Volume 21, Issue 6 (3-2023)
TB 2023, 21(6): 1-14 |
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solaimanimoghaddam R, Baloochi Beydokhti T. Investigation and Comparison of Depression, Anxiety, and Stress among Hemodialysis and Kidney Transplant Patients during the COVID-19 Pandemic. TB 2023; 21 (6) :1-14
URL: http://tbj.ssu.ac.ir/article-1-3419-en.html
URL: http://tbj.ssu.ac.ir/article-1-3419-en.html
Gonabad University of Medical Sciences , baloochi91@yahoo.com
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Investigation and Comparison of Depression, Anxiety, and Stress among Hemodialysis and Kidney Transplant Patients during the COVID-19 Pandemic
Rasool Solaimani Moghaddam(M.S.c)1, Tahereh Baloochi Beydokhti(Ph.D.)2
[1]. Msc in nursing, Birjand University of Medical Sciences, Birjand, Iran
2. Corresponding Author : Assistant Professor,Department of Emergency Medicine, Nursing School, Nursing Research Center, Gonabad University Of Medical Sciences, Gonabad, Iran.
Email: baloochi91@yahoo.com Tel:05157223028
Abstract
Introduction: Due to the spread of COVID-19, hemodialysis patients experience substantial stress and anxiety regarding post-treatment care after hemodialysis and kidney transplants. This study aims comparison of depression, anxiety, and stress among hemodialysis and kidney transplant patients during the COVID-19 pandemic.
Methods: The statistical population of this descriptive-cross-sectional study included 206 hemodialysis and kidney transplant patients in the special disease center of Birjand city. Eligible patients were selected in a targeted way in 2021 and 2022. The data collection tool included demographic information form and psychological distress questionnaire. SPSS version 20 was used to analyze the collected data using descriptive and inferential statistics. A significance level of less than 0.05 was considered significant
Results: The average scores of depression, anxiety and stress in the kidney transplant group were higher than the hemodialysis group (p<0.001). Depression, anxiety and stress had no significant relationship with the variables of age, income, sex, marriage and place of residence (p>0.05).
Conclusion: The level of depression, anxiety and stress in the kidney transplant group was higher than that of the hemodialysis group, which can be attributed to the concern of the kidney transplant group about rejecting the transplant after contracting the corona virus, and measures are taken to increase the awareness of patients so that they can avoid contracting the disease. prevent illness and future problems
Keywords: Stress, Anxiety, Depression, Renal Failure, COVID-19
References
1-Bonenkamp AA, Druiventak TA, van Eck van der Sluijs A, van Ittersum FJ, van Jaarsveld BC, Abrahams AC, et al. The Impact of COVID-19 on the mental health of dialysis patients. Journal of nephrology. 2021;34:337-44.
2- Amirfakhraei A, Masoumifard M, Esmaeilishad B, DashtBozorgi Z, Baseri LD. Prediction of corona virus anxiety based on health concern, psychological hardiness, and positive meta-emotion in diabetic patients. Journal of Diabetes Nursing. 2020;8(2):1072-83. [Persian]
3-Bagheri Sheykhangafshe F, Saeedi M, Savabi Niri V, Deldari Alamdari M, Ghodrat G, Fathi-Ashtiani A. Anxiety, Depression and Stress in Patients with Rheumatoid Arthritis and Migraine During Coronavirus 2019 Pandemic: Systematic Review Study. Anesthesiology and Pain. 2022;12(4):44-59. [Persian]
4- Hamer M, Kivimäki M, Gale CR, Batty GD. Lifestyle Risk Factors for Cardiovascular Disease in Relation to COVID-19 Hospitalization: A Community-Based Cohort Study of 387,109 Adults in UK. medRxiv. 2020. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7273266/.
5-Fisher MP, Hamer MK. Qualitative methods in health policy and systems research: a framework for study planning. Qualitative health research. 2020;30(12):1899-912.
6-Gualano MR, Lo Moro G, Voglino G, Bert F, Siliquini R. Effects of Covid-19 lockdown on mental health and sleep disturbances in Italy. International journal of environmental research and public health. 2020;17(13):4779.
7-Lara B, Carnes A, Dakterzada F, Benitez I, Piñol‐Ripoll G. Neuropsychiatric symptoms and quality of life in Spanish patients with Alzheimer’s disease during the COVID‐19 lockdown. European journal of neurology. 2020;27(9):1744-7.
8-Pulvirenti F, Cinetto F, Milito C, Bonanni L, Pesce AM, Leodori G, et al. Health-related quality of life in common variable immunodeficiency Italian patients switched to remote assistance during the COVID-19 pandemic. The Journal of Allergy and Clinical Immunology: In Practice. 2020;8(6):1894-9. e2.
