Abstract

Background and objective: Quality of life and psychological state can be influenced by various individual and social factors, diseases and clinical situations of the individual. End-stage renal disease and its treatments present a wide range of physical and psychological problems for patients, in general, it affects their quality of life. This study evaluates and compares the state of depression, anxiety and stress in patients with hemodialysis and kidney transplantation based on demographic information. Methods: In this descriptive and analytical study were compared depression, excitement and stress levels of 213 kidney patients (111 patients). Hemodialysis and 102 kidney transplants) using the DASS21 questionnaire and the data of the questionnaire were evaluated by SPSS20 software and Wilcoxon test, t-test, Mann-Whitney and Chi-square. Results: Frequency of depression, anxiety and stress in the patients with hemodialysis was 92.8, 96.4 and 83.8, respectively. However, in the kidney transplant group, the frequencies of the variables were 94.1 for depression and excitement and 84.3 for stress. The mean score of depression, excitement and stress in hemodialysis patients was significantly higher than the kidney transplant group. There was no significant difference in the level of education and occupation with depression, excitement and stress between hemodialysis and renal transplantation groups (P > 0.05). Conclusion: The prevalence of excitement, stress and depression in hemodialysis and transplanted patients was high, and the prevalence of these three variables was higher in hemodialysis patients with lower job and educational rank.