Assessment of Soc ioeconomic And Psychological Impact of Hemodialysis Among Patients With End Stage Renal Disease In Bahri Teaching Hospital From August-December 2022

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Nehad Mohammed Gahelrasool Hassan
Erhaf Alamin Ahmad Mohammed
Safa Musa Abdallah abdalmajed
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Napata College
1.2 Background: End-stage renal failure, also known as end-stage renal disease (ESRD), is the final, permanent stage of chronic kidney disease, where kidney function has declined to the point that the kidneys can no longer function on their own. 1.3 Justification: Renal failure is a common health problem worldwide and dialysis is considered as the most effective replacement therapy. It affects the social quality of life of patients and may lead to some sort of dysfunction. The cost of dialysis in developing countries exceeds the financial ability of the majority of patients also affect their psychologicl health This study aims to assess the socioeconomic and psychological problems that facing dialysis patients and try to find suitable solutions for it as much as possible. 1.4 General objective: Assessment of socioeconomic and psychological impact of end stage Renal disease 1.5 Specific Objectives : -To identify sociodemographic characteristics that affect on end stage Renal disease . -To study the psychological effect of dialysis and related changes. -To assess social impact of dialysis on end stage Renal disease patients. -To compare between income of patient and the cost of hemodialysis. Aim of the study To assess the socio-economic impact and psychological effect of renal dialysis on patients of end stage Renal disease Method A descriptive cross sectional hospital based study was conducted at bahri teaching hospital in Renal Dialysis Center in August 2022 and it included 151 patients with end stage renal disease on dialysis process. All patients were interviewed to collect the socio-demographic and clinical data based designed questionnaire and the collected data was analyzed by statistical package for the social sciences. Result the average age of study population was ( >46) year which represent (52.3%) ,with gender predominance for male (51.7%) , the majority of them were university educated (27.8%) ,about (48.3%) of them were unemployed, (73.5%) married (3.3%) of the participants were divorced due to morbidity , (33.7%) of patients had low economic status while (25.8%) had moderate to high economic status , (42.4%) receive dialysis for ≥ 5 years , (95%) have permanent dialysis ,(53%) their income didn’t cover their cost of dialysis and life demand , (4%) of patients turn to sale their property to deal with the cost of dialysis , other ( 86.1%) receive financial support from their families , (72.8%) of patients their social life affected, ( 27.2%) not affected , from (n=16) of student patients there was ( n=13) left their study while ( n=3) continued their study regularly , (40%) of the patients were depressed while ( 60%) weren’t depressed and the majority of the depressed were female (61.7%). Conclusion Renal dialysis is a life-sustaining treatment for patients with end stage renal disease; however, it adversely affects patients’ social life and psychological status also their economic status was affected negatively in bahri teaching hospital in Renal Care Center because the cost of dialysis exceed their monthly income.