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Alkubati SA, Al-Sayaghi KM, Salameh B, Halboup AM, Ahmed WAM, J. Alkuwaisi M, Zoromba MA. Prevalence of Depression and Its Associated Factors Among Hemodialysis Patients in Hodeida City, Yemen. J Multidiscip Healthc 2024; 17:689-699. [PMID: 38370607 PMCID: PMC10874630 DOI: 10.2147/jmdh.s452935] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2023] [Accepted: 02/01/2024] [Indexed: 02/20/2024] Open
Abstract
Background Depression has a negative impact on the health outcomes of hemodialysis (HD) patients, including decreased quality of life and increased morbidity and mortality rates. Therefore, this study aimed to determine the prevalence of depression and its associated factors among HD patients in Hodeida city, Yemen. Methods A cross-sectional study involving 200 HD patients at the Dialysis Center in Hodeida was conducted from February to May 2022. Data on depression were collected using the 9-item Patient Health Questionnaire (PHQ-9). Association of sociodemographic characteristics of patients with depression were assessed using chi-square, subsequently by multivariable logistic regression. Statistical significance was set at P-values <0.05. Results The response rate was 98% (200/204). Depression was prevalent among 63% of HD patients at the Dialysis Center in Hodeida city. Sex was significantly associated with depression, where female patients were more frequently depressed than males (82.4% vs 56.4%, P < 0.001). In addition, employment status and medical insurance were significantly associated with depression, where unemployed patients were more frequently depressed than employed patients (67.6% vs 52.5%, P = 0.041) and patients with medical insurance were less frequently depressed than their counterparts (47.1% vs 66.3%, P = 0.035). Conclusion Depression is highly prevalent among HD patients in Hodeida city. Female sex, unemployment and lack of medical insurance are predictors of depression among HD patients. These findings emphasize the urgent need for targeted interventions. Implications for practice Depression is common among HD patients, so that, psychiatric physicians and nurses are increasingly needed in HD centers to implement mental health assessment of patients for depression signs and symptoms to help in early diagnosis and management of depression in order to improve patients' quality of life and preventing negative outcomes.
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Affiliation(s)
- Sameer A Alkubati
- Department of Medical Surgical Nursing, University of Hail, Hail, Saudi Arabia
- Department of Nursing, Hodeida University, Hodeida, Yemen
| | - Khaled M Al-Sayaghi
- Department of Medical Surgical Nursing, Taibah University, Al‐Madinah Al‐Munawarah, Saudi Arabia
- Nursing Division, Sana’a University, Sana’a, Yemen
| | - Basma Salameh
- Department of Nursing, Arab American University, Jenin, Palestine
| | - Abdulsalam M Halboup
- Department of Clinical Pharmacy and Pharmacy Practice, University of Science and Technology, Sana’a, Yemen
- Discipline of Clinical Pharmacy, Universiti Sains Malaysia, Penang, Malaysia
| | - Waled A M Ahmed
- Community Health Nursing Department, Al-Baha University, Al-Baha, Saudi Arabia
| | | | - Mohamed A Zoromba
- Department of Nursing, Prince Sattam Bin Abdulaziz University, Al Kharj, Saudi Arabia
- Department of Psychiatric and Mental Health Nursing, Mansoura University, Mansoura, Egypt
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Szu LY, Chang CH, Hsieh SI, Shih WM, Huang LM, Tsai MC, Tseng SM. Factors Related to Quality of Life of Hemodialysis Patients during the COVID-19 Pandemic. Healthcare (Basel) 2023; 11:healthcare11081155. [PMID: 37107989 PMCID: PMC10137652 DOI: 10.3390/healthcare11081155] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2023] [Revised: 04/05/2023] [Accepted: 04/13/2023] [Indexed: 04/29/2023] Open
Abstract
Taiwan had the second highest number globally of end-stage renal disease patients undergoing treatment in 2018. A meta-analysis of Chen et al. (2021) showed the incidence and mortality rates of COVID-19 were 7.7% and 22.4%, respectively. Few studies have explored the effects of patients' self-participation and perceptions of hemodialysis on their quality of life. This study aimed to explore the factors related to hemodialysis patients' quality of life during the COVID-19 pandemic. This study was a descriptive correlational study. Patients were recruited (n = 298) from the hemodialysis unit of a medical center in northern Taiwan. Variables included patients' sociodemographic, psychological, spiritual, and clinical characteristics (i.e., perceived health level, comorbidities, hemodialysis duration, weekly frequency, transportation, and accompaniment during hemodialysis), perceptions of hemodialysis, self-participation in hemodialysis, and health-related quality of life (KDQOL-36 scale). Data were analyzed using descriptive and bivariate and multivariate linear regression. Multivariate linear regression, after adjusting for covariates, showed that anxiety, self-perceived health status, two vs. four comorbidities, and self-participation in hemodialysis were significantly associated with quality of life. The overall model was significant and accounted for 52.2% (R2 = 0.522) of the variance in quality of life during hemodialysis (adjusted R2 = 0.480). In conclusion, the quality of life of hemodialysis patients with mild, moderate, or severe anxiety was poorer, whereas that of patients with fewer comorbidities, higher self-perceived health status, and higher self-participation in hemodialysis was better.
