Covid 19 Korkusunun Hemodiyaliz Hastalarında Yaşam Kalitesine Etkisi: Türkiye'de Bir Korelasyon Çalışması

Öz

Amaç: Çalışma, Hemodiyaliz Hastalarında Covid 19 Korkusu ve Yaşam Kalitesi Üzerindeki Etkisinin belirlenmesi amacıyla yapılmıştır. Yöntem: Tanımlayıcı ve kesitsel çalışma Türkiye'de yapılmıştır. Araştırma Ekim 2020 ile Ocak 2021 arasında gerçekleştirilmiştir. Veriler dört diyaliz merkezinden toplanmıştır. Anketler, hastalar tarafından, Web tabanı üzerinden doldurulmuştur. Verilerin toplanmasında Covid 19 Korku Ölçeği ve Nottingham Sağlık Profili kullanılmıştır. Bulgular: Covid 19 riski nedeniyle hastaların korkusunun arttığı ve bu nedenle yaşam kalitelerinin düştüğü tespit edildi. Pandemi sürecinde hastalar en çok duygusal sorunlar, uyku sorunları, sosyal izolasyon ve fiziksel aktivite kısıtlılığı nedeniyle korku yaşadı. Sonuç ve Öneriler: Covid 19 korkusunun yaşam aktivitelerini olumsuz etkilediği ve hayatı zorlaştırdığı tespit edilmiştir. Pandemide hemodiyaliz hastalarının dikkatlice değerlendirilmesi gerektiği sonucuna ulaşılmıştır.

Anahtar Kelimeler

• Covid 19
• Hemodiyaliz
• Yaşam Kalitesi
• Korku

THE EFFECT OF COVID 19 FEAR ON QUALITY OF LIFE IN HEMODIALYSIS PATIENTS: A CORRELATION STUDY IN TURKEY

Öz

Aim: The study aimed to determine the effect of Covid 19 Fear on Quality of Life in Hemodialysis Patients. Method: Descriptive and cross-sectional study was conducted in Turkey. The research was conducted between October 2020 and January 2021. Data were collected from four dialysis centers. A webbased survey was used. Covid 19 Fear Scale and Nottingham Health Profile tolls was used. Results: It was found that the fear of the patients increased due to the risk of Covid 19 and therefore their quality of life decreased. The pandemic process experienced fear due to emotional problems, sleep problems, social isolation and physical activity limitation. Conclusion and Suggestions: It has been determined that the fear of Covid 19 negatively affects life activities and makes life difficult. In pandemic, it is necessary to carefully evaluate hemodialysis patients. Healthcare professionals serving hemodialysis patients should also help solve their psychological problems.

Anahtar Kelimeler

• Hemodialysis
• Covid 19
• Fear
• Quality of life

Kaynakça

1. Alimohamadi, Y., Taghdir, M., & Sepandi, M. (2020). Estimate of the Basic Reproduction Number for COVID-19: A Systematic Review and Meta-analysis. Journal of Preventive Medicine and Public Health Yebang Uihakhoe Chi, 53,151–157.
2. Ahorsu, D.K., Lin, C.Y., Imani,. V, Saffari, M., Griffith, M., & Pakpour, A.H. (2020). The fear of COVID-19 scale: Development and initial validation. International Journal of Mental Health and Addiction, 27, 1-9.
3. Anees, M., Batool, S., Imtiaz, M., & Ibrahim, M. (2018). Socio-economic factors affecting quality of life of hemodialysis patients and its effects on mortality. Pakistan Journal of Medical Science, 34(4),811-816. doi.org 10.12669/pjms.344.15284.
4. Bakioğlu, F., Korkmaz, O., & Ercan, H. (2020). Fear of COVID-19 and Positivity: Mediating Role of Intolerance of Uncertainty, Depression, Anxiety, and Stress. International Journal of Mental Health and Addiction, 28, 1-14.
5. Cao, W., Fang, Z., & Hou, G. et al. (2020). The psychological impact of the COVID-19 epidemic on college students in China. Psychiatry Research, 287, 112934.
6. Chaolin, H., Wang, Y., & Li, X. (2020). Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. The Lancet, 395, 497-506.
7. Duman, N. (2020). COVID-19 Fear and intolerance to uncertainty in university students. The Journal of Social Science, 4(8), 426-437.
8. Flythe, J.E., Dorough, A., Narendra, J.H., Wingard, R.L., Dalrymple, L.S., & Dewalt, D.A. (2019). Development and content validity of a hemodialysis symptom patient-reported outcome measure. Quality of Life Research, 28(1), 253-265.

