Self reporting questionnaire (SRQ)-20 for identifying psychological distress in patients undergoing hemodialysis

Abstract

Background: The increasing number of chronic renal failure patients undergoing hemodialysis requires extra attention in anticipating signs of psychological distress. According to data from the Indonesia Renal Registry, 66,433 new patients underwent this treatment in 2018, with 11.58% of them experiencing psychiatric issues.

Purpose: To identify psychological stress in patients undergoing hemodialysis.

Method: A quantitative method with a cross-sectional approach was conducted on 84 patients receiving hemodialysis therapy at Muhammadiyah General Hospital of Delanggu. Data collection took place from December 2023 to January 2024, utilizing the Self Reporting Questionnaire (SRQ-20) to evaluate the patients' psychological distress symptoms, with a cutoff score of ≤6. Data analysis was performed using frequency distribution and the Chi-Square test.

Results: Among individuals undergoing hemodialysis, 70.2% exhibited symptoms of psychological distress. Anxiety symptoms led 32.1% of these individuals to feel worthless, with a p-value of 0.001. Additionally, headaches were reported by 52.4% of the patients, also with a p-value of 0.001.

Conclusion: Most hemodialysis patients experienced psychological distress symptoms. The pattern of psychological distress symptoms, including physical symptoms, cognitive symptoms, depression symptoms, anxiety symptoms, and low energy.