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Affiliation(s)
- Li-Yun Szu
- Department of Nursing, Taoyuan Chang Gung Memorial Hospital, Taoyuan City 33372, Taiwan
- Department of Nursing, Chang Gung University of Science and Technology, Taoyuan City 33302, Taiwan
| | - Chih-Hsiang Chang
- Kidney Research Center, Department of Nephrology, Chang Gung Memorial Hospital; Graduate Institute of Clinical Medical Sciences, College of Medicine, Chang Gung University, Taoyuan City 33302, Taiwan
| | - Suh-Ing Hsieh
- Department of Nursing, Taoyuan Chang Gung Memorial Hospital, Taoyuan City 33372, Taiwan
- Department of Nursing, Chang Gung University of Science and Technology, Taoyuan City 33302, Taiwan
| | - Whei-Mei Shih
- Graduate Institute of Health Care, Chang Gung University of Science and Technology, Taoyuan City 33302, Taiwan
| | - Lan-Mei Huang
- Hemodialysis Unit, Taoyuan Chang Gung Memorial Hospital, Taoyuan City 33372, Taiwan
| | - Mei-Chu Tsai
- Department of Nursing, Taoyuan Chang Gung Memorial Hospital, Taoyuan City 33372, Taiwan
| | - Su-Mei Tseng
- Department of Nursing, Taoyuan Chang Gung Memorial Hospital, Taoyuan City 33372, Taiwan
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Dureigne F, Chagnas MO, Roren A, Couzi E, Lefèvre-Colau MM, Moreau S, Nicol V, Rannou F, Daste C, Nguyen C. Barriers and facilitators to bracing in adults with painful degenerative scoliosis: a single-centred mixed-method feasibility study. BMC Musculoskelet Disord 2023; 24:32. [PMID: 36647098 PMCID: PMC9841704 DOI: 10.1186/s12891-022-06111-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/06/2022] [Accepted: 12/21/2022] [Indexed: 01/18/2023] Open
Abstract
BACKGROUND Conservative treatments including bracing and exercise therapy are prescribed on the first-line in adults with degenerative scoliosis. However, adherence to conservative treatments is low. We aimed to assess barriers and facilitators to bracing in adults with painful degenerative scoliosis. METHODS We conducted a single-centred mixed-method pilot and feasibility study. All patients scheduled for a multidisciplinary custom-made bracing consultation, from July 2019 to January 2020, in a French tertiary care centre, were screened. Patients were eligible if they had painful adult degenerative scoliosis and a prescription for a rigid custom-made lumbar-sacral orthosis. The primary outcome was barriers and facilitators to bracing assessed by a qualitative approach using semi-structured interviews. Secondary outcomes were back pain, spine-specific activity limitations, symptoms of depression and satisfaction with bracing post-intervention assessed by a quantitative approach. RESULTS Overall, 56 patients were screened and 14 (25%) were included. Mean age was 68.2 (12.3) years. Mean follow-up was 9.8 (2.0) months. Barriers to bracing were increased limitations in some activities, discomfort in hot weather and burden of aesthetic appearance. Facilitators to bracing were reduced pain, improved activities of daily living, suitable weight and improved spinal alignment. Participants self-implemented solutions to enhance adherence. The mean reduction from baseline in pain intensity was 1.7 (2.3) of 10 points, and 6 of 13 patients (46%) had pain intensity < 4 of 10 points. CONCLUSION Bracing is a feasible intervention for people with painful adult degenerative scoliosis. Patients self-implemented their own solutions to enhance adherence.
