Comparison of psychological distress and demand induced by COVID-19 during the lockdown period in patients undergoing peritoneal dialysis and hemodialysis: a cross-section study in a tertiary hospital

Xia, Xiaoxiao; Wu, Xiaofang; Zhou, Xiaojie; Zang, Zhiyun; Li, Pu; Li, Zi

doi:10.1101/2020.04.13.20063099

Cited by 5 publications

(5 citation statements)

References 37 publications

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“…Need of a nephrologyconsultation to facilitate disease self-management during the pandemic and difficulty adjusting to the contingency plans adopted by dialysis units were also mentioned. Overall, these findings are congruent with the results of the only study that evaluated the experience of patients with ESRD with COVID-19 in China, suggesting that patients undergoing in-center HD have high levels of distress during the confinement period 16. Although there are still few studies examining the negative psychosocial impacts of COVID-19 in non-COVID-19 patients, there are even fewer focusing on positive outcomes 38.…”

supporting

confidence: 77%

“…15 Therefore, COVID-19 is a great challenge for these patients who already have high levels of anxiety and depression under normal circumstances. 16 In addition to renal replacement therapy, patients with ESRD also need to adhere to several disease and treatment-related health behaviors (eg, dietary and fluid restrictions, vascular access care, physical activity, poly-medication protocols, and follow-up consults) that are crucial for survival, 14 but that can be an additional stressful demand to manage during the outbreak.…”

Section: Being On Hemodialysis During the Covid-19 Outbreakmentioning

confidence: 99%

“…This study reported that patients undergoing in-center HD had higher levels of psychological distress than patients undergoing home peritoneal dialysis. 16 Given these findings, it is worth investigating how COVID-19 affects the lives, treatments, and health routines of patients with ESRD.…”

Section: Being On Hemodialysis During the Covid-19 Outbreakmentioning

confidence: 99%

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Being on hemodialysis during the COVID‐19 outbreak: A mixed‐methods’ study exploring the impacts on dialysis adequacy, analytical data, and patients’ experiences

Sousa

Ribeiro

Costa

et al. 2020

Seminars in Dialysis

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For individuals with end‐stage renal disease (ESRD), the novel coronavirus can present several additional challenges in disease self‐management. This study aimed to explore the impacts of the COVID‐19 pandemic in non‐COVID‐19 patients with ESRD undergoing in‐center hemodialysis (HD). A mixed‐methods study was conducted with a purposive sample recruited from one dialysis unit in Portugal. Quantitative data were collected retrospectively from patients' medical records from February 2020 (T1—before the outbreak) and from April 2020 (T2—during lockdown). Semi‐structured interviews were conducted with 20 patients (66.9 ± 11.9 years old) undergoing HD for an average of 46.1 months (±39.5) in April 2020. Overall results suggested that dialysis adequacy and serum albumin levels decreased significantly at T2, while phosphorus levels increased. The findings from thematic analysis suggested several psychosocial negative impacts and impacts on disease and treatment‐related health behaviors (eg, difficulties managing dietary restrictions during the lockdown and diminished physical activity), which can partially explain these quantitative results. However, some patients were also able to find positive impacts in this experience and problem‐focused and emotional strategies were identified to cope with the demands of COVID‐19. Several recommendations have been made to mitigate patients’ emotional, relational, and educational unmet needs during the current pandemic and in the event of new outbreaks.

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supporting

confidence: 77%

Section: Being On Hemodialysis During the Covid-19 Outbreakmentioning

confidence: 99%

See 1 more Smart Citation

Being on hemodialysis during the COVID‐19 outbreak: A mixed‐methods’ study exploring the impacts on dialysis adequacy, analytical data, and patients’ experiences

Sousa

Ribeiro

Costa

et al. 2020

Seminars in Dialysis

View full text Add to dashboard Cite

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“…Due to these factors, CKD patients are more likely to gain negative emotions. A latest study demonstrated that hemodialysis patients had more severe trauma-related stress symptoms than peritoneal dialysis patients ( 8 ).…”

