ABSTRACT
OBJECTIVE: Determine prevalence of the depression in a population of patients chronic hemodialysis. Look for the associated sociodemographic, clinical and biological factors. METHOD: It was a transverse study. She concerned the at least 18-years-old patients, followed in the center of Hemodialysis of the CHU at the rate of 2 - 3 sessions a week. The patients having agreed, were in dialysis at least for 3 months and benefited from an individual interview through an index card of investigation based of Hamilton's scale French version in 17 items. RESULTS: On a sample of 107 patients, the average age was 43, 24 ± 14 years old with extremes between 20 and 75 years. The average duration in dialysis was of ±40, 37 36, 5 months with extremes between 4 and 144 months. Prevalence of the depression was 88 %. The depression was light in 78, 5 %, moderated in 6,5% and severe in 3 %. The anemia was present at 94 patient's among whom 76 had a light depression. CONCLUSION: We observed that prevalence of the depression remains high to the chronic hemodialysis.
OBJECTIF: Déterminer la prévalence de la dépression dans une population de patients hémodialysés chroniques. Rechercher les facteurs sociodémographiques, cliniques et biologiques. MÉTHODE: Il s'est agi d'une étude transversale. Elle a concerné les patients âgés d'au moins 18 ans, suivis au Centre d'Hémodialyse à raison de 2 3 séances par semaine. Les patients ayant acceptés, étaient en dialyse au moins depuis 3 mois et ont bénéficiés un entretien individuel à travers une fiche d'enquête basé sur l'échelle d'Hamilton version française à 17 items. RÉSULTATS: Sur un échantillon de 107 patients, l'âge moyen était de 43,24 ± 14 ans avec les extrêmes entre 20 et 75 ans. La durée moyenne en dialyse était de 40,37 ±36,5 mois avec les extrêmes entre 4 et 144 mois. La prévalence de la dépression était de 88 %. La dépression était légère dans 78,5 %, modéré dans 6,5 % et sévère dans 3 %. L'anémie était présente chez 94 patients dont 76 avaient une dépression légère. CONCLUSION: Nous avons observé que la prévalence de la dépression reste élevée chez les hémodialysés chroniques.
ABSTRACT
PIP: As Bamako, Mali, grows, a man and two partners have set up a car wash on Independence Boulevard across from the Labor Exchange. The initial 150,000 CFA investment was to install a water faucet, build a large concrete slab, bring electricity to the location, and buy a small supply of tools. Since Bamako is expanding, vehicles are no longer a luxury and mud and dust are all over. After covering expenses and paying the communal tax, the men have enough to live on. The charge is 250 CFA for a simple wash and 1000 CFA for a wash including the engine. The owner envisions putting in a vehicle accessory store next door. Also on Independence Boulevard at the level of the ex-seat of National Union of Women in Mali, 2-3 teams of about 10 youth each carry buckets of water from the public fountain to clean cars in unregulated parking spaces for 4-6 CFAs. They operate without authorization and pay no taxes. But in this time where social unraveling is the force of the law, how does one prohibit this activity without provoking a protest movement which no one knows how to stop? The youth are not delinquents but rural and urban youth with uncertain schooling. To invest heavily in an activity which will not pay off, station managers prefer to align themselves towards the most sensible solutions. Thus, with the Malinian Society of Guardian Service and Care (SOMAGES) acting as an intermediary, gas stations have hired youth to do maintenance work. This gives youth stable employment, registration with the National Social Security Institute, and benefits of a monthly salary. Operators have hired hostesses that, they hope, will improve the reception quality at their stations. The hostesses inquire about the wanted service and clean the windshield. Their feminine presence contributes to customer loyalty.^ieng
