Elsayed Allawy
author_sort Adel Omar Laradhi
collection DOAJ
description BackgroundAnxiety and depression are associated with adverse outcomes in cardiorenal syndrome patients undergoing hemodialysis, including decreased quality of life, poorer clinical parameters, and lower treatment adherence.ObjectiveThis study aimed to examine the level of psychological wellbeing and its relationship with treatment adherence among dialysis patients with cardiorenal syndrome.MethodsThis cross-sectional descriptive study was conducted between February and May 2021 on convenience sampling of 100 patients in two dialysis centers in Hadhramout, Yemen. Patients’ depression and anxiety levels were assessed using the Hospital Anxiety and Depression Scale (HADS)—Arabic version, and patient treatment adherence was assessed using the Treatment Adherence Questionnaire (TAQ). Descriptive statistics, Pearson’s correlation analysis, and multiple linear regression analyzes were performed to analyze data with a significance level set at p < 0.05.ResultsThe mean age ± standard deviation of participants was 53.46 ± 14.24 years. Most (90%) of patients had moderate to high levels of anxiety and depression. Most of the patients (87%) had a low level of treatment adherence. The findings revealed that psychological wellbeing is significantly association with treatment adherence t = 2.577 (95% CI 0.029, 0.225), p = 0.011.ConclusionAnxiety and depression symptoms occurred more frequently among dialysis patients with cardiorenal syndrome, and there was a significant association between psychological wellbeing and treatment adherence. Our findings suggest that nurse managers should take into account that adding psychotherapies into the present cardiorenal syndrome treatment programs would improve patients’ clinical and psychological parameters and, consequently, their clinical outcomes while taking patient heterogeneity and resource limitations into consideration.
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spelling doaj-art-fc12e2585a2440a5856c2b98672a1a432025-01-07T06:51:38ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-01-011110.3389/fmed.2024.14397041439704Psychological wellbeing and treatment adherence among cardio-renal syndrome patients in Yemen: a cross section studyAdel Omar Laradhi0Adel Omar Laradhi1Yan Shan2Mohamed Elsayed Allawy3Mohamed Elsayed Allawy4School of Nursing and Health, Zhengzhou University, Zhengzhou, ChinaCollege of Nursing, University of Hail, Hail, Saudi ArabiaSchool of Nursing and Health, Zhengzhou University, Zhengzhou, ChinaDepartment of Nursing Sciences, College of Applied Medical Sciences, Prince Sattam bin Abdulaziz University, Wadi Alddawasir, Saudi ArabiaMedical- Surgical Nursing Department, Faculty of Nursing Suez Canal University, Ismailia, EgyptBackgroundAnxiety and depression are associated with adverse outcomes in cardiorenal syndrome patients undergoing hemodialysis, including decreased quality of life, poorer clinical parameters, and lower treatment adherence.ObjectiveThis study aimed to examine the level of psychological wellbeing and its relationship with treatment adherence among dialysis patients with cardiorenal syndrome.MethodsThis cross-sectional descriptive study was conducted between February and May 2021 on convenience sampling of 100 patients in two dialysis centers in Hadhramout, Yemen. Patients’ depression and anxiety levels were assessed using the Hospital Anxiety and Depression Scale (HADS)—Arabic version, and patient treatment adherence was assessed using the Treatment Adherence Questionnaire (TAQ). Descriptive statistics, Pearson’s correlation analysis, and multiple linear regression analyzes were performed to analyze data with a significance level set at p < 0.05.ResultsThe mean age ± standard deviation of participants was 53.46 ± 14.24 years. Most (90%) of patients had moderate to high levels of anxiety and depression. Most of the patients (87%) had a low level of treatment adherence. The findings revealed that psychological wellbeing is significantly association with treatment adherence t = 2.577 (95% CI 0.029, 0.225), p = 0.011.ConclusionAnxiety and depression symptoms occurred more frequently among dialysis patients with cardiorenal syndrome, and there was a significant association between psychological wellbeing and treatment adherence. Our findings suggest that nurse managers should take into account that adding psychotherapies into the present cardiorenal syndrome treatment programs would improve patients’ clinical and psychological parameters and, consequently, their clinical outcomes while taking patient heterogeneity and resource limitations into consideration.https://www.frontiersin.org/articles/10.3389/fmed.2024.1439704/fullcardiorenal syndromehemodialysispsychological wellbeinganxietydepressiontreatment adherence
spellingShingle Adel Omar Laradhi
Adel Omar Laradhi
Yan Shan
Mohamed Elsayed Allawy
Mohamed Elsayed Allawy
Psychological wellbeing and treatment adherence among cardio-renal syndrome patients in Yemen: a cross section study
Frontiers in Medicine
cardiorenal syndrome
hemodialysis
psychological wellbeing
anxiety
depression
treatment adherence
title Psychological wellbeing and treatment adherence among cardio-renal syndrome patients in Yemen: a cross section study
title_full Psychological wellbeing and treatment adherence among cardio-renal syndrome patients in Yemen: a cross section study
title_fullStr Psychological wellbeing and treatment adherence among cardio-renal syndrome patients in Yemen: a cross section study
title_full_unstemmed Psychological wellbeing and treatment adherence among cardio-renal syndrome patients in Yemen: a cross section study
title_short Psychological wellbeing and treatment adherence among cardio-renal syndrome patients in Yemen: a cross section study
title_sort psychological wellbeing and treatment adherence among cardio renal syndrome patients in yemen a cross section study
topic cardiorenal syndrome
hemodialysis
psychological wellbeing
anxiety
depression
treatment adherence
url https://www.frontiersin.org/articles/10.3389/fmed.2024.1439704/full
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