Evaluation of Symptoms in Hemodialysis Patients during the COVID-19 Pandemic

Year 2022, Volume: 1 Issue: 2, 1 - 10, 01.10.2022

Asuman Çobanoğlu

Abstract

Aim: The study aims to assess the frequency and severity of the symptoms that HD patients experience during the COVID-19 pandemic and to identify the socio-demographic factors affecting these symptoms.
Method: This descriptive and cross-sectional study aims to assess the frequency and severity of the symptoms that HD patients experience during the COVID-19 pandemic and to identify the socio-demographic factors affecting these symptoms. 41 hemodialysis patients meeting the sampling criteria were included in the study after agreeing to participate. Data were collected using a personal information form prepared in accordance with the relevant literature and the Dialysis Symptom Index (DSI). SPSS 25.0 software was used for data analysis.
Results: It was found out that the mean age of the patients was 55.63±2.43, 56.1% of them were male, and 12.2% of them had COVID-19 disease. It was determined that the mean DSI total score of the patients was 48.17±2.80. The most commonly observed symptoms in the patients were fatigue 97.6%, headache, and difficulty in falling asleep 82.9%.
Conclusion: It was concluded that elderly, literate, male, married, unemployed, chronically ill patients, those who have been receiving HD treatment for 3 years or more, and those who depend on others for daily activities experienced more symptoms.

