Anxiety and psychosocial impact during coronavirus disease 2019 in home dialysis patients

Davis, Michael J.; Alqarni, Khaled A.; McGrath-Chong, Margaret E.; Bargman, Joanne M.; Chan, Christopher T.

doi:10.1111/nep.13978

Cited by 7 publications

(4 citation statements)

References 15 publications

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“…Older chronic dialysis patients, particularly those aged 60–79 years old, had an increased risk of severe COVID-19 infection-related complications [ 4 ]. The psychological pressure has resulted in negative psychological emotions such as anxiety and depression mainly in in-center maintenance hemodialysis [ 1 ], due to increased COVID-19 infection exposure during travel to the dialysis centers, and having lack of control over dialysis treatment [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

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Impact of COVID-19 Pandemic on Health-Related Quality of Life and Physical Activity of Patients in Hemodialysis

et al. 2022

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Chronic dialysis patients have an increased risk of severe COVID-19 infection-related complications. The aim of this study was to quantify the impact of the COVID-19 pandemic on health-related quality of life (HRQoL) and physical activity levels of patients undertaking hemodialysis (HD). This was an observational study that compared data from two periods of time, before the COVID-19 pandemic vs pandemic. We used the Medical Outcomes Survey Short Form (SF-36) to measure the HRQoL and the Human Activity Profile (HAP) questionnaire was used to measure the physical activity. Data were analyzed with a mixed ordinal linear regression. A total of 27 eligible participants were interviewed during COVID-19 pandemic (median age 78 years). The linear regression model showed that the pandemic, after controlling for the covariates age, comorbidity, albumin, and hemoglobin, had a significant impact on the HRQoL. Physical function (−15.7) and social functioning subscales (−28.0) worsened (p = 0.001), and the physical component scale also showed a significant decrease (−3.6; p = 0.05). Time had a significant impact on the Human Activity Profile, with an average activity score diminished with the pandemic (−13.9; p = 0.003). The COVID-19 pandemic had a very negative impact on HRQoL and physical activity level of subjects undertaking hemodialysis. Interventions to improve HRQoL and activity levels of patients undertaking HD are recommended.

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Section: Introductionmentioning

confidence: 99%

“…Physical activity (PA) is any body movement produced by muscles that result in increased energy expenditure [ 5 ]. The PA level is lower in chronic kidney disease (CKD) patients at any stage compared with healthy counterparts [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Impact of COVID-19 Pandemic on Health-Related Quality of Life and Physical Activity of Patients in Hemodialysis

et al. 2022

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“…These findings highlight the need for psychological support for this group [ 24 ]. In contrast, those receiving home therapies projected feelings of safety, use of flexible schedules to maintain autonomy and independence and the capacity to continue working during a period of economic instability [ 25 ]. There were clear differences in the psychosocial impact of COVID-19 on people on different modalities.…”

Section: Resultsmentioning

confidence: 99%

Impact of COVID-19 on patient experience of kidney care: a rapid review

Mackintosh,

Ormandy,

Busby

et al. 2023

J Nephrol

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Introduction In March 2020, a pandemic state was declared due to SARS-COV-2 (COVID-19). Patients with kidney disease, especially those on replacement therapies, proved more susceptible to severe infection. This rapid literature review aims to help understand how the pandemic impacted patient experience of kidney care. Methods It was conducted in accordance with Cochrane Rapid Review interim guidance. Search terms, ‘coronavirus’, ‘kidney care’, and ‘patient-reported experience’ and terms with similar semantic meaning, identified 1,117 articles in Medline, Scopus, and Worldwide Science. Seventeen were included in the narrative synthesis. Results The findings were summarised into three themes: remote consultation and telemedicine (n = 9); psychosocial impact (n = 2); and patient satisfaction and patient-reported experience (n = 6). Patients were mostly satisfied with remote consultations, describing them as convenient and allowing avoidance of hospital visits. Anxieties included missing potentially important clinical findings due to lack of physical examination, poor digital literacy, and technical difficulties. Psychosocial impact differed between treatment modalities—transplant recipients expressing feelings of instability and dread of having to return to dialysis, and generally, were less satisfied, citing reduced ability to work and difficulty accessing medications. Those on home dialysis treatments tended to feel safer. Findings focused on aspects of patient experience of kidney care during the pandemic rather than a holistic view. Conclusions There was little direct evaluation of modality differences and limited consideration of health inequalities in care experiences. A fuller understanding of these issues would guide policy agendas to support patient experience during future public health crises. Graphical abstract

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“…Data on the experience of patients receiving maintenance dialysis during the COVID-19 pandemic are sparse, 11 , 12 , 13 , 14 and has mostly focused on quantification of mental health conditions or health related quality of life. Previous studies have noted that experiences may vary for patients treated with different dialysis modalities 15 , 16 and for patients with pre-existing mental health conditions. 17 In this study, we sought to define ways in which the experiences of care of patients receiving dialysis were affected by COVID-19 pandemic and its associated changes to health services.…”

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confidence: 99%