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. 2024 Jul 24:48:129.
doi: 10.11604/pamj.2024.48.129.44064. eCollection 2024.

[Psychological impact of the COVID-19 pandemic on chronic haemodialysis patients in eastern Morocco: a cross-sectional study]

[Article in French]
Kaouthar El Mir  1   2 , Salah-Eddine El Jabiry  1   2   3 , Meryem Errabehy  4 , Yassamine Bentata  2   4   5 , Fatima Elghazouani  1   2   3 , Bouchra Oneib  1   2   3
Affiliations

[Psychological impact of the COVID-19 pandemic on chronic haemodialysis patients in eastern Morocco: a cross-sectional study]

[Article in French]
Kaouthar El Mir et al. Pan Afr Med J. .

Abstract
in English, French

Introduction: chronic haemodialysis patients are a vulnerable population significantly affected by the COVID-19 pandemic, which has had a severe impact on people with co-morbidities and immune system depression, which increases the risk of infection and of developing severe form of COVID-19. The purpose of this study is to assess the impact of the COVID-19 pandemic on the mental health and quality of life of chronic haemodialysis patients.

Methods: we conducted a descriptive cross-sectional survey among 175 chronic hemodialysis patients using the Mini International Neuropsychiatric Interview Moroccan Arab Version 5.0.0 scale, the Perceived Stress Scale, and the Quality of Life Scale for Chronic Hemodialysis Patients (KDQOL-SFTM 1.3).

Results: one hundred and seventy-five (175) participants were recruited, of whom 76 patients had COVID-19. COVID-19 infection was significantly associated with age (p=0.018), psychiatric disorders (p=0.00), a history of suicide attempts (p=0.006) and high-stress levels (p=0.01). The quality of life of chronic haemodialysis patients was significantly impaired in patients with COVID-19 (p=0.00), especially in subjects who were elderly (p=0.034), lived alone (p=0.004), had a history of organic (p=0.04), psychiatric (p=0.00), or substance abuse issues (p=0.003), as well as in patients with a symptomatic form (p=0.001), complications (p=0.00), or hospitalisation secondary to COVID-19 (p=0.00), and those with severe stress (p=0.00).

Conclusion: the mental health and quality of life of chronic haemodialysis patients were mainly negatively influenced during the COVID-19 pandemic.

Introduction: les hémodialysés chroniques sont une population fragile, qui ont été extrêmement influencée par la pandémie COVID-19 qui a eu des répercussions graves chez les personnes ayant des comorbidités et une dépression de système immunitaire ce qui expose davantage les hémodialysés chroniques à un haut risque infectieux et de développer une forme grave de COVID-19, ce présent travail vise à évaluer l'impact de la pandémie COVID-19 sur la santé mentale et sur la qualité de vie des hémodialysés chroniques.

Méthodes: enquête transversale descriptive, réalisée auprès de 175 hémodialysés chroniques. Nous avons utilisé l'échelle Mini International Neuropsychiatric Interview Moroccan Arab Version 5.0.0, échelle de stress perçu et échelle de la qualité de vie des hémodialysés chroniques (KDQOL-SFTM 1.3).

Résultats: cent soixante-quinze (175) participants ont été recrutés, dont 76 patients ont été atteints du COVID-19. L'infection au COVID-19 était significativement liée à l'âge (p=0,018) aux troubles psychiatriques (p=0,00), à un antécédent de tentative de suicide (p=0,006) et au niveau élevé du stress (p=0, 01). La qualité de vie des hémodialysés chroniques était significativement altérée chez les malades atteints du COVID-19 (p=0,00), surtout chez les sujets âgés (p=0,034), vivant seuls (p=0,004), ayant des antécédents organiques (p=0,04), psychiatriques (p=0,00), ou toxiques (p=0,003), ainsi que chez les malades présentant une forme symptomatique (p=0,001), des complications (p=0,00), ou hospitalisation secondaire à COVID-19 (p=0,00), et chez ceux ayant un stress sévère (p=0,00).

Conclusion: la santé mentale et la qualité de vie des hémodialysés chroniques ont été essentiellement influencées négativement au cours de la pandémie COVID-19.

Keywords: COVID-19; Morocco; chronic haemodialysis patients; mental disorder; quality of life.

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Conflict of interest statement

Les auteurs ne déclarent aucun conflit d'intérêts.

Figures

Figure 1
Figure 1
diagramme de flux de la population étudiée
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