Keywords

COVID-19 pandemic, hemodialysis patients, life quality

References

• Abdel-Kader, K., Unruh, M.L., Weishbord, S.D. (2009). Symptom burden, depression, and quality of life in chronic and end-stage kidney disease. American Society Nephrology, 4,1057- 1064.
• Akgöz, N, & Arslan, S. (2017). Examination of symptoms in patients who are on hemodialysis treatment. Journal of Nephrology Nursing, 1 (12).
• Akın, S., Taşköprü, İ., Özdilli, K., Yeşiltepe, G., Öztürk, B., Durna, Z. (2010). The functional performance status, quality of life and hemodialysis stressors of hemodialysis patients. Journal of Education and Research in Nursing, 7(3),16-25.
• Barutcu Ataş, D., Aydin Sunbul, E., Velioglu, A., Tuglular, S. (2021). The association between perceived stress with sleep quality, insomnia, anxiety and depression in kidney transplant recipients during COVID-19 pandemic. Plos One, 16(3), e0248117. https://doi.org/10.1371/journal.pone.0248117
• Bonenkamp, A.A., Druiventak, T.A., van Eck van Der Sluijs, A., Van Ittersum, F.J., Van Jaarsveld, B.C., & Abrahams, A.C. (2021). The impact of COVID-19 on the mental health of dialysis patients. J. Nephrol, 34(2),337-344. https://doi.org/10.1007/S40620-021-01005-1
• Bossola, M., Vulpio, C., Tazza, L. (2011). Fatigue in chronic dialysis patients. Seminars in Dialysis, 24 (5),550-555. https://doi.org/10.1111/j.1525-139X.2011.00956.x
• Caplin, B., Kumar, S., Davenport, A. (2011). Patients’ perspective of haemodialysisassociated symptoms. Nephrol Dial Transplant, 26, 2656–2663.
• Durmaz Akyol, A. (2016). Hemodiyaliz hastalarında yaşam kalitelesini etkileyen faktörlerin incelenmesi. Nefroloji Hemşireliği Dergisi, 1,17-33.
• Elder, S.J., Pisoni, R.L., Akizawa, T., Fissell, R., Andreucci, V.E., Fukuhara, S., Kurokawa, K, Rayner, H.C., Furniss, A.L., Port, H.K., Saran, R. (2008). Sleep quality predicts quality of life and mortality risk in haemodialysis patients: results from the dialysis outcomes and practice patterns study. Nephrol Dial Transplants, 23,998-1008. https://doi.org/10.1093/ndt/gfm630
• Goicoechea, M., Cámara, L.A.S., Macías, N., De Morales, A.M., Rojas, Á.G. et al. (2020). Covid-19: clinical course and outcomes of 36 hemodialysis patients in spain. Kidney International, 98(1),27-34. https://doi.org/10.1016/j.kint.2020.04.031
• Göriş, S., Ceyhan, Ö., Taşçı, S., Doğan, N. (2016). Do symptoms related to hemodialysis affect marital adjustment? Sex Disabil, 34,63–73.
• Hao, W., Tang, Q., Huang, X., Ao L., Wang, J., Xie, D. (2021). Analysis of the prevalence and influencing factors of depression and anxiety among maintenance dialysis patients during the COVID-19 pandemic. International Urology and Nephrology, 53(7). 1453-1461. https://doi.org/10.1007/s11255-021-02791-0
• Hindistan, S., Deniz, A. (2018). Evaluation of symptoms in patients undergoing hemodialysis. Bezmialem Science. 6,112-118.
• International Society of Nephrology (ISN), (2016). International society of nephrology (ISN) response to who discussion paper on updated appendix 3 of the who global NCD action plan (2013-2020), 1-5.
• Liu, Q., Zhao, G., Ji, B., Liu, Y., Zhang, J., Mou, Q., Shi, T. (2020). Analysis of the influence of the psychology changes of fear induced by the COVID-19 epidemic on the body. World Journal Acupuncture – Moxibustion, 17,54. https://doi.org/10.1016/j.wjam.2020.06.007
• Mardomi, A., Khosroshahi, H.T. (2021). Dialysis-induced immune dysregulations and their possible impacts on covid-19. Iranian Journal of Kidney Diseases. 5(3),161-167.
• Medjeral-Thomas, N.R., Thomson, T., Ashby, D., Muthusamy, A., Nevin, M., Duncan, N., Loucaiddou, M. (2020). Cohort study of outpatient hemodialysis management strategies for covid-19 in north-west london. Kidney International Reports, 5,2055-2065. https://doi.org/10.1016/j.ekir.2020.08.022
• Moledina, D.G., Perry Wilson, F. (2015). Pharmacologic treatment of common symptoms in dialysis patients: A narrative review. Semin Dialysis, 28,377-83. https://doi.org/10.1111/sdi.12378
• Ordin, Y.S. (2020). Türk nefroloji, diyaliz ve transplantasyon hemşireleri derneği covid‐19 komisyonu covid-19 koronavirüs hastalığı rehberleri. Nefroloji Hemşireliği Dergisi, 15(2),143-215.
• Önsöz, H.B., Usta Yeşilbalkan, Ö. (2013). Reliability and validity of the turkish version of the dialysis symptom index in chronic hemodialysis patients. Turkish Nephrology, Dialysis and Transplantation Journal, 22(1), 60-67.
• Özkan I., Taylan S. (2020). Investigation of the relation between symptoms seen in haemodialysis patıents wıth dialysis adequacy and personality traits. Rev Nefrol Dial Traspl, 40(02):106-18
• Türk Nefroloji Derneği (TND). (2019). Türkiyede nefroloji, diyaliz ve transplantasyon. Ed. Süleymanlar G., Ateş K., Seyahi, N. ISBN 978-605-62465-0-0 Üstün, M., Karadeniz, G. (2006). Hemodiyaliz tedavisi gören hastaların yaşam kalitesi ve bilgilendirici hemşirelik yaklaşımlarının önemi. Fırat Sağlık Hizmetleri Dergisi, 1(1),33-43.
• Yürügen, B., Gökdoğan, F., Nural, N. (2015). Diyaliz teknikerleri icin nefroloji kitabı. Birinci Baskı. Akademisyen Tıp Kitabevi, No.5, Ankara; 1-182.
• Warren, A.M., Zolfaghari, K., Fresnedo, M., Bennett, M., Pogue, J., Waddimba, A., Zvolensky, M., Carlbring P, Powers MB. (2021). Anxiety sensitivity, COVID-19 fear, and mental health: results from a United States population sample. Cognitive Behaviour Therapy, 5(3),204-216. https://doi.org/10.1080/16506073.2021.1874505
• Watnick, S., McNamara, E. (2020). On the frontline of the COVID-19 outbreak: keeping patients on long-term dialysis safe. CJASN, 15,710–713. https://doi.org/10.2215/CJN.03540320.
• Weisbord, S.D., Fried, L.F., Arnold, R.M., Rotondi, A.J., Fine, M.J. et al. (2004). Development of a symptom assessment instrument for chronic hemodialysis patients: the dialysis symptom index. Journal of Pain and Symptom Management, 27(3),226-237. https://doi.org/10.1016/j.jpainsymman.2003.07.004
• Winter, T., Riordan, B.C., Pakpour, A.H., Griffiths, M.D., Mason, A., Poulgrain, J.W., Scarf, D. (2020). Evaluation of the english version of the fear of COVID-19 scale and its relationship with behavior change and political beliefs. International Journal of Mental Health and Addiction. https://doi.org/10.1007/s11469-020-00342-9.
• World Health Organization (WHO). https://covid19.who.int/ Accessed 3 August, 2022.