9-Cheng SO, Khan S. Europe's response to COVID-19 in March and April 2020-A letter to the editor on" World Health Organization declares global emergency: A review of the 2019 novel coronavirus (COVID-19)"(Int J Surg 2020; 76: 71-6). International journal of surgery (London, England). 2020;78:3-4.
10-Lee J, Steel J, Roumelioti M-E, Erickson S, Myaskovsky L, Yabes JG, et al. Psychosocial impact of COVID-19 pandemic on patients with end-stage kidney disease on hemodialysis. Kidney360. 2020;1(12):1390.
11-Chawki S, Buchard A, Sakhi H, Dardim K, El Sakhawi K, Chawki M, et al. Long-term impact of COVID-19 among maintenance haemodialysis patients. Clinical Kidney Journal. 2022;15(2):262-8.
12-Hao W, Tang Q, Huang X, Ao L, Wang J, Xie D. Analysis of the prevalence and influencing factors of depression and anxiety among maintenance dialysis patients during the COVID-19 pandemic. International Urology and Nephrology. 2021;53:1453-61.
13-Mahmoudi A, Mousavi SK, Kamali M, Azizkhani H. Relationship between religious beliefs and self-management behaviors in patients with kidney transplantation. Journal of Religion and Health. 2022;9(2):5-14. [Persian]
14-Azari S, Kiani G, Hejazi M. The Effect of Acceptance and Commitment Based Group Therapy on Increasing the Quality of Life in Kidney Transplant and Hemodialysis Patients in Zanjan City: A Randomized Clinical Trial Study. Journal of Rafsanjan University of Medical Sciences. 2020;19(6):555-68. [Persian]
15-Rubin GJ, Wessely S. The psychological effects of quarantining a city. Bmj. 2020;368.
16-Khoshkhatti N, Bazzazian S, Yazdinezhad A. The Effectiveness of Mindfulness-Based Cognitive Therapy on Symptoms of Anxiety, Depression and Stress in Renal Patients Under Hemodialysis. Iranian Journal of Nursing Research. 2020;14(6):9-17. [Persian]
17-Khodayarifard M, Asayesh MH. Psychological coping strategies and techniques to deal with stress & anxiety around coronavirus (COVID-19). Rooyesh-e-Ravanshenasi Journal (RRJ). 2020;9(8):1-18.
18-Baghcheghi N, Koohestani HR. Comparison of depression and quality of life between patients on hemodialysis and their spouses. Avicenna Journal of Nursing and Midwifery Care. 2020;28(2):136-43. [Persian]
19-Fathi zadeh m, alimoradi s. The effect of aerobics exercise on depression, anxiety, and stress in women with subclinical hypothyroidism. Nursing And Midwifery Jouranl. 2019;17(9):749-57. [Persian]
20-Zangiabadi MR, Eshaghi Astani M, Khademi Poor R. Review of the Neurological Diseases Status in Obstacles of the Custody (Article 1173 of Civil Law). Iranian Journal of Medical Law. 2020;13(51):65-88.
21-Rashidi M, Rashidy-Pour A, Ghorbani R, Diyant H, Shahvaranian M. The comparison of aerobic and anaerobic exercise effects on depression and anxiety in students. Koomesh. 2017:333-40. [Persian]
22-Delshad Noughabi A, Ghorbany Moghadam I, Khavasi M, Raznahan R, Abbasi Mendi A, Mohsenikhah M. Evaluation of Depression, Anxiety and Stress in Hemodialysis Patients in Gonabad City 2017. The Horizon of Medical Sciences. 2019;25(2):138-4. [Persian]
23-Lovibond PF, Lovibond SH. The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour research and therapy. 1995;33(3):335-43.
24-Najafi Kalyani M, Pourjam E, Jamshidi N, Karimi S, Najafi Kalyani V. Survey of stress, anxiety, depression and self-concept of students of Fasa University of medical sciences, 2010. Journal of Fasa University of Medical Sciences. 2013;3(3):235-40. [Persian]
25-Farnia V, Afshari D, Abdoli N, Radmehr F, Moradinazar M, Alikhani M, et al. The effect of substance abuse on depression, anxiety, and stress (DASS-21) in epileptic patients. Clinical Epidemiology and Global Health. 2021;9:128-31.
26-Yu JY, Kim JS, Hong C-M, Lee KY, Cho N-J, Park S, et al. 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;16(12):e0260929.
