scholarly journals Psychological distress of patients with end-stage kidney disease undergoing dialysis during the 2019 coronavirus disease pandemic: A cross-sectional study in a University Hospital

PLoS ONE ◽  
2021 ◽  
Vol 16 (12) ◽  
pp. e0260929
Author(s):  
Jin Young Yu ◽  
Ji Sun Kim ◽  
Chae-Min Hong ◽  
Ka Young Lee ◽  
Nam-Jun Cho ◽  
...  
Keyword(s):  
Psychological Distress ◽  
Kidney Disease ◽  
Propensity Score ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Dialysis Patients ◽  
End Stage Kidney Disease ◽  
Cross Sectional ◽  
Symptoms Of Depression ◽  
End Stage

Introduction Previous studies have revealed that the COVID-19 pandemic can cause psychological distress such as depression and anxiety. Patients with chronic kidney disease (CKD) might be more vulnerable to psychological distress due to the COVID-19 pandemic. Its impact could be different according to dialysis modality. The aim of this study was to investigate COVID-19-related psychological stress experienced by end-stage kidney disease (ESKD) patients and identify differences in concerns about COVID-19 between hemodialysis (HD) and peritoneal dialysis (PD) patients. Methods This cross-sectional study included 148 dialysis patients at Soonchunhyang University Cheonan Hospital from August 2020 to September 2020. These patients responded to a questionnaire covering mental health status and COVID-19 related concerns. Symptoms of depression, anxiety, stress, and insomnia were measured using a 9-item Patient Health Questionnaire (PHQ-9), a 7-item Generalized Anxiety Disorder (GAD-7) scale, a 22-item Impact of Event Scale-Revised (IES-R), and a 7-item Insomnia severity Index (ISI), respectively. Outcomes of HD and PD patients were compared by propensity score matching analysis. Results Dialysis patients reported psychological distress including symptoms of depression, anxiety, stress, and insomnia. HD patients showed higher scores for depression (p = 0.018), anxiety(p = 0.005), stress(p<0.001), and insomnia(p = 0.006) than the PD patients. After propensity score matching, HD was associated with depression(p = 0.0131), anxiety(p = 0.0143), and stress(p = 0.000415). Conclusion Dialysis patients showed psychological distress during the COVID-19 pandemic period, with HD patients having more severe symptoms than PD patients.

scholarly journals Comparison of health literacy profile of patients with end-stage kidney disease on dialysis versus non-dialysis chronic kidney disease and the influencing factors: a cross-sectional study

BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e041404
Author(s):  
Karumathil Murali ◽  
Judy Mullan ◽  
Steven Roodenrys ◽  
Maureen Lonergan
Keyword(s):  
Chronic Kidney Disease ◽  
Health Literacy ◽  
Kidney Disease ◽  
Cross Sectional Study ◽  
Health Providers ◽  
Sectional Study ◽  
End Stage Kidney Disease ◽  
Cross Sectional ◽  
End Stage ◽  
The Impact

ObjectivesLower health literacy (HL) is associated with poor outcomes in patients with kidney disease. Since HL matches the patient’s competencies with the complexities of the care package, the level of HL sufficient in earlier stages of chronic kidney disease (CKD) may be inadequate for patients with end-stage kidney disease (ESKD) on dialysis. We aimed to analyse the HL profile of patients with ESKD and non-dialysis CKD and examine if there were significant associations with covariates which could be targeted to address HL deficits, thereby improving patient outcomes.Design and settingCross-sectional study of patients with CKD and ESKD from a single Australian health district.MethodsWe assessed the HL profile of 114 patients with CKD and 109 patients with ESKD using a 44-item multidomain Health Literacy Questionnaire (HLQ) and examined its association with demographic factors (age, gender, race), smoking, income, education, comorbidities, carer status, cognitive function and depression. Using multivariable logistic regression models, HL profiles of patients with CKD and ESKD were evaluated after adjusting for covariates.ResultsPatients with ESKD had similar demographics and educational levels compared with patients with CKD. ESKD had significantly higher frequency of vascular disease, cognitive impairment and depression. Patients with ESKD had better HL scores for the social support domain (37.1% vs 19.5% in higher HLQ4 tertile, p=0.004), whereas all other HL domains including engagement with healthcare providers were comparable to CKD. Depression was independently associated with nearly all of the HL domains (HLQ1: OR 2.6, p=0.030; HLQ2: OR 7.9, p=<0.001; HLQ3: OR 7.6, p<0.001; HLQ4: OR 3.5, p=0.010; HLQ5: OR 8.9, p=0.001; HLQ6: OR 3.9, p=0.002; HLQ7: OR 4.8, p=0.001; HLQ8: OR 5.3, p=0.001) and education with HL domains relevant to processing health-related information (HLQ8: OR 2.6, p=0.008; HLQ9: OR 2.5, p=0.006).ConclusionsDespite very frequent interactions with health systems, patients with ESKD on dialysis did not have higher HL in engagement with health providers and most other HL domains, compared with patients with CKD. Strategies promoting patient–provider engagement and managing depression which strongly associates with lower HL may address the impact of HL deficits and favourably modify clinical outcomes in renal patients.

scholarly journals SP722DOMAINS OF SEXUAL DYSFUNCTION IN WOMEN WITH END STAGE KIDNEY DISEASE TREATED WITH HEMODIALYSIS: Α MULTINATIONAL CROSS SECTIONAL STUDY

