Determination of anxiety, depression, avoidance and obsessions experienced by hemodialysis patients during the

Nazlı Koşunalp1, Mehtap Kavurmaci2

  • 1Regional Training and Research Hospital, Palliative Care Unit, Erzurum, Turkey.

Insights

Hemodialysis patients experienced significant anxiety, depression, and obsessive thoughts during the COVID-19 pandemic. This highlights a critical need for improved mental health support strategies for vulnerable patient populations.

Area of Science:

  • Nephrology
  • Psychiatry
  • Public Health

Background:

  • The COVID-19 pandemic posed unprecedented challenges to global health.
  • Hemodialysis patients represent a vulnerable population with pre-existing health conditions.
  • The pandemic's impact on the mental well-being of these patients remained a critical concern.

Purpose of the Study:

  • To quantify the levels of anxiety, depression, avoidance, and obsessions experienced by hemodialysis patients during the pandemic.
  • To assess the psychological burden of the COVID-19 outbreak on this specific patient group.

Main Methods:

  • A cross-sectional study involving 139 hemodialysis patients.
  • Utilized validated instruments: Coronavirus Anxiety Scale (CAS), Hospital Anxiety and Depression Scale (HAD), COVID-19 Avoidance Scale (AA-COVID-19), and Coronavirus Obsession Scale (OCS).
  • Data analyzed using SPSS 21 statistical software.

Main Results:

  • Patients reported notable average scores on the CAS (0.73 ± 1.17), HAD-Anxiety (5.94 ± 3.67), and HAD-Depression (7.06 ± 3.89) scales.
  • The findings indicate a severe negative impact of the COVID-19 outbreak on the mental health of hemodialysis patients.
  • Elevated levels of anxiety, depression, and obsessive thoughts were observed.

Conclusions:

  • The healthcare sector's response was insufficient in safeguarding the mental health of hemodialysis patients during the COVID-19 epidemic.
  • Future epidemics and disasters necessitate the development of proactive mental health strategies.
  • Urgent need for enhanced psychological support systems for chronic illness patients during health crises.
Abstract

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