27-Dehghan M, Namjoo Z, Mohammadi Akbarabadi F, Fooladi Z, Zakeri MA. The relationship between anxiety, stress, spiritual health, and mindfulness among patients undergoing hemodialysis: A survey during the COVID‐19 outbreak in Southeast Iran. Health Science Reports. 2021;4(4):e461.
28-Zandifar A, Badrfam R, Yazdani S, Arzaghi SM, Rahimi F, Ghasemi S, et al. Prevalence and severity of depression, anxiety, stress and perceived stress in hospitalized patients with COVID-19. Journal of Diabetes & Metabolic Disorders. 2020;19:1431-8. [Persian]
29-Cheema M, Mitrev N, Hall L, Tiongson M, Ahlenstiel G, Kariyawasam V. Depression, anxiety and stress among patients with inflammatory bowel disease during the COVID-19 pandemic: Australian national survey. BMJ open gastroenterology. 2021;8(1):e000581.
30-Mosli M, Alourfi M, Alamoudi A, Hashim A, Saadah O, Al Sulais E, et al. A cross-sectional survey on the psychological impact of the COVID-19 pandemic on inflammatory bowel disease patients in Saudi Arabia. Saudi journal of gastroenterology: official journal of the Saudi Gastroenterology Association. 2020;26(5):263.
31-Araújo FC, Gonçalves NP, Mourão AF. Impact of the mandatory confinement during the first wave of the SARS-CoV-2/COVID-19 pandemic in Portuguese patients with rheumatoid arthritis: results from the COVID in RA (COVIDRA) survey. Acta reumatologica portuguesa. 2021;46(2):126-33.
32-Maldonado D, Tu E, Mahmood S, Wahezi D, Darapaneni R, Sima N, et al. Medication access difficulty and COVID-related distress are associated with disease flares in rheumatology patients during the COVID-19 pandemic. Arthritis care & research. 2021;73(8):1162.
33-Kovács LN, Baksa D, Dobos D, Eszlári N, Gecse K, Kocsel N, et al. Perceived stress in the time of COVID-19: the association with brooding and COVID-related rumination in adults with and without migraine. BMC psychology. 2021;9(1):1-10.
34-Bhatia A, Kc M, Gupta L. Increased risk of mental health disorders in patients with RA during the COVID-19 pandemic: a possible surge and solutions. Rheumatology international. 2021;41(5):843-50.
35-Sarboozi Hosein Abadi T, Askari M, Miri K, Namazi Nia M. Depression, stress and anxiety of nurses in COVID-19 pandemic in Nohe-Dey Hospital in Torbat-e-Heydariyeh city, Iran. Journal Mil Med. 2020;22(6):526-33.
Rasool Solaimani Moghaddam(M.S.c)1, Tahereh Baloochi Beydokhti(Ph.D.)2
[1]. Msc in nursing, Birjand University of Medical Sciences, Birjand, Iran
2. Corresponding Author : Assistant Professor,Department of Emergency Medicine, Nursing School, Nursing Research Center, Gonabad University Of Medical Sciences, Gonabad, Iran.
Email: baloochi91@yahoo.com Tel:05157223028
Abstract
Introduction: Due to the spread of COVID-19, hemodialysis patients experience substantial stress and anxiety regarding post-treatment care after hemodialysis and kidney transplants. This study aims comparison of depression, anxiety, and stress among hemodialysis and kidney transplant patients during the COVID-19 pandemic.
Methods: The statistical population of this descriptive-cross-sectional study included 206 hemodialysis and kidney transplant patients in the special disease center of Birjand city. Eligible patients were selected in a targeted way in 2021 and 2022. The data collection tool included demographic information form and psychological distress questionnaire. SPSS version 20 was used to analyze the collected data using descriptive and inferential statistics. A significance level of less than 0.05 was considered significant
Results: The average scores of depression, anxiety and stress in the kidney transplant group were higher than the hemodialysis group (p<0.001). Depression, anxiety and stress had no significant relationship with the variables of age, income, sex, marriage and place of residence (p>0.05).
Conclusion: The level of depression, anxiety and stress in the kidney transplant group was higher than that of the hemodialysis group, which can be attributed to the concern of the kidney transplant group about rejecting the transplant after contracting the corona virus, and measures are taken to increase the awareness of patients so that they can avoid contracting the disease. prevent illness and future problems
Keywords: Stress, Anxiety, Depression, Renal Failure, COVID-19
References
1-Bonenkamp AA, Druiventak TA, van Eck van der Sluijs A, van Ittersum FJ, van Jaarsveld BC, Abrahams AC, et al. The Impact of COVID-19 on the mental health of dialysis patients. Journal of nephrology. 2021;34:337-44.