2015 ◽  
Vol 30 (suppl_3) ◽  
pp. iii617-iii617
Author(s):  
Valeria Saglimbene ◽  
Patrizia Natale ◽  
Suetonia Palmer ◽  
Marco Scaldapane ◽  
Marinella Ruospo ◽  
...  
Keyword(s):  
Sexual Dysfunction ◽  
Kidney Disease ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
End Stage Kidney Disease ◽  
Cross Sectional ◽  
End Stage

Causes, Complications and Pattern of Hemodialysis in Egypt

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Tamer W Elsaid ◽  
Mostafa A Abdulgawaad ◽  
Fatma A. Nasser S Ali
Keyword(s):  
Current Practice ◽  
Evidence Base ◽  
Cross Sectional Study ◽  
Work Status ◽  
Sectional Study ◽  
Dialysis Patients ◽  
Cross Sectional ◽  
International Guidelines ◽  
Co Morbidity ◽  
End Stage

Abstract Background There is a gap between evidence base and current practice in hemodialysis pattern which is different from a country to another due to different economic levels and organization of health. these gaps include many things such as causes and co-morbidity modality of hemodialysis medication given. Methods This cross sectional study was carried out on 500 end Stage renaldisease (ESRD)in Egypt All patients selected were subjected to full history, examination, medical record which included iron study HGB, bone study, erythropoietin. vitamins,HD prescription, causes and complications of HD. Results HD pattern in Egypt agrees with the international guidelines and other countries except age(less than USA), bicarbonate as buffer for HD (acetate still used) HGB level is 9.2 gm./dl(target 11-12), using sevelamer as phosphate binder less than usual percent of others, work status for HD pts., is higher than others, routine iron investigations and routine adequacy of HD Conclusion there are increased prevalence of dialysis patients in Egypt and few difference in the pattern of HD with international guidelines

scholarly journals Association of dietary phytochemical index and mental health in women: a cross-sectional study

2019 ◽  
Vol 121 (09) ◽  
pp. 1049-1056 ◽  
Author(s):  
Manije Darooghegi Mofrad ◽  
Fereydoun Siassi ◽  
Bijan Guilani ◽  
Nick Bellissimo ◽  
Leila Azadbakht
Keyword(s):  
Mental Health ◽  
Psychological Distress ◽  
Depressive Symptoms ◽  
Dietary Assessment ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Symptoms Of Depression ◽  
Daily Energy ◽  
Study Participants

AbstractPrevious studies have shown that unhealthy dietary patterns are among the most important modifiable risk factors in the development of mental health disorders. We examined the association of dietary phytochemical index (DPI) with symptoms of depression, anxiety and psychological distress in Iranian women. In this cross-sectional study, a total of 488 women aged 20–50 years old attending health centres in the south of Tehran in 2018 were included. A validated and reliable FFQ was used for dietary assessment. Symptoms of depression, anxiety and psychological distress were assessed using a validated depression, anxiety, stress scales questionnaires with twenty-one-items. DPI was estimated using the following formula: (daily energy derived from phytochemical-rich foods (kJ)/total daily energy intake (kJ))×100. The mean age of the study participants was 31·9 (sd7·7) years. The prevalence of depressive symptoms, anxiety and psychological distress among study participants was 34·6, 40·6 and 42·4 %, respectively. After controlling for potential confounders, women in the highest tertile of DPI had a lower prevalence of depressive symptoms (OR 0·22; 95 % CI 0·12, 0·38) and anxiety (OR 0·33; 95 % CI 0·20, 0·55), as well as psychological distress (OR 0·30; 95 % CI 0·18, 0·49) compared with those in the lowest tertile. In conclusion, we found a significant association between DPI and mental health in women. Prospective studies are needed to confirm these findings.

scholarly journals HUBUNGAN ANTARA DERAJAT PENYAKIT GINJAL KRONIK DENGAN NILAI AGREGASI TROMBOSIT DI RSUP PROF. DR. R. D. KANDOU MANADO

2014 ◽  
Vol 2 (2) ◽  
Author(s):  
Melti Tandi ◽  
Arthur Mongan ◽  
Firginia Manoppo
Keyword(s):  
Chronic Kidney Disease ◽  
Platelet Aggregation ◽  
Kidney Disease ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Long Life ◽  
End Stage ◽  
Hospital Clinic

Abstract: Chronic kidney disease has got a lot of attention and more widely studied despite reached end stage renal failure, patients still live a long life witha fairly good quality of life although the prevalence is increases throughout the year. one of the circumstances in chronic kidney disease is uremia which is a clinical and laboratory syndrome that occurs inorgans. In uremia interference with platelet function, the production ofprostacyclinin blood vesselswould increase, and excessurea levels in blood would be a potential vasodilator and platelet aggregation antagonist. Methods: An analytic observational cross-sectional study. Samples were patients that diagnosed with chronic kidney disease at the Hospital Clinic of Nephrology-Hypertension Prof. Dr.R. D.Kandou Manado in December toFebruary 2014. Criteria included were patients  <80 years old and has been diagnosed with chronic kidney disease in this case had done a physical examination and investigations by doctors, using medical record of urea-creatinine and also a complete blood countand platelet aggregation in Prokita Laboratory Manado. Forstatistical analysisusedShapiro-Wilk testalsoPearsonCorrelationstest. Result: There were 20 patients with chronic kidney disease sampled in this study. It was found that there is a relationship between of urea-creatinine and aggregation results in trace ADP5(P=0.004) while the value ADP10 no significant correlation(P =0.399). Conclusion: In chronic kidney disease patients, urea-creatininewiththe value of platelet aggregation intrace ADP5had a relation ship while intrace ADP10 had not a relationship. Keywords: Chronic kidney disease, platelet aggregation.

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