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Affiliation(s)
- Flora Dureigne
- grid.508487.60000 0004 7885 7602AP-HP.Centre-Université Paris Cité, Rééducation et Réadaptation de l Appareil Locomoteur et des Pathologies du Rachis, 75014 Paris, France
| | - Marie-Ombeline Chagnas
- grid.508487.60000 0004 7885 7602AP-HP.Centre-Université Paris Cité, Rééducation et Réadaptation de l Appareil Locomoteur et des Pathologies du Rachis, 75014 Paris, France
| | - Alexandra Roren
- grid.508487.60000 0004 7885 7602AP-HP.Centre-Université Paris Cité, Rééducation et Réadaptation de l Appareil Locomoteur et des Pathologies du Rachis, 75014 Paris, France ,grid.7429.80000000121866389INSERM UMR 1153, Centre de Recherche Épidémiologie et Statistique Paris Sorbonne, ECaMO Team, 75004 Paris, France ,Fédération pour la Recherche sur le Handicap et l Autonomie, 75013 Paris, France
| | - Emmanuel Couzi
- grid.508487.60000 0004 7885 7602AP-HP.Centre-Université Paris Cité, Rééducation et Réadaptation de l Appareil Locomoteur et des Pathologies du Rachis, 75014 Paris, France
| | - Marie-Martine Lefèvre-Colau
- grid.508487.60000 0004 7885 7602AP-HP.Centre-Université Paris Cité, Rééducation et Réadaptation de l Appareil Locomoteur et des Pathologies du Rachis, 75014 Paris, France ,grid.7429.80000000121866389INSERM UMR 1153, Centre de Recherche Épidémiologie et Statistique Paris Sorbonne, ECaMO Team, 75004 Paris, France ,Fédération pour la Recherche sur le Handicap et l Autonomie, 75013 Paris, France ,grid.508487.60000 0004 7885 7602Université Paris Cité, Faculté de Santé, UFR de Médecine, 75006 Paris, France
| | - Sylvain Moreau
- grid.508487.60000 0004 7885 7602AP-HP.Centre-Université Paris Cité, Rééducation et Réadaptation de l Appareil Locomoteur et des Pathologies du Rachis, 75014 Paris, France
| | - Vanina Nicol
- grid.508487.60000 0004 7885 7602AP-HP.Centre-Université Paris Cité, Rééducation et Réadaptation de l Appareil Locomoteur et des Pathologies du Rachis, 75014 Paris, France
| | - François Rannou
- grid.508487.60000 0004 7885 7602AP-HP.Centre-Université Paris Cité, Rééducation et Réadaptation de l Appareil Locomoteur et des Pathologies du Rachis, 75014 Paris, France ,grid.508487.60000 0004 7885 7602Université Paris Cité, Faculté de Santé, UFR de Médecine, 75006 Paris, France ,grid.7429.80000000121866389INSERM UMR-S 1124, Toxicité Environnementale, Cibles Thérapeutiques, Signalisation Cellulaire (T3S), Campus Saint-Germain-des-Prés, 75006 Paris, France
| | - Camille Daste
- grid.508487.60000 0004 7885 7602AP-HP.Centre-Université Paris Cité, Rééducation et Réadaptation de l Appareil Locomoteur et des Pathologies du Rachis, 75014 Paris, France ,grid.508487.60000 0004 7885 7602Université Paris Cité, Faculté de Santé, UFR de Médecine, 75006 Paris, France ,grid.7429.80000000121866389INSERM UMR 1153, Centre de Recherche Épidémiologie et Statistique Paris Sorbonne, METHODS Team, 75004 Paris, France
| | - Christelle Nguyen
- grid.508487.60000 0004 7885 7602AP-HP.Centre-Université Paris Cité, Rééducation et Réadaptation de l Appareil Locomoteur et des Pathologies du Rachis, 75014 Paris, France ,grid.508487.60000 0004 7885 7602Université Paris Cité, Faculté de Santé, UFR de Médecine, 75006 Paris, France ,grid.7429.80000000121866389INSERM UMR-S 1124, Toxicité Environnementale, Cibles Thérapeutiques, Signalisation Cellulaire (T3S), Campus Saint-Germain-des-Prés, 75006 Paris, France
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Shalev D, Patterson M, Aytaman Y, Moya-Tapia MA, Blinderman CD, Silva MD, Reid MC. Operationalizing Depression Screening in Ambulatory Palliative Care: A Quality Improvement Project. J Pain Symptom Manage 2023; 65:e7-e13. [PMID: 36103939 PMCID: PMC9790031 DOI: 10.1016/j.jpainsymman.2022.09.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/20/2022] [Revised: 08/27/2022] [Accepted: 09/01/2022] [Indexed: 02/03/2023]