2- Amirfakhraei A, Masoumifard M, Esmaeilishad B, DashtBozorgi Z, Baseri LD. Prediction of corona virus anxiety based on health concern, psychological hardiness, and positive meta-emotion in diabetic patients. Journal of Diabetes Nursing. 2020;8(2):1072-83. [Persian]
3-Bagheri Sheykhangafshe F, Saeedi M, Savabi Niri V, Deldari Alamdari M, Ghodrat G, Fathi-Ashtiani A. Anxiety, Depression and Stress in Patients with Rheumatoid Arthritis and Migraine During Coronavirus 2019 Pandemic: Systematic Review Study. Anesthesiology and Pain. 2022;12(4):44-59. [Persian]
4- Hamer M, Kivimäki M, Gale CR, Batty GD. Lifestyle Risk Factors for Cardiovascular Disease in Relation to COVID-19 Hospitalization: A Community-Based Cohort Study of 387,109 Adults in UK. medRxiv. 2020. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7273266/.
5-Fisher MP, Hamer MK. Qualitative methods in health policy and systems research: a framework for study planning. Qualitative health research. 2020;30(12):1899-912.
6-Gualano MR, Lo Moro G, Voglino G, Bert F, Siliquini R. Effects of Covid-19 lockdown on mental health and sleep disturbances in Italy. International journal of environmental research and public health. 2020;17(13):4779.
7-Lara B, Carnes A, Dakterzada F, Benitez I, Piñol‐Ripoll G. Neuropsychiatric symptoms and quality of life in Spanish patients with Alzheimer’s disease during the COVID‐19 lockdown. European journal of neurology. 2020;27(9):1744-7.
8-Pulvirenti F, Cinetto F, Milito C, Bonanni L, Pesce AM, Leodori G, et al. Health-related quality of life in common variable immunodeficiency Italian patients switched to remote assistance during the COVID-19 pandemic. The Journal of Allergy and Clinical Immunology: In Practice. 2020;8(6):1894-9. e2.
9-Cheng SO, Khan S. Europe's response to COVID-19 in March and April 2020-A letter to the editor on" World Health Organization declares global emergency: A review of the 2019 novel coronavirus (COVID-19)"(Int J Surg 2020; 76: 71-6). International journal of surgery (London, England). 2020;78:3-4.
10-Lee J, Steel J, Roumelioti M-E, Erickson S, Myaskovsky L, Yabes JG, et al. Psychosocial impact of COVID-19 pandemic on patients with end-stage kidney disease on hemodialysis. Kidney360. 2020;1(12):1390.
11-Chawki S, Buchard A, Sakhi H, Dardim K, El Sakhawi K, Chawki M, et al. Long-term impact of COVID-19 among maintenance haemodialysis patients. Clinical Kidney Journal. 2022;15(2):262-8.
12-Hao W, Tang Q, Huang X, Ao L, Wang J, Xie D. Analysis of the prevalence and influencing factors of depression and anxiety among maintenance dialysis patients during the COVID-19 pandemic. International Urology and Nephrology. 2021;53:1453-61.
13-Mahmoudi A, Mousavi SK, Kamali M, Azizkhani H. Relationship between religious beliefs and self-management behaviors in patients with kidney transplantation. Journal of Religion and Health. 2022;9(2):5-14. [Persian]
14-Azari S, Kiani G, Hejazi M. The Effect of Acceptance and Commitment Based Group Therapy on Increasing the Quality of Life in Kidney Transplant and Hemodialysis Patients in Zanjan City: A Randomized Clinical Trial Study. Journal of Rafsanjan University of Medical Sciences. 2020;19(6):555-68. [Persian]
15-Rubin GJ, Wessely S. The psychological effects of quarantining a city. Bmj. 2020;368.
16-Khoshkhatti N, Bazzazian S, Yazdinezhad A. The Effectiveness of Mindfulness-Based Cognitive Therapy on Symptoms of Anxiety, Depression and Stress in Renal Patients Under Hemodialysis. Iranian Journal of Nursing Research. 2020;14(6):9-17. [Persian]
17-Khodayarifard M, Asayesh MH. Psychological coping strategies and techniques to deal with stress & anxiety around coronavirus (COVID-19). Rooyesh-e-Ravanshenasi Journal (RRJ). 2020;9(8):1-18.
