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Abstract: PO0721

Comparison of Psychological Distress and Demand Induced by COVID-19 During the Lockdown Period in Patients Undergoing Peritoneal Dialysis and Hemodialysis: A Cross-Section Study in a Tertiary Hospital

Session Information

Category: Coronavirus (COVID-19)

  • No subcategory defined

Authors

  • Zang, Zhiyun, Department of Nephrology, West China Hospital, Sichuan University, Chengdu, China
  • Li, Zi, Department of Nephrology, West China Hospital, Sichuan University, Chengdu, China
  • Xia, Xiaoxiao, Department of Nephrology, West China Hospital, Sichuan University, Chengdu, China
  • Wu, Xiaofang, Department of Nephrology, West China Hospital, Sichuan University, Chengdu, China
Background

Since the outbreak of COVID-19 in December 2019, it has spread rapidly and widely, bringing great psychological pressure to the public. In order to prevent the epidemic, lockdown was required in many areas of China, which led to inconvenience of treatment for dialysis patients. However, there are few studies on the mental health of dialysis patients with ESRD after health emergencies and the comparison between HD and PD is less. To explore the psychological distress and the psychological demand induced by COVID-19 in the patients undergoing dialysis and compare the difference between hemodialysis (HD) and peritoneal (PD) patients during the lockdown period.

Methods

Questionnaires were given to the dialysis patients in West China Hospital of Sichuan University. The Impact of Event Scale (IES) was used to investigate the patients’ trauma-related distress in response to COVID-19. We investigated the patient characteristics, the the impact of COVID-19 to the severity of illness and daily life, the IES scores and the psychological support during the epidemic period of COVID-19.

Results

232 eligible respondents were enrolled in this cross-section study, consisting of 156 PD patients and 76 HD patients. The median IES score for all the enrolled patients was 8.00 (2.00-19.00), which belonged to the subclinical dimension of post-traumatic stress symptoms. HD patients had a significant higher IES score than PD patients (11.50 vs 8.00) (p<0.05). HD patients already got more psychological support from the medical staff. There was no significant difference on further demand of psychological support between the two groups. In the multivariate regression analysis, we found that dialysis vintage, the impact of COVID-19 on the severity of illness and daily life, and confidence in overcoming the disease contributed to IES score (p<0.05).

Conclusion

HD patients had more severe trauma-related stress symptoms than PD patients. When major public healthy events occurred, careful psychological estimate and sufficient psychological support should be provided to the dialysis patients, especially to the HD patients.