NEPHROLOGY, DIALYSIS AND INTERNAL MEDICINE, WARSAW MEDICAL UNIVERSITY, WARSAW, POLAND.
INSTITUTE OF PSYCHOLOGY, CARDINAL STEFAN WYSZYŃSKI UNIVERSITY, WARSAW, POLAND.
Wiad Lek. 2021;74(7):1758-1762.
The pandemic crisis of COVID-19 has caused anxiety and depressive symptoms to increase in many people worldwide. Yet, difficult situations may not only lead to various types of disorders, fears, anxieties and feelings of loss. They can also lead to positive changes, even to development or growth after experienced trauma, to positive adaptation, to changes in self-perception, changes in interpersonal relations or philosophy of life. Patients with chronic kidney disease, especially those on renal replacement therapy, often experience severe psychological problems such as anxiety disorders, depressive disorders, or difficulties related to coping with excessive stress. The aim of our review is to disscus the appropriatness of mental health screening tools in patients with chronic kidney disease, including those on dialyses, during COVID-19 pandemic. Recently published studies indicate the limited available data evaluating the diagnostic accuracy of screening tools for mental status in patients with chronic kidney disease. This, it seems reasonable to stress the mental health associations with situational stress in this group of patients during the SARS-CoV-2 pandemic. It is also worth pointing out the need to research the impact of the mental disorders in this population on morbidity and mortality, taking into account other organ complications and the quality of life of patients not only during the SARS-CoV-2 pandemic. It is worth to to make every effort to reduce the severity of the anxiety and feelings of hopelessness in dialysis patients, to cope with the pandemic.
COVID-19 大流行危机导致全世界许多人的焦虑和抑郁症状增加。然而，困难的情况不仅可能导致各种类型的障碍、恐惧、焦虑和失落感。它们还可能导致积极的变化，甚至在经历创伤后发展或成长，积极适应，自我认知的改变，人际关系的改变或生活哲学的改变。慢性肾脏病患者，尤其是接受肾脏替代治疗的患者，常经历严重的心理问题，如焦虑障碍、抑郁障碍或与应对过度压力相关的困难。我们综述的目的是讨论在 COVID-19 大流行期间，包括透析患者在内的慢性肾脏病患者心理健康筛查工具的适宜性。最近发表的研究表明，评估慢性肾脏病患者精神状态筛查工具诊断准确性的可用数据有限。因此，在 SARS-CoV-2 大流行期间，强调这组患者与情境压力相关的心理健康问题是合理的。还值得指出的是，需要研究这一人群的精神障碍对发病率和死亡率的影响，同时考虑到其他器官并发症和患者的生活质量，不仅是在 SARS-CoV-2 大流行期间。值得努力减轻透析患者的焦虑和绝望感的严重程度，以应对大流行。
