Aims and objectives:This study aimed to assess the impact of anxiety and depression on the quality of life (QOL) of haemodialysis patients. Background:The growing number of people undergoing haemodialysis therapy on a global scale is becoming a universal concern. Although haemodialysis treatment is known to affect one's psychological well-being, the impact of depression and anxiety on one's QOL has not been well addressed.Design: A correlational cross-sectional design.Methods: A convenience sample of 114 patients who had been undergoing haemodialysis therapy participated in this study. The research methods used complied with the STROBE checklist. Data were collected using the Kidney Disease and Quality of Life Survey-36 and the Hospital Anxiety and Depression Scale. Descriptive and inferential statistics were used. The association between the KDQOL, anxiety and depression based on the characteristics of participants was investigated using an independent t test and one-way analysis of variance. Results:The mean anxiety score of the participants was 7.7 ± 5.3, while the mean score for depression was 7.01 ± 4.2. Based on the cut-off points, 50% of the participants had anxiety, 44.7% depression. There were negative correlations between anxiety and QOL (r = −0.599, p < 0.001) and between depression and QOL (r = −.599, p < .001). The burden of the disease and physical component scores were mostly affected by both anxiety and depression.Conclusions: Anxiety and depression are common symptoms among patients undergoing haemodialysis, and they have a negative impact on all domains of the QOL.Early detection and treatment of anxiety and depression may have a positive impact on disease outcomes. Relevance to clinical practice:The findings of the current study support the need to adopt effective strategies to improve screening for anxiety and depression. The detection of high physical symptom burden should draw attention to potential psychological issues.

Context: Chronic kidney disease (CKD) is a life-threatening problem of global concern. Living with CKD is associated with many psychological problems, including depression and anxiety, which can directly or indirectly affect the quality of life. Only one review in the existing literature has assessed these associations among CKD patients using different dialysis modalities. However, the experience of these symptoms could be higher among patients on hemodialysis therapy. In this purview, there is a need to narrow the previous work to be more focused on hemodialysis patients. Aim: This scoping review aims to determine the gaps in the knowledge about the impact of anxiety and depression concerning QOL among people undergoing hemodialysis. Methods: The studies selected were those examined the relationships between depression or/and anxiety with quality of life in adult patients on hemodialysis. The CINAHL, MEDLINE, and Pub Med databases were searched for literature published between January 2012 and December 2019. The quality of the included studies was also apprised. Eleven studies met the inclusion criteria. Results: Six studies examined the impact of depression and anxiety on the quality of life. Five studies identified from the review have examined the relationships between depression and quality of life. It was established that the prevalence of anxiety and depression was high among hemodialysis patients, and the same was associated with low quality of life. Conclusion: The literature review highlights the negative associations between anxiety, depression, and quality of life among hemodialysis patients. It is, therefore, essential to screen hemodialysis patients frequently for anxiety and depression using a short-form questionnaire. This screening would allow for providing early interventions, and the potential deterioration of quality of life could be prevented. Further longitudinal studies are needed to assess these relationships. Additionally, further research is needed to determine effective interventional programs to improve the overall quality of life.

Context: A surgical intervention generally causes physical and psychological strain, which leads to excessive anxiety. The provision of knowledge and patient education during the preoperative period helps to reduce anxiety levels among surgical patients. Aim: This review conducted to investigate the effect of preoperative education on anxiety levels among patients undergoing surgery or invasive procedure irrespective of general or local anesthesia. Methods: Searching for related articles performed in four databases (MEDLINE, CINHALE, Trip, and Pub Med) between 2014 to 2018. Out of all searched literature, nine studies retrieved (5 randomized controlled trials, three quasi-experimental studies, and one descriptive study) to be included with a total of 1670 patients. The articles involved in the given review (verbal education, telephone, booklet, and PowerPoint presentation) used different types of educational media. Results: All the studies where included in this literature review revealed that the most planned and structured preoperative education could reduce anxiety among patients scheduled for surgery or invasive procedure irrespective of general or local anesthesia. Conclusions: Most of the articles demonstrate the positive effect of planned and structured preoperative educations on anxiety levels, regardless of the types of the media in delivering education to patients.