Depression, anxiety and quality of life of hemodialysis patients before and during the COVID-19 pandemic

Nadort, Els; Rijkers, Nadine; Schouten, Robbert W.; Hoogeveen, Ellen K.; Bos, Willem Jan W; Vleming, Louis‐Jean; Westerman, Michiel; Schouten, Marcel; Dekker, Marijke; Smets, Y. F. C.; Shaw, Prataap Chandie; Farhat, Karima; Dekker, Friedo W.; Oppen, Patricia van; Siegert, C. E. H.; Broekman, Birit F.P.

doi:10.1016/j.jpsychores.2022.110917

Cited by 23 publications

(24 citation statements)

References 40 publications

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“…This finding is consistent with the results of Schouten et al’s [ 62 , 63 ] study of HD and peritoneal dialysis patients at 10 dialysis centers in the Netherlands with a mean anxiety level of 10.3 ± 10.1. However, our results were higher than those of Zhang et al [ 64 ], Kurtgoz et al [ 65 ], Zahedian et al [ 66 ], Cukor et al [ 46 ], Wu et al [ 67 ], and Nadort et al [ 47 ]. This inconsistency might be due to different countries, single- or multi-centers, eligible participants, with or without COVID-19 infection, and before or during the COVID-19 pandemic.…”

Section: Discussioncontrasting

confidence: 87%

“…Although the KDQOL score was lower than the reported by Yang et al [ 27 ] and Zhou et al [ 24 ], our findings suggest that the total KDQOL score had improved. However, our score was higher than that of Plantinga et al [ 44 ], Al Wakeel et al [ 20 ], Davison et al [ 39 ], Yang et al [ 34 ], Moura et al [ 22 ], Zimbudzi et al [ 51 ], Pan et al [ 29 ], Vo et al [ 43 ], Cohen et al [ 47 ], Doan et al [ 31 ], Pretto et al [ 26 ], Yazawa et al [ 49 ], De Olivera et al [ 40 ], Legrand et al [ 73 ], Wilkinson et al [ 50 ], and Nadort et al [ 47 ]. This finding may be due to Taiwan having a National Health Insurance scheme that subsidizes patients with major illnesses, injuries, and disabilities.…”

Section: Discussioncontrasting

confidence: 70%

“…Due to different methodologies, the literature shows inconsistent results for some factors related to sociodemographic [ 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 ], psychological [ 23 , 34 , 36 , 37 , 38 , 39 ], and spiritual [ 23 , 40 , 41 , 42 , 43 ] aspects, and clinical characteristics [ 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 ] of hemodialysis patients. However, religion [ 23 , 39 , 40 , 41 , 42 , 43 ], social support [ 44 , 45 ], anxiety, and depression during COVID-19 [ 46 , 47 ], spiritual well-being [ 23 , 39 , 40 , 41 , 42 , 43 ], perceived health status […”

Section: Introductionmentioning

confidence: 99%

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Factors Related to Quality of Life of Hemodialysis Patients during the COVID-19 Pandemic

et al. 2023

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Taiwan had the second highest number globally of end-stage renal disease patients undergoing treatment in 2018. A meta-analysis of Chen et al. (2021) showed the incidence and mortality rates of COVID-19 were 7.7% and 22.4%, respectively. Few studies have explored the effects of patients’ self-participation and perceptions of hemodialysis on their quality of life. This study aimed to explore the factors related to hemodialysis patients’ quality of life during the COVID-19 pandemic. This study was a descriptive correlational study. Patients were recruited (n = 298) from the hemodialysis unit of a medical center in northern Taiwan. Variables included patients’ sociodemographic, psychological, spiritual, and clinical characteristics (i.e., perceived health level, comorbidities, hemodialysis duration, weekly frequency, transportation, and accompaniment during hemodialysis), perceptions of hemodialysis, self-participation in hemodialysis, and health-related quality of life (KDQOL-36 scale). Data were analyzed using descriptive and bivariate and multivariate linear regression. Multivariate linear regression, after adjusting for covariates, showed that anxiety, self-perceived health status, two vs. four comorbidities, and self-participation in hemodialysis were significantly associated with quality of life. The overall model was significant and accounted for 52.2% (R2 = 0.522) of the variance in quality of life during hemodialysis (adjusted R2 = 0.480). In conclusion, the quality of life of hemodialysis patients with mild, moderate, or severe anxiety was poorer, whereas that of patients with fewer comorbidities, higher self-perceived health status, and higher self-participation in hemodialysis was better.

