Prevalence and Related Psychological Aspects of Frailty in Hemodialysis Patients

Dhea Natashia; Diana Irawati; Nyimas Heny Purwati; Upik Rahmi; Asri Narawangsa; Roswati Handayani; Ronny Heriadi

doi:10.30651/jkm.v9i3.23151

Authors

Dhea Natashia Fakultas Ilmu Keperawatan Universitas Muhammadiyah Jakarta
Diana Irawati
Nyimas Heny Purwati
Upik Rahmi
Asri Narawangsa
Roswati Handayani
Ronny Heriadi

DOI:

https://doi.org/10.30651/jkm.v9i3.23151

Keywords:

Frailty, Chronic Kidney Disease, Psychological, Depression, Anxiety, Hemodialysis

Abstract

Objective: This study aimed to ascertain the prevalence of frailty and associated psychological factors among hemodialysis patients.

Methods: A cross-sectional study was conducted employing a convenience sample of CKD patients undergoing hemodialysis at a Jakarta hospital. A total of 151 participants were included in this study. Instruments included demographic and clinical characteristics. The Tilburg Frailty Indicator (TFI) assessed frailty, while the Self-Rating Depression Scale (SDS) and Self-Rating Anxiety Scale (SAS) evaluated psychological status. Data analysis encompassed univariate descriptive statistics, t-test, and Pearson correlation to identify the relationship among variables. A multivariate regression analysis studied frailty index associations with demographic, clinical, and psychological factors.

Results: Results: This study indicates that the prevalence of frailty, assessed by the Tilburg Frailty Index (TFI), is 53.6%, primarily evident in the physical aspect. Positive correlations are found between frailty and age, unemployment, higher CCI, and a history of diabetes. Anxiety is correlated with female gender and a history of diabetes, while depression correlates with age, female gender, higher CCI, and a history of diabetes.

Conclusion: The study highlights the complexity of frailty among hemodialysis patients. Significant correlations emerged, associating frailty with factors such as age, unemployment, comorbidity, and a history of diabetes. Frailty was linked to psychological aspects, specifically anxiety and depression. Tailored interventions are recommended, focusing on early identification, psychological support, and a holistic care approach. Educational initiatives for healthcare providers are crucial to enhance awareness and improve the quality of care for this vulnerable population, leading to better health outcomes.

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