Abstract
BACKGROUND Depression is common in the palliative care setting and impacts outcomes. Operationalized screening is unusual in palliative care. LOCAL PROBLEM Lack of operationalized depression screening at two ambulatory palliative care sites. METHODS A fellow-driven quality improvement initiative to implement operationalized depression screening using the patient health questionnaire-2 (PHQ-2). The primary measure was rate of EMR-documented depression screening. Secondary measures were clinician perspectives on the feasibility and acceptability of implementing the PHQ-2. INTERVENTION The intervention is a clinic-wide implementation of PHQ-2 screening supported by note templates, brief clinician training, referral resources for clinicians, and opportunities for indirect psychiatric consultation. RESULTS Operationalized depression screening rates increased from 2% to 38%. All clinicians felt incorporation of depression screening was useful and feasible. CONCLUSIONS Operationalized depression screening is feasible in ambulatory palliative care workflow, though optimization through having screening be completed prior to clinician visit might improve uptake.
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Affiliation(s)
- Daniel Shalev
- Division of Geriatrics and Palliative Medicine, Weill Cornell Medicine (D.S., M.D.S., M.C.R.), New York, New York, USA.
| | - Melissa Patterson
- Department of Medicine (M.P., M.A.M.T., C.D.B.), Columbia University Irving Medical Center, New York, New York, USA
| | - Yasemin Aytaman
- Department of Medicine (Y.A.), Brooklyn Campus of the VA NY Harbor Healthcare System, Brooklyn, New York, USA
| | - Manuel A Moya-Tapia
- Department of Medicine (M.P., M.A.M.T., C.D.B.), Columbia University Irving Medical Center, New York, New York, USA
| | - Craig D Blinderman
- Department of Medicine (M.P., M.A.M.T., C.D.B.), Columbia University Irving Medical Center, New York, New York, USA
| | - Milagros D Silva
- Division of Geriatrics and Palliative Medicine, Weill Cornell Medicine (D.S., M.D.S., M.C.R.), New York, New York, USA
| | - M Carrington Reid
- Division of Geriatrics and Palliative Medicine, Weill Cornell Medicine (D.S., M.D.S., M.C.R.), New York, New York, USA
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Impact of Multiple Sclerosis and Its Association with Depression: An Analytical Case-Control Investigation. Healthcare (Basel) 2022; 10:healthcare10112218. [PMID: 36360559 PMCID: PMC9690715 DOI: 10.3390/healthcare10112218] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2022] [Revised: 11/02/2022] [Accepted: 11/03/2022] [Indexed: 11/09/2022] Open
Abstract
Multiple sclerosis (MS) is a neurological, chronic, inflammatory, and progressive disease with musculoskeletal problems and neurodegenerative disorders that causes worsening of the health status of patients. The aim of this study was to determine the level of depression in MS patients compared to a population of healthy subjects. The established sample size was 116 subjects matched with the same age, sex, and body mass index. The subjects were recruited from different multiple sclerosis associations and neurology clinics in different public health areas (case group n = 58) and healthy subjects from the same locality (control group n = 58). The scores and categories of the Beck Depression Inventory (BDI) in its Spanish version were collected. There was a clear statistically significant difference (p < 0.05) in the BDI scores between both groups. As a result, we found that the subjects with MS presented worse results with BDI = 9.52 ± 7.70 points compared to the healthy subjects with a BDI score = 5.03 ± 5.14. Within the BDI categories, there were statistically significant differences (p < 0.001), which were greater for the MS group. Depression is a dangerous factor for MS patients, being a trigger for a poorer quality of life.
