Assessment of the mental status of chronic kidney patients

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Journal of Psychiatric Nursing, vol.10, no.3, pp.181-189, 2019 (Journal Indexed in ESCI) identifier identifier

  • Publication Type: Article / Article
  • Volume: 10 Issue: 3
  • Publication Date: 2019
  • Doi Number: 10.14744/phd.2019.35119
  • Title of Journal : Journal of Psychiatric Nursing
  • Page Numbers: pp.181-189


Objectives: This descriptive study aims to assess the mental status of patients with chronic kidney disease.

Methods: The study population was patients hospitalized in the Nephrology and Hypertension service of a training

hospital in Istanbul, Turkey (n=800). The sample of the study consisted of 120 patients with chronic kidney disease who

met the inclusion criteria with 95% confidence and 90% power. Data were collected between January and June 2007

using the “Brief Symptom Inventory (BSI)” consisting of 53 items and the "Information Form" prepared by the researcher

based on the literature.

Results: Of the patients, 52.5% were male, the mean age was 55.61±17.40 years and the mean duration of treatment

was 85.31±81.04 months. The sociodemographic characteristics of the patients with no public insurance, who were

separated from their partner and had weak family relationships following the illness, had higher scores in the psychological

symptom indices. A statistically significant difference was found in at least one of the psychiatric symptom

sections. During the illness, the scores of psychological symptom indices were found to be high in areas such as body

image and self-esteem, sexual problems related to illness, social isolation and being dependent on the hospital. Statistically

significant differences were also found in various psychological symptoms. Additionally, those who did not accept

their illness, who had not received information about their illness and those who had a sense of loneliness, were found

to have high scores on their mental disorders.

Conclusion: The study recommended that psychiatric evaluations be started with the onset of the chronic renal failure

(CRF) diagnosis and that patients and their families be evaluated together and given information about the treatment

and disease process. Patients identified as high risk should be evaluated by the consulting liaison psychiatric nurse.

Keywords: Chronic kidney disease; consultation liaison psychiatric nurse; mental status; psychiatric sign.