Hemodiyaliz Hastalarında Covid-19 Pandemisi Öncesi ve Sırasında Depresif Belirtilerin Yaygınlığı ve Şiddetinin Karşılaştırılması

Öz

Amaç: Hemodiyaliz hastalarında COVID-19 salgını öncesi ve sırasında depresif belirtilerin varlığını ve şiddetini incelemek ve pandemi ile ilişkisini değerlendirmek. Gereç ve Yöntem: Bu çalışma, Eylül 2018-Haziran 2021 tarihleri arasında Beck depresyon anketi uygulanan 21 yetişkin hemodiyaliz hastası ile retrospektif olarak gerçekleştirildi. BDE skorlarının normal dağılıma uygunluğu Shapiro-Wilk testi ile değerlendirildi. 3 farklı tekrarlı ölçüm zamanı arasındaki BDÖ skorlarını karşılaştırmak için Friedman testi, çoklu karşılaştırmalar için Bonferroni düzeltmeli Dunn testi kullanıldı. Hastaların depresyon durumunu (hayır ve evet) 3 farklı tekrarlanan ölçüm periyodu arasında karşılaştırmak için Cochran Q testi kullanıldı. P değeri <0.05 istatistiksel olarak anlamlı kabul edildi. Bulgular: 21 hastanın (16 erkek, 5 kadın) yaş ortalaması 66,6±9,6 yıl olup, yaşları 48 ile 84 arasında değişmektedir. Hastaların %23,8'i kadın, %76,2'si erkekti. COVID-19 salgını sırasında BDE skorlarının pandemi öncesine göre anlamlı derecede yüksek olduğu görüldü (p < 0,001; Tablo 1 ve Şekil 2). COVID-19 salgını sırasında depresif belirtilerin şiddeti kadınlarda erkeklere göre oldukça yüksekti (p = 0,038). Sonuç: COVID-19 salgını hemodiyaliz hastalarında BDI skorlarını artırdı. Hemodiyaliz hastalarının rutin takibinde Beck Depresyon Anketi'nin uygulanmasının, depresyona girebilecek hastaların erken tanınmasına, gerekli tedavilerin sağlanmasına ve hemodiyaliz tedavisine uyumun artmasına önemli katkı sağlayacağını düşünüyoruz.

Anahtar Kelimeler

• beck depresyon envanteri
• COVID-19
• hemodiyaliz

Comparison of Prevalence and Severity of Depressive Symptoms in Hemodialysis Patients Before and During The Covid-19 Pandemic

Öz

Abstract Aims: To examine the presence and severity of depressive symptoms in hemodialysis patients before and during the COVID-19 epidemic and to evaluate its relationship with the pandemic. Methods: This study was conducted retrospectively with 21 adult hemodialysis patients who were administered the Beck depression questionnaire between September 2018 and June 2021. The conformity of BDI scores to normal distribution was evaluated with the Shapiro-Wilk test. The Friedman test was used to compare BDI scores between 3 different repeated measurement times, and the Dunn test with Bonferroni correction was used for multiple comparisons. Cochran Q test was used to compare patients' depression status (no vs. yes) between 3 different repeated measurement periods. P-value < 0.05 was considered statistically significant. Results: The average age of 21 patients (16 men and 5 women) was 66.6±9.6 years, and their ages ranged from 48 to 84 years. 23.8% of the patients were female and 76.2% were male. BDI scores during the COVID-19 pandemic were significantly higher than pre-pandemic scores (p < 0.001; Table 1 and Figure 2). The severity of depressive symptoms during the COVID-19 pandemic was considerably higher in women than in men (p = 0.038). Conclusion: The COVID-19 pandemic increased BDI scores in hemodialysis patients. We think that the application of the Beck Depression Questionnaire in the routine follow-up of hemodialysis patients will contribute significantly to the early recognition of patients who may become depressed, provide the necessary treatments, and ensure compliance with hemodialysis treatment.

Anahtar Kelimeler

• beck depression inventory
• COVID-19
• hemodialysis

Kaynakça

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