Anxiety And Depression Level Of Patients Receiving Renal Replacement Therapy During The Covid-19 Outbreak

Vollständiger Abstract

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Introduction: Depression and anxiety are common psychological complications in patients with end-stage renal disease (ESRD) receiving renal replacement therapy (RRT). The COVID-19 pandemic has further exacerbated the psychological distress experienced by these patients. This study aimed to investigate the anxiety and depression levels of patients receiving RRT during the COVID-19 outbreak and to identify the factors associated with these psychological outcomes.Materials and Methods: This descriptive study was conducted among adult patients who were received peritoneal dialysis or hemodialysis treatment for at least 6 months. The Hospital Anxiety and Depression Scale (HADS) was used to assess anxiety and depression levels. Demographic and clinical data were also collected.Results: A total of 150 patients participated in the study, with a mean age of 54.3 ± 14.6 years. The majority of patients were male (60.7%) and married (70.7%). The mean HADS anxiety score was 8.9± 4.3, and the mean HADS depression score was 7.9±4.2. The prevalence of anxiety and depression was 44.7% and 38.7%, respectively. Multivariate analysis revealed that female gender, lower education level, and comorbidities were significantly associated with higher anxiety and depression levels.Discussion: The study findings suggest that anxiety and depression are prevalent among patients receiving RRT during the COVID-19 outbreak. Female gender, lower education level, and comorbidities were identified as risk factors for these psychological outcomes. Healthcare providers should be aware of these risk factors and provide appropriate support and interventions to improve the mental well-being of patients with ESRD receiving RRT during the COVID-19 pandemic.