PSYCHOLOGICAL EFFECTS OF LONG-TERM DIALYSIS ON PATIENTS: STRATEGIES FOR SUPPORT AND IMPROVEMENT

Abstract: Background: Long-term dialysis is essential for patients with end-stage renal disease (ESRD), but it comes with significant psychological challenges. Understanding the psychological effects and implementing effective support strategies are crucial for improving patient well-being and overall quality of life. Aim: This study aimed to investigate the psychological effects of long-term dialysis on patients at the Nephrology Unit of Lady Reading Hospital, Peshawar, from July 2023 to December 2023. The study also sought to evaluate strategies for psychological support and improvement. Methods: A cross-sectional analysis was conducted, involving a review of medical and psychological records of dialysis patients. Inclusion criteria encompassed long-term dialysis patients with comprehensive records within the specified timeframe, while exclusion criteria included patients with incomplete records or psychiatric conditions unrelated to dialysis. Data collection methods included systematic review and documentation of psychological conditions and support strategies. Results: The study found that 60% of long-term dialysis patients experienced significant psychological effects. The most common issues were depression (40%), anxiety (25%), and sleep disturbances (20%). Implementing targeted psychological support strategies, including counseling, support groups, and cognitive-behavioral therapy (CBT), significantly improved patient well-being. Specifically, depression saw a reduction rate of 50%, anxiety 45%, and sleep disturbances 40%. Conclusion: The psychological effects of long-term dialysis are a critical concern, with depression being the most common. Implementing robust psychological support measures, including counseling, support groups, and CBT, is crucial to mitigate these effects and improve the quality of life for these patients.