Transtorno mental comum (TMC) em pacientes renais crônicos em terapia renal substitutiva na região do Vale do Araguaia

Abstract

Introduction: Chronic kidney disease is characterized by progressive and ireversible loss of

kidney function. CKD is related to previous and chronic diseases leading the individual too

undergo renal replacement therapy, such as hemodialysis, a treatment that increases survival,

but causes physical and emotional stress. Professionals have noticed that the psychic suffering

within this group becomes intensified due to major changes in lifestyle. In this sense, they

manifest psychosomatic, depressive, and anxious symptoms, which present themselves in the

form of imitability, memory difficulty, insomnia, fatigue, associated with headache, tremors,

and poor digestion, characteristics present in the Common Mental Disorder. Objective: To

evaluate common mental disorders in patients with chronic kidney disease undergoing

hemodialysis treatment at the Instituto de Nefrologia do Vale do Araguaia (INA), in the

Middle Amguaia Region. Materials and methods: A cross-sectional, descriptive study with

a quantitative approach was carried out with paticnts undergoing HD treatment in a specialized nephrology clinic that serves patients from all over the Araguaia Valley, which is

located in the municipality of Barra do Garças - MT. For data collection a semi-structured instrument was used to obtain information about the sociodemographic profile of patients,

another instrument used was the SRQ 20-Self Report Questionnaire applied online or in

person after the patient agreed to participate in the research. Results and discussion: A total of

64 patients participated, and the results showed that the study population was mostly male,

with a prevalent age between 50 and 60 years old, and most of them (58.4%) had a low level

of education. Of the total 54.68% of the participants had responses suggestive of CMTT.

according to the score (7). CMT is present in a large scale in the population, and the rate of

anxiety and depression in this public is 30-45%, a fact that can increase morbidity and

mortality and hinder treatment. Conclusion: It was evidenced from the present study that the main symmptoms perceived by patients with CMT are headache, fatigue, difficulty of pleasure in the activitics of the day, besides insomnia, nervousness and lack of appetite, suggesting a sign of attention to the mental health of patients in addition to reinforcing the importance of the acquaintance among professionals, since it is with these that a bond is created during treatment.