Section: Introductionmentioning

confidence: 99%

The Influences of COVID-19 on Patients With Chronic Kidney Disease: A Multicenter Cross-Sectional Study

et al. 2021

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Background: The outbreak of coronavirus disease 2019 (COVID-19) has attracted global attention. During the lockdown period of COVID-19, follow-up of many patients with chronic disease had been interrupted, which brought severe challenges to better management of their disease. This study aimed at exploring the change of illness, daily life, and psychological responses during the COVID-19 pandemic among chronic kidney disease (CKD) patients.Methods: A total of 612 patients were enrolled in this study; 282 patients were categorized into the CKD stage 1–2 group and 330 patients were categorized into the CKD stage 3–5 group. Among two groups, 168 (27.5%) and 177 (28.9%) patients were female with a median age of 42 and 45, respectively. The study was conducted by collecting the questionnaires in five nephrology centers. The questionnaire consisted of assessment of anxiety by using the Self-Rating Anxiety Scale and the influences of COVID-19, which included basic demographic data, the influences of COVID-19 on illness and daily life, as well as the patients' psychological responses during the epidemic.Results: A total of 612 patients were included and divided into two groups according to eGFR. Ninety-six patients (34%) in the CKD stage 1–2 group and 141 patients (42.7%) in the CKD stage 3–5 group had reduced their follow-up frequency (p = 0.031). More patients with CKD stages 1–2 consulted online (25.9%), p = 0.005. Besides, patients in the CKD stage 3–5 group tended to be more anxious about follow-up (p = 0.002), fearful of being infected with COVID-19 (p = 0.009), and more likely to feel symptoms getting worse (p = 0.006). The standard scores of SAS were 48.58 ± 7.082 and 51.19 ± 5.944 in the CKD stage 1–2 group and the CKD stage 3–5 group, respectively (p < 0.001). There were significant differences in the severity of anxiety (p = 0.004).Conclusion: COVID-19 had a greater impact on patients with CKD stages 3–5 than those with stages 1–2 in terms of illness, daily life, and psychological disorder. Patients with CKD stages 3–5 were more anxious during the COVID-19 pandemic.

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“…Chinese researchers, based on the observation of patients treated with peritoneal dialysis at home and hemodialysis in a dialysis station, concluded that severe PTSD symptoms appear more often in the group of patients treated with hemodialysis. [13] Home hemodialysis is another effective method to reduce the time spent in the dialysis station. So far, this method is not available in Poland, although it seems that it could be an alternative for patients with contraindications to peritoneal dialysis treatment.…”

Section: Introductionmentioning

confidence: 99%

Home Dialysis During Covid-19 Outbreak– It Is Worth to Consider

et al. 2020

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The epidemic with the new SARS-CoV-2 virus poses a serious threat to patients treated with renal replacement therapy. Besides clinical risk factors (such as numerous comorbidities, immune disorders), dialysis patients are additionally exposed to the virus through regular stays for several hours in a dialysis center and ambulance journeys. In such an epidemiological situation, it seems that peritoneal dialysis and home hemodialysis are good alternatives for treatment. Currently available telemedicine and medical technologies allow for effective renal replacement therapy also outside dialysis centers. Thanks to this, it is possible to limit the stay of patients in a medical facility to clinically justified situations. For this reason, increasing the number of patients treated with peritoneal dialysis, which is carried out at home and without contact with medical personnel, seems to be a good solution. Enabling patients to undergo home hemodialysis treatment, nowadays unavailable in Poland and establishing it as a guaranteed benefit in the health care system will enable renal replacement therapy to be adapted to the clinical condition and the need for isolation.

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Comparison of psychological distress and demand induced by COVID-19 during the lockdown period in patients undergoing peritoneal dialysis and hemodialysis: a cross-section study in a tertiary hospital

Abstract: Background:Since the outbreak of COVID-19 in December 2019, it has spread rapidly and widely,

Cited by 5 publications

References 37 publications

Being on hemodialysis during the COVID‐19 outbreak: A mixed‐methods’ study exploring the impacts on dialysis adequacy, analytical data, and patients’ experiences

Being on hemodialysis during the COVID‐19 outbreak: A mixed‐methods’ study exploring the impacts on dialysis adequacy, analytical data, and patients’ experiences

The Influences of COVID-19 on Patients With Chronic Kidney Disease: A Multicenter Cross-Sectional Study

Home Dialysis During Covid-19 Outbreak– It Is Worth to Consider

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