University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK
University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
Clin Med (Lond). 2021 Sep;21(5):e556-e558. doi: 10.7861/clinmed.2021-0259.
While all patients with chronic disease have undoubtedly been affected by the ongoing SARS-CoV-2 (COVID-19) pandemic, individuals with end-stage renal failure have suffered significant excess morbidity and mortality. Patients on haemodialysis have received extensive research and media attention into their vulnerability to the disease; however, those receiving peritoneal dialysis (PD) have been much less visible. We surveyed a selection of patients from a cohort receiving PD at a tertiary renal unit in Birmingham, UK. We devised a questionnaire looking at patients' experience of shielding, accessing both dialysis and general medical care during the pandemic, and their thoughts about the pandemic and the future. Concerning findings were apparent from this. Attending hospital was the most commonly cited reason for being unable to shield, and multiple patients experienced difficulties accessing care while unwell during this period. Worryingly, 58% of respondents indicated that they feel negatively, or feel ambivalent, about the future. Patients receiving PD have suffered significantly during the COVID-19 pandemic and face ongoing difficulties and risks while accessing medical care. It is vital that this cohort is not forgotten in the planning of renal services during the pandemic, and that special attention is paid to both their physical and mental health.
虽然所有患有慢性病的患者无疑都受到了持续的 SARS-CoV-2（COVID-19）大流行的影响，但终末期肾衰竭患者的发病率和死亡率显著增加。血液透析患者的疾病易感性受到了广泛的研究和媒体关注；然而，腹膜透析（PD）患者的关注度则低得多。我们对英国伯明翰一家三级肾脏单位接受 PD 治疗的患者队列进行了抽样调查。我们设计了一份问卷，调查患者在大流行期间的屏蔽体验、接受透析和一般医疗护理的情况，以及他们对大流行和未来的看法。从这些调查中可以明显看出一些令人担忧的情况。无法屏蔽的最常见原因是需要去医院，许多患者在这段时间身体不适时，都遇到了就医困难。令人担忧的是，58%的受访者表示，他们对未来感到消极，或者感到矛盾。接受 PD 治疗的患者在 COVID-19 大流行期间遭受了严重影响，在获得医疗护理方面面临持续的困难和风险。在大流行期间规划肾脏服务时，切勿忘记这一人群，特别关注他们的身心健康至关重要。
