Ibrahim Mohammed, Saeed Elias, Hamarsheh Islam, Al Zabadi Hamzeh, Ahmead Muna
Faculty of Medicine, Al-Quds University, Jerusalem, Palestine.
Department of Public Health, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine.
Front Psychiatry. 2023 Aug 31;14:1247801. doi: 10.3389/fpsyt.2023.1247801. eCollection 2023.
Hemodialysis patients are vulnerable to serious complications such as prolonged hospital stay and psychosocial issues like depression and death anxiety. Studies on psychosocial factors on end-stage renal disease patients' outcomes during COVID-19 pandemic are limited. We aimed to determine the prevalence of depression and death anxiety among Palestinian hemodialysis patients and the evaluate the relationship between their sociodemographic and clinical characteristics during COVID-19 Pandemic.
A cross-sectional study was conducted using a convenience sampling technique. We recruited 308 hemodialysis patients from five hemodialysis units located in government hospitals in Palestine. Beck Depression Inventory and the Templers Death Anxiety Scale were used to collect data, which were then analyzed using SPSS version 20. Descriptive statistics (frequencies and means), t-test, ANOVA and multiple linear regression models were used for data analysis.
Nearly 66.2% of the sample had depression symptoms, 61.4% met the diagnostic threshold for depression, and 69.8% had death anxiety. Furthermore, the multivariate analysis revealed that having a female identity, residing in a city or refugee camp, and patients who reported not experiencing depression had a significant relationship with death anxiety, while having a higher educational level than 12 years, having one or more chronic co-morbidities, and patients who reported experiencing death anxiety had a significant correlation with depression.
Patients receiving hemodialysis frequently experience depression and death anxiety. These patients should receive a psychiatric evaluation in the early stages of their illness so that timely and appropriate psychological interventions can be given in hemodialysis facilities in Palestine during and after future pandemics.
血液透析患者易出现严重并发症，如住院时间延长以及抑郁和死亡焦虑等心理社会问题。关于新冠疫情期间心理社会因素对终末期肾病患者预后影响的研究有限。我们旨在确定巴勒斯坦血液透析患者中抑郁和死亡焦虑的患病率，并评估新冠疫情期间他们的社会人口学和临床特征之间的关系。
采用便利抽样技术进行横断面研究。我们从巴勒斯坦政府医院的五个血液透析单元招募了308名血液透析患者。使用贝克抑郁量表和坦普勒死亡焦虑量表收集数据，然后使用SPSS 20版进行分析。描述性统计（频率和均值）、t检验、方差分析和多元线性回归模型用于数据分析。
近66.2%的样本有抑郁症状，61.4%达到抑郁诊断阈值，69.8%有死亡焦虑。此外，多变量分析显示，女性身份、居住在城市或难民营以及报告未经历抑郁的患者与死亡焦虑有显著关系，而教育水平高于12年、有一项或多项慢性合并症以及报告经历死亡焦虑的患者与抑郁有显著相关性。
接受血液透析的患者经常经历抑郁和死亡焦虑。这些患者在疾病早期应接受精神科评估，以便在未来疫情期间及之后，巴勒斯坦的血液透析机构能够及时给予适当的心理干预。
