The Relationship Between Duration of Hemodialysis and Level of Depression Among Hemodialysis Patients in Kupang City
DOI:
https://doi.org/10.56127/jukeke.v5i1.590Keywords:
hemodialysis, depression, duration of hemodialysis, Beck Depression Inventory-II, Kupang CityAbstract
Hemodialysis is a long-term renal replacement therapy that can affect patients’ daily functioning and psychological well-being. Depression is common in this population and may reduce quality of life and treatment adherence. However, evidence on whether hemodialysis duration is associated with depression remains inconsistent, and local multi-center data from Kupang City are limited. Objective: To analyze the relationship between duration of hemodialysis and depression level among hemodialysis patients in Kupang City. Methods: A quantitative cross-sectional study was conducted in July–August 2025 at three hemodialysis centers in Kupang City (RSUD W.Z. Johanes, RS Siloam, and RSUP Ben Mboi). Using purposive sampling, 163 respondents were recruited from a population of 365 routine hemodialysis patients. Depression was assessed using the Beck Depression Inventory-II (BDI-II). Hemodialysis duration was obtained from medical records and categorized as <12 months, 12–24 months, and >24 months. Data were analyzed descriptively and tested using the Chi-square test. Findings: Most respondents were not depressed (60.7%), while 39.3% had mild to severe depression. The largest proportion had undergone hemodialysis for >24 months (35.6%). There was no statistically significant association between hemodialysis duration and depression level (p = 0.434). Implications: Depression among hemodialysis patients appears to be influenced by factors beyond treatment duration, supporting the need for routine depression screening and psychosocial support integrated into hemodialysis care. Originality: This multi-center study provides local evidence from three hospitals in Kupang City using a standardized instrument (BDI-II), helping clarify inconsistent prior findings and reinforcing a multifactorial view of depression in hemodialysis patients.
References
Aditama, K. F. (2023). Faktor-faktor yang berhubungan dengan kualitas tidur pasien gagal ginjal kronis. Jurnal Penelitian Perawat Profesi, 6(1), 109–120.
Baeti, N. N., & Maryati, H. (2016). Hubungan dukungan keluarga dengan tingkat depresi pada pasien yang dilakukan hemodialisa di ruang hemodialisa RSUD Kabupaten Jombang. Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing), 2(1), 66–71.
Bello, A. K., Okpechi, I. G., Osman, M. A., Cho, Y., Htay, H., & Jha, V. (2022). Epidemiology of haemodialysis outcomes. Nature Reviews Nephrology, 18(6), 378–395. doi:10.1038/s41581-022-00542-7
Carrero, J. J., Hecking, M., Chesnaye, N. C., & Jager, K. J. (2018). Sex and gender disparities in the epidemiology and outcomes of chronic kidney disease. Nature Reviews Nephrology, 14(3), 151–164.
Kementerian Kesehatan Republik Indonesia. (2019). Laporan nasional Riset Kesehatan Dasar (Riskesdas) 2018. Badan Penelitian dan Pengembangan Kesehatan.
Korin, J. M. (2020). Hubungan lama menjalani hemodialisis dengan tingkat depresi pada pasien hemodialisis di RSUD Abdul Wahab Sjahranie Samarinda. Jurnal Sains Kesehatan, 2(4), 368–371.
Kuwa, M. K. R., Wela, Y., & Sulastien, H. (2022). Faktor-faktor yang mempengaruhi penerimaan diri pasien dengan gagal ginjal kronik yang menjalani terapi hemodialisis. Jurnal Keperawatan Jiwa, 10(1), 193–202. doi:10.26714/jkj.10.1.2022.193-202
Musthafa, S., & Armelia, L. (2019). Angka kejadian depresi pada pasien hemodialisis menggunakan metode pengukuran Beck Depression Inventory. Majalah Kesehatan PharmaMedika, 11(2), 116–122. doi:10.33476/mkp.v11i2.1325
Octafiani, M., & Armelia, L. (2020). Angka kejadian depresi pada pasien yang menjalani hemodialisis menggunakan metode pengukuran Geriatric Depression Scale. Majalah Kesehatan PharmaMedika, 12(1), 18–24. doi:10.33476/mkp.v12i1.1602
Prabawati, T. T. P., & Fransiska, K. (2024). Hubungan lama menjalani hemodialisa dengan tingkat depresi pasien gagal ginjal kronik. Jurnal Keperawatan I CARE, 5, 1–7.
Sadock, B. J., & Sadock, V. A. (2010). Buku ajar psikiatri klinis (Edisi ke-2). EGC.
Sagala, D. S. P., Hutagaol, A., Ritonga, I. L., Anita, S. I., & Zamago, J. H. P. (2023). Hubungan lama menjalani hemodialisa dengan status depresi pasien gagal ginjal kronik di Rumah Sakit Umum Imelda Pekerja Indonesia Medan. Jurnal Ilmiah Keperawatan IMELDA, 9(2), 150–159. doi:10.52943/jikeperawatan.v9i2.1489
Siagian, I. O., & Saragih, B. D. (2023). Dukungan keluarga dengan tingkat depresi pada pasien gagal ginjal kronik yang menjalani terapi hemodialisa. Jurnal Kesehatan, 12(1), 1–7.
Syafira, D. A., Prihati, D. R., & Aini, D. N. (2024). Hubungan depresi dengan kelelahan pada pasien yang menjalani hemodialisa. Citra Delima Science Journal, 8(1), 1–7. doi:10.33862/citradelima.v8i1.393
Tartum, V. V. A. (2016). Hubungan lamanya hemodialisis dengan tingkat depresi pada pasangan hidup pasien gagal ginjal kronik di RSUP Prof. Dr. R. D. Kandou Manado. e-CliniC, 4(1), 47–49.
Taylor, S. E. (2018). Health psychology (10th ed.). McGraw-Hill Education.
