Chronic kidney disease (CKD) in recent years has had an increase in its prevalence and incidence; in Ecuador it is estimated that about 10,000 people are on hemodialysis and peritoneal dialysis treatment, it is important to note that patients on hemodialysis go through various alterations at the physical, psychological and social levels. In Guayas there are 4,387,434 inhabitants, of which 2,600 people would have chronic renal insufficiency and if 90% of these patients opt for hemodialysis therapy, we would have a total of 2,340 cases. Objective: To determine adherence, anxiety and depression associated with hemodialytic treatment in patients with chronic kidney disease. A non-experimental design study of cross-sectional, descriptive-correlational, prospective and quantitative approach was carried out. The sample consisted of 328 patients with a diagnosis of chronic renal disease residing in the province of Guayas, according to the Sierra Bravo formula of 1988. Inclusion criteria were applied to agree to participate voluntarily in the research and people with previously diagnosed psychiatric pathologies were excluded.

Keywords : Adherence, Anxiety, Depression, Treatment, Hemodialysis.