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Abstract
STUDY DESIGN Retrospective. OBJECTIVE The purpose of this study is to evaluate depressive symptoms as measured by the PHQ-9 survey and correlated them with scores from the SF-12 and VR-12 Mental Component Summary (MCS). SUMMARY OF BACKGROUND DATA With the rising incidence of depression and the need to identify modifiable risk factors before surgery, it is increasingly important to screen for preoperative depressive symptoms in spine surgery. Although the Patient Health Questionnaire-9 (PHQ-9) has favorable characteristics as a depressive symptom screening instrument, it has not been evaluated within cervical spine surgery. METHODS A prospectively maintained surgical registry was reviewed for patients undergoing single or multilevel anterior cervical discectomy and fusion (ACDF) or cervical disc replacement (CDR) from March 2016 until May 2019. Included patients underwent a procedure for degenerative spinal pathology. We collected demographic, baseline, and perioperative variables. The mean scores for postoperative PHQ-9, Short Form-12 (SF-12), and Veterans RAND-12 (VR-12) surveys were calculated, and an average change between preoperative and postoperative scores. Scatterplots depicted the association of SF-12 MCS and VR-12 MCS with PHQ-9. We evaluated the relationship of PHQ-9 with SF-12 MCS and VR-12 MCS scores by calculating a Pearson correlation coefficient and time-independent partial correlation coefficient. RESULTS One hundred fifty-two patients underwent single or multilevel level cervical spine surgery (ACDF: 73% and CDR: 27%). The average age was 42.4 and 39% were female. Compared to preoperative scores, significant increases were observed among postoperative PHQ-9, SF-12, and VR-12 MCS surveys (P ≤ 0.001). We observed strong correlations between SF-12 and VR-12 MCS with PHQ-9 scores for both assessed correlations. CONCLUSION Patients undergoing ACDF or CDR demonstrated significant improvement with PHQ-9, SF-12 MCS, and VR-12 MCS instruments. PHQ-9 scores strongly correlated with SF-12 MCS and VR-12 MCS. Our findings indicate PHQ-9 is a valid tool to evaluate pre and postsurgical depressive symptoms. LEVEL OF EVIDENCE 4.
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Lee J, Steel J, Roumelioti ME, Erickson S, Myaskovsky L, Yabes JG, Rollman BL, Weisbord S, Unruh M, Jhamb M. Psychosocial Impact of COVID-19 Pandemic on Patients with End-Stage Kidney Disease on Hemodialysis. ACTA ACUST UNITED AC 2020; 1:1390-1397. [DOI: 10.34067/kid.0004662020] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2020] [Accepted: 10/12/2020] [Indexed: 11/27/2022]
Abstract
BackgroundThe coronavirus disease 2019 (COVID-19) may have a negative effect on the mental and social health of patients with ESKD on chronic in-center hemodialysis (HD), who have a high burden of psychologic symptoms at baseline and unavoidable treatment-related COVID exposures. The goal of our study was to assess the effect of the COVID-19 pandemic on the psychosocial health of patients on chronic in-center HD.MethodsParticipants enrolled in the ongoing Technology Assisted Collaborative Care (TĀCcare) trial in Western Pennsylvania and New Mexico were approached for participation in a phone survey in May 2020. Data on the pandemic’s effects on participants’ physical and mental health, symptoms (such as anxiety, mood, loneliness, sleep, and stress), and food and housing security were collected.ResultsSurveys were completed by 49 participants (mean age 56 years; 53% men, 18% Black, 20% American Indian, and 22% Hispanic). Almost 80% of participants reported being moderately to extremely worried about the pandemic’s effects on their mental/emotional health and interpersonal relationships. More than 85% of the participants were worried about obtaining their dialysis treatments due to infection risk from close contact in the dialysis facility or during transportation. Despite this, 82% of participants reported being not at all/slightly interested in trying home dialysis as an alternative option. Overall, 27% of the participants had clinical levels of depressive symptoms but only 12% had anxiety meeting clinical criteria. About 33% of participants reported poor sleep quality over the last month. Perceived stress was high in about 30% of participants and 85% felt overwhelmed by difficulties with COVID-19, although 41% felt that things were fairly/very often going their way.ConclusionsOur study provides preliminary insights into the psychosocial distress caused by the COVID-19 pandemic among a diverse cohort of patients receiving chronic HD who are participating in an ongoing clinical trial.
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