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Section: Discussioncontrasting

confidence: 87%

Section: Discussioncontrasting

confidence: 70%

Section: Introductionmentioning

confidence: 99%

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Factors Related to Quality of Life of Hemodialysis Patients during the COVID-19 Pandemic

et al. 2023

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“…Previous study found higher levels of depression and anxiety and lower mental health related quality of life scores, which is consistent with literature from the general population. A depression, anxiety and HRQoL scores were already pre-existent in hemodialysis patients before the COVID-19 outbreak, eventough COVID-19 not influence the severity of psychosocial problem (Nadort, et al, 2022). But, Darsini, et al (2022) was found that more than half of the respondents at Hemodialysis Patients during COVID-19 Pandemic in Gatoel Hospital, Mojokerto City had poor quality of life.…”

Section: Introductionmentioning

confidence: 94%

“…Chronic kidney failure patients undergoing hemodialysis feel the difference experience while pandemic, such being upset about unexpected things, unable to control important things in life, feeling nervous and stressed, not being able to cope with things that should to do, feeling angry about things outside of control and not being able to overcome difficulties. Hemodialysis patients with more severe symptoms of depression and lower levels of mental health related quality of life prior to the COVID-19 pandemic, are more susceptible to experience stress caused by the pandemic (Nadort, et al, 2022). COVID-19 pandemic also made hemodialyis patient experienced restriction of activity, fear and panic, restricted hospital access and social isolation (Lee, et al, 2020).…”

Section: Relationship Between Sleep Quality and Quality Of Life In Ch...mentioning

confidence: 99%

Relationship of Sleep Quality with Quality of Life in Chronic Kidney Failure Patients Undergoing Hemodialization During the Covid-19 Pandemic

Ulinnuha

Trishinta

Rosdiana

2022

PNJ

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Introduction : Poor sleep quality is often experienced by patients with chronic kidney failure (CKD) undergoing hemodialysis (HD) therapy, this can affect their quality of life. The purpose of this study was to determine the relationship between sleep quality and quality of life in chronic kidney failure patients undergoing hemodialysis during the COVID-19 pandemic at Panti Waluya Sawahan Hospital, Malang City. Method : This research design is cross sectional. The population in this study were patients with chronic kidney failure who underwent hemodialysis, namely 126 respondents at Panti Waluya Sawahan Hospital, Malang City during January, obtained a sample of 36 respondents using purposive sampling technique. Data collection techniques used the Pittsburgh Sleep Quality Index (PSQI) questionnaire and The World Health Organization Quality of Life (WHOQOL – BREF) questionnaire. Data analysis used Chi Square test (p value < 0.05). Result : The results of the study, most of the respondents had poor sleep quality and most of the respondents had poor quality of life. The results of the chi square test showed that there was a relationship between sleep quality and quality of life in chronic kidney failure patients undergoing hemodialysis during the COVID-19 pandemic at Panti Waluya Sawahan Hospital, Malang City with a p-value of 0.000. Conclusions : The conclusion of this study is that there is a relationship between sleep quality and quality of life in chronic kidney failure patients undergoing hemodialysis during the COVID-19 pandemic at Panti Waluya Sawahan Hospital, Malang City

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Association between negative psychology and sleep quality in dialysis patients during the COVID‐19 pandemic

et al. 2023

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Aims and Objectives:The aim of this study was to assess the sleep quality in dialysis patients during the COVID-19 epidemic and explore the association between negative psychology (including depression, anxiety, and stress) and sleep quality in this population. Design: A cross-sectional study including three centres. Methods (Patients or Public Contribution): This cross-sectional study included 378 dialysis patients from April to May 2022 in three dialysis centres in Shanghai. Methods. Depression, anxiety, stress, and sleep quality were measured by the Hospital Anxiety and Depression Scale (HADS), Perceived Stress Scale-14 (PSS-14), and Pittsburgh sleep quality index (PSQI), respectively. With a threshold of 5 to classify participants into good and poor sleep quality, with HADS/PSS-14 scores as independent variables (per standard deviation (SD) increment), respectively and binary Logistic regression model was constructed to explore the association between the three negative psychological aspects of depression, anxiety, and stress and sleep quality. Results:The median PSQI score was 11.0 (mean ± SD: 11.8 ± 4.8). Among them, poor sleep quality (i.e., PSQI >5) was reported by 90.2% of participants. After adjusting for sociodemographic and disease-related information, HADS-depression was associated with a significant 49% (odds ratio (OR): 1.49; 95% CI 1.02-2.18) increase in the risk of poor sleep quality for each additional SD (2.4). Correspondingly, for each SD (7.1) increase in PSS-14, the risk of poor sleep quality was significantly increased by 95% (OR: 1.95; 95% CI 1.35-2.82). Conclusion:During the COVID-19 pandemic, there was a significant negative association between negative psychology, such as depression and stress, and sleep quality in dialysis patients, and this relationship was independent of the dialysis modality.Relevance to Clinical Practice: In the context of the rampant COVID-19, the vast majority of dialysis-dependent chronic kidney disease presents with severe sleep quality problems, and negative psychology is a potential influencing factor.

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Depression, anxiety and quality of life of hemodialysis patients before and during the COVID-19 pandemic

Cited by 23 publications

References 40 publications

Factors Related to Quality of Life of Hemodialysis Patients during the COVID-19 Pandemic

Factors Related to Quality of Life of Hemodialysis Patients during the COVID-19 Pandemic

Relationship of Sleep Quality with Quality of Life in Chronic Kidney Failure Patients Undergoing Hemodialization During the Covid-19 Pandemic

Association between negative psychology and sleep quality in dialysis patients during the COVID‐19 pandemic

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