Nephrology unit, Damietta Specialized Hospital, Damietta, Egypt.
Mansoura Nephrology and Dialysis Unit, Internal Medicine Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Ther Apher Dial. 2024 Aug;28(4):608-619. doi: 10.1111/1744-9987.14128. Epub 2024 Apr 17.
This study examined the impact of Coronavirus disease 2019 on anxiety, depression, and health-related quality of life (HRQOL) among Egyptian hemodialysis (HD) patients.
This multicenter cross-sectional study was carried out in Egypt in the years 2021-2022, where 300 HD patients from four HD centers were allocated into two groups: post-COVID and non-COVID. The Hospital Anxiety and Depression Scale (HADS) and the Kidney Disease QOL-36 questionnaire were used to assess anxiety, depression, and QOL of the included patients.
In the post-COVID group, abnormal and borderline cases of anxiety and depression were detected in 38.6% and 62.5% of patients, respectively, with no statistically significant difference between both groups. The post-COVID group showed higher work status and lower sexual and physical functioning, which correlated negatively with anxiety and depression scores.
Past-COVID infection did not influence depression and anxiety symptoms in HD patients. Sexual and physical functioning were more affected among COVID-survivors.
本研究考察了 2019 年冠状病毒病(COVID-19)对埃及血液透析(HD)患者焦虑、抑郁和健康相关生活质量(HRQOL)的影响。
本多中心横断面研究于 2021-2022 年在埃及进行,将来自四个 HD 中心的 300 名 HD 患者分为 COVID-19 后组和非 COVID-19 组。采用医院焦虑和抑郁量表(HADS)和肾脏病生活质量-36 问卷评估纳入患者的焦虑、抑郁和 QOL。
在 COVID-19 后组中,分别有 38.6%和 62.5%的患者出现焦虑和抑郁的异常和边缘病例,但两组之间无统计学差异。COVID-19 后组的工作状态较高,性和身体功能较低,与焦虑和抑郁评分呈负相关。
过去的 COVID-19 感染并未影响 HD 患者的抑郁和焦虑症状。COVID-19 幸存者的性和身体功能受到的影响更大。