18-Baghcheghi N, Koohestani HR. Comparison of depression and quality of life between patients on hemodialysis and their spouses. Avicenna Journal of Nursing and Midwifery Care. 2020;28(2):136-43. [Persian]
19-Fathi zadeh m, alimoradi s. The effect of aerobics exercise on depression, anxiety, and stress in women with subclinical hypothyroidism. Nursing And Midwifery Jouranl. 2019;17(9):749-57. [Persian]
20-Zangiabadi MR, Eshaghi Astani M, Khademi Poor R. Review of the Neurological Diseases Status in Obstacles of the Custody (Article 1173 of Civil Law). Iranian Journal of Medical Law. 2020;13(51):65-88.
21-Rashidi M, Rashidy-Pour A, Ghorbani R, Diyant H, Shahvaranian M. The comparison of aerobic and anaerobic exercise effects on depression and anxiety in students. Koomesh. 2017:333-40. [Persian]
22-Delshad Noughabi A, Ghorbany Moghadam I, Khavasi M, Raznahan R, Abbasi Mendi A, Mohsenikhah M. Evaluation of Depression, Anxiety and Stress in Hemodialysis Patients in Gonabad City 2017. The Horizon of Medical Sciences. 2019;25(2):138-4. [Persian]
23-Lovibond PF, Lovibond SH. The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour research and therapy. 1995;33(3):335-43.
24-Najafi Kalyani M, Pourjam E, Jamshidi N, Karimi S, Najafi Kalyani V. Survey of stress, anxiety, depression and self-concept of students of Fasa University of medical sciences, 2010. Journal of Fasa University of Medical Sciences. 2013;3(3):235-40. [Persian]
25-Farnia V, Afshari D, Abdoli N, Radmehr F, Moradinazar M, Alikhani M, et al. The effect of substance abuse on depression, anxiety, and stress (DASS-21) in epileptic patients. Clinical Epidemiology and Global Health. 2021;9:128-31.
26-Yu JY, Kim JS, Hong C-M, Lee KY, Cho N-J, Park S, et al. 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;16(12):e0260929.
27-Dehghan M, Namjoo Z, Mohammadi Akbarabadi F, Fooladi Z, Zakeri MA. The relationship between anxiety, stress, spiritual health, and mindfulness among patients undergoing hemodialysis: A survey during the COVID‐19 outbreak in Southeast Iran. Health Science Reports. 2021;4(4):e461.
28-Zandifar A, Badrfam R, Yazdani S, Arzaghi SM, Rahimi F, Ghasemi S, et al. Prevalence and severity of depression, anxiety, stress and perceived stress in hospitalized patients with COVID-19. Journal of Diabetes & Metabolic Disorders. 2020;19:1431-8. [Persian]
29-Cheema M, Mitrev N, Hall L, Tiongson M, Ahlenstiel G, Kariyawasam V. Depression, anxiety and stress among patients with inflammatory bowel disease during the COVID-19 pandemic: Australian national survey. BMJ open gastroenterology. 2021;8(1):e000581.
30-Mosli M, Alourfi M, Alamoudi A, Hashim A, Saadah O, Al Sulais E, et al. A cross-sectional survey on the psychological impact of the COVID-19 pandemic on inflammatory bowel disease patients in Saudi Arabia. Saudi journal of gastroenterology: official journal of the Saudi Gastroenterology Association. 2020;26(5):263.
31-Araújo FC, Gonçalves NP, Mourão AF. Impact of the mandatory confinement during the first wave of the SARS-CoV-2/COVID-19 pandemic in Portuguese patients with rheumatoid arthritis: results from the COVID in RA (COVIDRA) survey. Acta reumatologica portuguesa. 2021;46(2):126-33.
32-Maldonado D, Tu E, Mahmood S, Wahezi D, Darapaneni R, Sima N, et al. Medication access difficulty and COVID-related distress are associated with disease flares in rheumatology patients during the COVID-19 pandemic. Arthritis care & research. 2021;73(8):1162.
33-Kovács LN, Baksa D, Dobos D, Eszlári N, Gecse K, Kocsel N, et al. Perceived stress in the time of COVID-19: the association with brooding and COVID-related rumination in adults with and without migraine. BMC psychology. 2021;9(1):1-10.
34-Bhatia A, Kc M, Gupta L. Increased risk of mental health disorders in patients with RA during the COVID-19 pandemic: a possible surge and solutions. Rheumatology international. 2021;41(5):843-50.
35-Sarboozi Hosein Abadi T, Askari M, Miri K, Namazi Nia M. Depression, stress and anxiety of nurses in COVID-19 pandemic in Nohe-Dey Hospital in Torbat-e-Heydariyeh city, Iran. Journal Mil Med. 2020;22(6):526-33.
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Received: 2022/06/26 | Accepted: 2022/10/29 | Published: 2023/03/1
Received: 2022/06/26 | Accepted: 2022/10/29 | Published: 2023/03/1
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