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Pham MD, Tran TT, Duong TV, Do BN, Dang LT, Nguyen DH, Hoang TA, Nguyen HC, Le LTH, Pham LV, Nguyen LTH, Nguyen HT, Trieu NT, Do TV, Trinh MV, Ha TH, Phan DT, Nguyen TTP, Nguyen KT. Associations of COVID-19-related fear with kidney disease quality of life and its subscales among hemodialysis patients as modified by health literacy: a multi-hospital survey. Health Psychol Behav Med 2024; 12:2376585. [PMID: 39010868 PMCID: PMC11249155 DOI: 10.1080/21642850.2024.2376585] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2024] [Accepted: 06/26/2024] [Indexed: 07/17/2024] Open
Abstract
Background Receiving hemodialysis treatment makes end-stage renal disease (ESRD) patients highly vulnerable amidst the COVID-19 pandemic. Hence, their kidney disease quality of life (KDQOL) is affected. We aimed to examine the association between fear of COVID-19 (FCoV-19) and KDQOL, and the effect modification of Health literacy (HL) on this association. Material and Methods A survey was conducted at 8 hospitals from July 2020 to March 2021 on 972 patients. Data collection includes socio-demographic factors, clinical parameters, HL, digital healthy diet literacy (DDL), hemodialysis diet knowledge (HDK), FCoV-19, suspected COVID-19 symptoms (S-COVID-19-S), and KDQOL. Results Higher HL scores B = 0.13 (95% CI = 0.06-0.21, p = 0.001) and HDK scores B = 0.58 (95% CI = 0.31-0.85, p = 0.001) were associated with higher KDQOL scores. Whereas, S-COVID-19-S B = -6.12 (95% CI = -7.66 to - 4.58, p = 0.001) and FCoV-19 B = -0.91 (95% CI = -1.03 to - 0.80, p = 0.001) were associated with lower KDQOL scores. Notably, higher HL scores significantly attenuate the negative impact of FCoV-19 on overall KDQOL and the kidney disease component summary. Conclusions In hemodialysis patients, FCoV-19 and S-COVID-19-S were associated with a lower KDQOL. Health literacy significantly mitigates the negative impact of FCoV-19 on KDQOL. Strategic public health interventions to improve HL are suggested to protect patient's KDQOL during the pandemic.
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Affiliation(s)
- Minh D Pham
- Department of Nutrition, Military Hospital 103, Hanoi, Vietnam
- Department of Nutrition, Vietnam Military Medical University, Hanoi, Vietnam
| | - Tu T Tran
- International Ph.D. Program in Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan
- Department of Internal Medicine, Thai Nguyen University of Medicine and Pharmacy, Thai Nguyen, Vietnam
- Department of Nephro-Urology and Dialysis, Thai Nguyen National Hospital, Thai Nguyen City, Vietnam
| | - Tuyen Van Duong
- International Ph.D. Program in Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan
- School of Nutrition and Health Sciences, Taipei Medical University, Taipei, Taiwan
| | - Binh N Do
- Department of Military Science, Vietnam Military Medical University, Hanoi, Vietnam
- Department of Infectious Diseases, Vietnam Military Medical University, Hanoi, Vietnam
| | - Loan T Dang
- Faculty of Nursing and Midwifery, Hanoi Medical University, Hanoi, Vietnam
- School of Nursing, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan
- Thoracic and Vascular surgery department, Bach Mai Hospital, Hanoi, Vietnam
| | - Dung H Nguyen
- Hemodialysis Department, Nephro-Urology-Dialysis Center, Bach Mai Hospital, Hanoi, Vietnam
| | - Trung A Hoang
- Hemodialysis Department, Nephro-Urology-Dialysis Center, Bach Mai Hospital, Hanoi, Vietnam
| | - Hoang C Nguyen
- Director Office, Thai Nguyen National Hospital, Thai Nguyen City, Vietnam
- President Office, Thai Nguyen University of Medicine and Pharmacy, Thai Nguyen City, Vietnam
| | - Lan T H Le
- Director Office, Thai Nguyen National Hospital, Thai Nguyen City, Vietnam
- Training and Direction of Healthcare Activity Center, Thai Nguyen National Hospital, Thai Nguyen City, Vietnam
- Biochemistry Department, Thai Nguyen National Hospital, Thai Nguyen City, Vietnam
| | - Linh V Pham
- Department of Pulmonary & Cardiovascular Diseases, Hai Phong University of Medicine and Pharmacy Hospital, Hai Phong, Vietnam
- President Office, Hai Phong University of Medicine and Pharmacy, Hai Phong, Vietnam
| | - Lien T H Nguyen
- Department of Pulmonary & Cardiovascular Diseases, Hai Phong University of Medicine and Pharmacy Hospital, Hai Phong, Vietnam
| | - Hoi T Nguyen
- Director Office, Hai Phong International Hospital, Hai Phong, Vietnam
| | - Nga T Trieu
- Hemodialysis Division, Hai Phong International Hospital, Hai Phong, Vietnam
| | - Thinh V Do
- Director Office, Bai Chay Hospital, Ha Long, Vietnam
| | - Manh V Trinh
- Director Office, Quang Ninh General Hospital, Ha Long, Vietnam
| | - Tung H Ha
- Director Office, General Hospital of Agricultural, Hanoi, Vietnam
