IDEMUDIA VICTORIOUS AIMIOSE

Chronic kidney disease (CKD) is a major global public health issue, affecting millions of individuals worldwide. It is characterized by a progressive loss of kidney function, often leading to end-stage renal disease (ESRD), which requires renal replacement
therapy, such as dialysis or kidney transplantation (Tanriover et al., 2022). Among these treatment options, dialysis remains the most common and accessible intervention for patients who do not have immediate access to transplantation(Chaudhry et al., 2022). However, undergoing dialysis is not only a physically demanding process but also presents significant psychosocial challenges, which can impact the overall well-being and quality of life of patients (Lateef, 2022). Dialysis patients experience a range of psychological and social challenges, including depression, anxiety, social isolation, financial burden, and role limitations within their families and communities (Hansen et al., 2021). Studies have shown that the prevalence of depression among patients undergoing dialysis is significantly higher than in the general population (Alshelleh et al., 2022). The chronic nature of the disease, coupled with the stringent treatment regimen and dietary restrictions, often leads to emotional distress, which may further complicate adherence to treatment and overall prognosis (Fraile-Martinez et al., 2022). Socially, dialysis patients may struggle with maintaining employment, family roles, and social relationships. The time-consuming nature of dialysis sessions, which typically occur multiple times a week, often limits the ability of patients to work or engage in social activities (Whitman et al., 2021)

Chronic kidney disease poses a significant psychosocial burden, particularly among patients undergoing long-term dialysis in low-resource settings. This study assesse psychosocial challenges and coping strategies among patients receiving dialysis treatment in a tertiary institution in Benin City. A descriptive cross-sectional design was employed, and data were collected using a structured questionnaire from 100, selected through a purposive sampling technique. Data were analyzed using descriptive statistics (mean, frequency tables) and inferential analysis, with significance established at p < 0.05. Findings revealed that a substantial proportion of patients experienced high levels of psychological distress, including anxiety (72.0%) and depressive symptoms (65.3%), largely attributed to prolonged treatment duration and uncertainty about prognosis. Financial strain was reported by 81.4% of respondents, with many struggling to consistently afford dialysis sessions, medications, and transportation. Social challenges included withdrawal from socialactivities (58.7%) and feelings of dependency (62.5%). Despite these challenges, the majority of respondents adopted spiritual coping strategies (78.9%), followed by reliance on family support (69.4%) and acceptance of illness (54.2%). However, professional psychological support services were poorly utilized (18.0%) due to stigma and limited availability within dialysis units. A statistically significant association was found between financial burden and psychological stress levels (p = 0.002), as well as between coping strategy adoption and overall emotional adjustment (p = 0.004). The study concludes that dialysis patients face complex psychosocial that extend beyond clinical care. It recommends integration of mental health services, social support systems, and financial subsidy programs into dialysis care to enhance patient well-being and treatment adherence.