9. Fotheringham, J., Sajjad, A., & Stel, V. (2020). The association between l.onger hemodialysis treatment times and hospitalization and mortality after the two-day break in individuals receiving three times a week hemodialysis. Nephrology, Dialysis, Transplantation, 34(9), 1577-1584.
10. Ikizler, T.A., & Kliger, A.S. (2020). Minimizing the risk of COVID-19 among patients on dialysis. Nature Reviews Nephrology, 16, 311-313.
11. Küçükdeveci, A.A., McKenna, S.P., & Kutlay, S. (2000). The development and psychometric assessment of the Turkish version of the Nottingham Health Profile. International Journal of Rehabilitation Research, 23, 31-38.
12. Lee, J., Steel, J., & Roumelioti, M.E. (2020). Psychosocial Impact of COVID-19 pandemic on patients with end-stage kidney disease on Hemodialysis. American Society of Nephrology, 1 (12), 1390-1397.
13. Martino, F., Plebani, M., & Ronco, C. (2020). Kidney transplant programmes during the COVID-19 pandemic. Lancet Respiratuar Medicine, 8(5), 38-39.
14. Medeiros, R.C., Sousa, M.N.A, Santos, M.L.L., Medeiros, H.R.L., Freitas, T.D., & Moraes, J.C. (2015). Epidemiological profile of patients under hemodialysis. Revista de Enfermagem, 9, 9846-52.
15. Meijers, B., Messa, P., & Ronco, C. (2020). Safeguarding the maintenance hemodialysis patient population during the coronavirus disease 19 pandemic. Blood Purification, 49(3), 259-264.
16. Mosleh, H., Alenezi, M., Johani, S.A., Alsani, A., Fairag, G., & Bedaiwi, R. (2020). Prevalence and factors of anxiety and depression in chronic kidney disease patients undergoing hemodialysis: A crosssectional single-center study in Saudi Arabia. Cureus, 15, 12(1), e6668.
17. Naicker, S., Yang, C.W., Hwang, S.J., Liu, B.C., Chen, J.H., & Jha, V. (2020). Novel Coronavirus 2019 epidemic and kidneys. Kidney International, 97(5), 824–828.
18. Nie, J., Zhu, S., & Cui, W. (2020). Psychological status and intervention strategy of maintenance hemodialysis patients in COVID-19 epidemic. Research Square. BMC Nephology, 1, 1-11.
19. Pan, K.C., Hung, S.Y., Chen, C., Lu, C., Shih, M.L., & Huang, C.Y. (2019). Social support as a mediator between sleep disturbances, depressive symptoms, and health-related quality of life in patients undergoing hemodialysis. Plos One, 29, 14(4), e0216045.
20. Qiu, J., Shen, B., Zhao, M., Wang, Z., Xie, B., & Xu, Y.A (2020). Nationwide survey of psychological distress among Chinese people in the COVID- 19 epidemic: implications and policy recommendations. Gen Psychiatry, 33, e100213.
21. Rajkumar, R.P. (2020). COVID-19 and mental health: A review of the existing literature. Asian Journal of. Psychiatry, 52, 102066.
22. Rombolà, G., & Brunini, F. (2020). COVID-19 and dialysis: why we should be worried. Journal of Nephrology, 33, 401-403.
23. Satici, B., Saricali, M., & Satici, S.A. (2020). Intolerance of uncertainty and mental wellbeing: serial mediation by rumination and fear of COVID-19. International Journal of Mental Health and Addiction, 1(12), 1-9.
24. Schaier, M. (2018). End-stage renal disease, dialysis, kidney transplantation and their impact on CD4(+) T-cell differentiation. Immunology, 155(2), 211-224.
25. Shamya, O.E., Shuchita, H.T., Claudio, S., Mohanram, R., & Uribarria, J.N. (2020). Telenephrology with Remote Peritoneal Dialysis Monitoring during Coronavirus Disease 19. American Journal of Nephrology,51(6), 480-482.
26. Silva, A.C.S., Miranda, A.S., Rocha, N.P., & Teixeira, A.L. (2018). Neuropsychiatric disorders in chronic kidney disease. Frontiers in Pharmagology, 6(9), 1345.
27. Stojanov, A., Stojanov, J., & Milosevic, V. (2020). The ımpact of the coronavirus disease 2019 pandemic on the psychological status and quality of life of Myasthenia Gravis patients. Annals of Indian Academy of Nourology, 23(4), 510-514.
28. Syed-Ahmed, M., & Narayanan, M. (2019). Immune dysfunction and risk of infection in chronic kidney disease. Advances Chronic Kidney Diseases, 26(1), 8–15.
29. Wang, Y., Di, Y., Ye, J., & Wei, W. (2021). Study on the public psychological states and its related factors during the outbreak of coronavirus disease 2019 (COVID-19) in some regions of China. Psychology Health & Medicine, 26(1), 13-22.
30. Xiong, F., Tang, H., & Liu, L.I. (2020). Clinical characteristics of and medical interventions for COVID-19 in hemodialysis patients in Wuhan, China. Journal of The American Society of Nephrology, 31(7), 1387-1397.