| | - Dung T Phan
- Faculty of Nursing, Hanoi University of Business and Technology, Hanoi, Vietnam
- Nursing Office, Thien An Obstetrics and Gynecology Hospital, Hanoi, Vietnam
| | - Thao T P Nguyen
- Institute for Community Health Research, University of Medicine and Pharmacy, Hue University, Hue, Vietnam
| | - Kien T Nguyen
- Department of Health Promotion, Faculty of Social and Behavioral Sciences, Hanoi University of Public Health, Hanoi, Vietnam
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Lau SSS, Ho CCY, Pang RCK, Su S, Kwok H, Fung SF, Ho RC. Measurement of burnout during the prolonged pandemic in the Chinese zero-COVID context: COVID-19 burnout views scale. Front Public Health 2022; 10:1039450. [PMID: 36438233 PMCID: PMC9686433 DOI: 10.3389/fpubh.2022.1039450] [Citation(s) in RCA: 17] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2022] [Accepted: 10/11/2022] [Indexed: 11/11/2022] Open
Abstract
Burnout is an important public health issue at times of the COVID-19 pandemic. Current measures which focus on work-based burnout have limitations in length and/or relevance. When stepping into the post-pandemic as a new Norm Era, the burnout scale for the general population is urgently needed to fill the gap. This study aimed to develop a COVID-19 Burnout Views Scale (COVID-19 BVS) to measure burnout views of the general public in a Chinese context and examine its psychometric properties. A multiphase approach including literature review, expert consultation, and pilot testing was adopted in developing the scale. The scale was administered to a sample of 1,078 of the general public in Hong Kong with an average age of 34.45 years (SD = 12.47). Exploratory and Confirmatory Factor Analyses suggested a 5-item unidimensional model of COVID-19 BVS. The CFA results indicated that the COVID-19 BVS had a good model fit, as χ2 (10.054)/5 = 2.01, SRMR = 0.010, CFI = 0.998, RMSEA = 0.031. Five items were maintained in EFA with high internal consistency in terms of Cronbach's α of 0.845 and McDonald's ω coefficient of 0.87, and the corrected item-to-total correlations of 0.512 to 0.789 are way above the acceptable range. The KMO values of 0.841 and Bartlett's Test of Sphericity (p < 0.01) verified the normal distribution of the EFA and the adequacy of the EFA sampling. The analyses suggest that the COVID-19 BVS is a promising tool for assessing burnout views on the impacts of the epidemic on the Chinese general populations.
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Affiliation(s)
- Sam S. S. Lau
- Research Centre for Environment and Human Health, School of Continuing Education, Hong Kong Baptist University, Hong Kong, China,Multidisciplinary Research Centre, School of Continuing Education, Hong Kong Baptist University, Hong Kong, China,College of International Education, Hong Kong Baptist University, Hong Kong, China,Institute of Bioresources and Agriculture, Hong Kong Baptist University, Hong Kong, China,*Correspondence: Sam S. S. Lau
| | - Cherry C. Y. Ho
- Research Centre for Environment and Human Health, School of Continuing Education, Hong Kong Baptist University, Hong Kong, China,Multidisciplinary Research Centre, School of Continuing Education, Hong Kong Baptist University, Hong Kong, China,Division of Nursing Education, School of Continuing Education, Hong Kong Baptist University, Hong Kong, China
| | - Rebecca C. K. Pang
- Research Centre for Environment and Human Health, School of Continuing Education, Hong Kong Baptist University, Hong Kong, China,Multidisciplinary Research Centre, School of Continuing Education, Hong Kong Baptist University, Hong Kong, China,Division of Nursing Education, School of Continuing Education, Hong Kong Baptist University, Hong Kong, China
| | - Susan Su
- Research Centre for Environment and Human Health, School of Continuing Education, Hong Kong Baptist University, Hong Kong, China,Multidisciplinary Research Centre, School of Continuing Education, Hong Kong Baptist University, Hong Kong, China,College of International Education, Hong Kong Baptist University, Hong Kong, China
| | - Heather Kwok
- Research Centre for Environment and Human Health, School of Continuing Education, Hong Kong Baptist University, Hong Kong, China,Multidisciplinary Research Centre, School of Continuing Education, Hong Kong Baptist University, Hong Kong, China,College of International Education, Hong Kong Baptist University, Hong Kong, China
| | - Sai-fu Fung
- Department of Social and Behavioural Sciences, City University of Hong Kong, Kowloon, Hong Kong SAR, China
| | - Roger C. Ho
- Department of Psychological Medicine, National University of Singapore, Singapore, Singapore
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