COVID-19 pandemic: depression and sleep quality in hemodialysis patients

Authors : Demet YAVUZ, Ayşe Pınar DOĞRU BALAKBABALAR, Mehmet Derya DEMİRAG, Siren SEZER

Pages : 573-578

Doi:10.32322/jhsm.1054899

View : 23 | Download : 15

Publication Date : 2022-03-15

Article Type : Research Paper

Abstract :Introduction: Depression and sleep disturbance are prevalent comorbidities in hemodialysis patients. This study aimed to investigate the relationship between depressive mood, sleep disturbance, and the fear of COVID-19 Scale in hemodialysis patients during the pandemic process. Material and Method: 116 hemodialysis patients followed up in our clinic and volunteered were included in the study. The socio-demographic characteristics of the patients and the laboratory test results studied in their routine follow-ups were obtained from the file records. Beck Depression Inventory insert ignore into journalissuearticles values(BDI);, Pittsburgh Sleep Quality Index insert ignore into journalissuearticles values(PSQI);, and the Fear of COVID-19 Scale insert ignore into journalissuearticles values(FCV-19S); were applied through face-to-face interviews. Results: 116 patients insert ignore into journalissuearticles values(70 males, 46 females); with a hemodialysis duration of 40 months insert ignore into journalissuearticles values(13-295); and age of 60.2±13.3 years were included in the study. The patients were divided into two groups according to their PSQI score as good sleeper insert ignore into journalissuearticles values(PSQI ≤ 5, n=66); and poor sleeper insert ignore into journalissuearticles values(PSQI >5, n=50);. When evaluated by gender 28 insert ignore into journalissuearticles values(56%); female patients were in the poor sleeper group insert ignore into journalissuearticles values(p=0.002);. Dialysis time was longer, BDI score and FCV-19 scale were higher in the poor sleeper group than the good sleeper group. PSQI score was positively correlated with dialysis time insert ignore into journalissuearticles values(r=0.259 p=0.005);, BDI score insert ignore into journalissuearticles values(r=0.279 p=0.002);, and FCV-19 scale insert ignore into journalissuearticles values(r=0.304 p=0.001);. In the Multiple Logistic Regression analysis established to evaluate the risk factors affecting sleep quality, BDI was determined as an independent risk factor for poor sleep insert ignore into journalissuearticles values(OR: 1.084, 95%CI [1.021-1.152], p=0.008);. Subjects were divided into two groups according to their BDI scores as those with depressive mood insert ignore into journalissuearticles values(BDI score ≥ 17, n=47); insert ignore into journalissuearticles values(40.5%); and those without insert ignore into journalissuearticles values(BDI score < 17, n=69); insert ignore into journalissuearticles values(59.5%);. Thirty-two of the cases with depressive mood were women insert ignore into journalissuearticles values(68.1%); insert ignore into journalissuearticles values(p<0.001);. There was a female predominance in the depressed patient group. The economic status was worse in the depressed group compared to the non-depressed group, and the PSQI score and FVC-19 scale were higher. In addition, BDI score was positively correlated with age insert ignore into journalissuearticles values(r=0.225 p =0.015);, female gender insert ignore into journalissuearticles values(r=0.473 p=0.001);, poor economic status insert ignore into journalissuearticles values(r=0.576 p =0.001);, FVC-19 scale insert ignore into journalissuearticles values(r=0.330 p =0.001);, while negatively correlated with serum albumin level insert ignore into journalissuearticles values(r=-0.279 p=0.003); and serum creatinine level insert ignore into journalissuearticles values(r=-0.2455 p =0.008);. In the Multiple Logistic Regression model established, female gender insert ignore into journalissuearticles values(OR: 7.857, 95%CI [2.463-25.065], p<0.001); and poor economic status insert ignore into journalissuearticles values(OR: 7.569, 95%CI [2,300-24,908], p=0.001); were determined as independent risk factors for depressive mood. Conclusion: Nearly half of the patients had sleep disorders and depressive mood. Patients in the depressive mood and poor sleep group had a higher FVC-19 scale. We think it would be beneficial not to ignore the increased frequency of depressive mood and sleep disorders in hemodialysis patients during the COVID-19 pandemic.
Keywords : Depression, sleep disorder, Fear of Covid 19 Scale, hemodialysis