Mindfulness and psychological distress among hemodialysis patients. Psychology, health & medicine The current study identifies the unique role of trait mindfulness in improving the psychological health of patients under hemodialysis. A correlational research design was employed with a sample of 221 patients under hemodialysis. Participants completed a survey about the basic demographics, psychological distress, and mindfulness. The mean age of the study participants was 51.87 years (SD = 14.00). Participants had a moderate level of psychological distress. Psychological distress was associated with various demographic and clinical variables. Mindfulness accounted for 2.6% additional variance above and beyond the 18% accounted by demographic and clinical variables. This study suggests that mindfulness may enhance the psychological health of patients under hemodialysis. Future research may want to develop an intervention that employs a mindfulness-based approach and assess its effectiveness in supporting patients under hemodialysis. 10.1080/13548506.2021.1960395

Anxiety and Depression in Hemodialysis: Sex Differences. Maria Polikandrioti,Fotios Kalafatakis,Vasiliki Tsoulou,Georgia Gerogianni Advances in experimental medicine and biology INTRODUCTION:Approach to hemodialysis care from a gender perspective has received a great deal of attention globally since two sexes may have different experiences and manifestations of the same disease. PURPOSE:To explore sex differences in anxiety and depression among hemodialysis patients. METHOD AND MATERIAL:In the study were enrolled 200 patients (100 men and 100 women) who underwent hemodialysis. Data were collected by the completion of "The Hospital Anxiety and Depression Scale (HADS)" which included patients' self-reported characteristics. The statistical significance level was p < 0.05. RESULTS:In men and women, anxiety was statistically significantly associated with relations with nurses (p = 0.033 and p = 0.001, respectively), concealment of hemodialysis (p = 0.013 and p = 0.001, respectively), and insomnia (p = 0.001 and p = 0.001, respectively). Only in women, anxiety was statistically significantly associated with years under hemodialysis (p = 0.002), relation with doctors (p = 0.001), and their belief that life had changed (p = 0.002), whereas only in men, anxiety was associated with help in daily activities (p = 0.001). In men and women, depression was statistically significantly associated with relations with nurses (p = 0.002 and p = 0.001, respectively) and dependency on health professionals (p = 0.001 and p = 0.002, respectively). Only in women, depression was statistically significantly associated with years under hemodialysis (p = 0.002), level of information (p = 0.022), relations with doctors (p = 0.001), concealment of hemodialysis (p = 0.001), their belief that life had changed (p = 0.001), and insomnia (p = 0.001). CONCLUSIONS:The development of an effective treatment that may alleviate anxiety and depression needs to capture how patients perceive and respond to hemodialysis. 10.1007/978-3-030-78771-4_28

Vascular access type, health-related quality of life, and depression in hemodialysis patients: a preliminary report. Afsar Baris,Elsurer Rengin,Covic Adrian,Kanbay Mehmet The journal of vascular access PURPOSE:Arteriovenous fistulas (AVF) are the vascular access of choice for hemodialysis (HD) compared with arteriovenous grafts (AVG) and central venous catheters (CVC). In spite of increasing recognition of importance of a patient's perception of health-related quality of life (HRQOL) and depression, few studies have assessed the association of vascular access type with HRQOL and depression. The purpose of our study was to examine HRQOL and depression among patients with different vascular access. METHODS:Severity of symptoms of depression and HRQOL were assessed by Beck Depression Inventory (BDI) and Short Form-36 (SF-36), respectively. Vascular access was reported as one of three options; AVF, AVG, and CVC. RESULTS:In total, 136 patients were included; 104 had AVF, 15 had AVG, and 17 had CVC. BDI and HRQOL parameters differed among patients with different vascular access types. In post hoc analysis, BDI and HRQOL subscales were not different between patients with AVF and AVG. Patients with CVC had lower physical functioning (P:.001), role-physical limitation (P:.015), general health perception (P:.017), vitality (P:.010), social functioning (P:.004), role-emotional (P:.008), mental health (P:.001), physical component summary score (P:.017), and mental component summary score (P:.006) when compared to patients with AVF. Patients with CVC had lower physical functioning (P:.044), role-emotional (P:.044) and mental health scores (P:.04) when compared to patients with AVG. CONCLUSIONS:Having a CVC may negatively influence HRQOL in HD patients. Vascular access type does not seem to be related to depressed mood in HD. 10.5301/jva.5000032

Anxiety Severity and Influencing Factors in Day Surgery Patients or Relatives in Covid-19 Normalized Prevention Phase. Surgical innovation BACKGROUND:As the 2019 Coronavirus Disease (COVID-19) repeated, the prevention and treatment will be normalized in a period. "Large number of patients" and " Turnover quickly" of the day surgery ward greatly increased the difficulty of policy formulation and implementation. The normalization also had a huge negative psychological impact on patients/family members. This study aims to introduce effective epidemic prevention and control measures in day surgery wards, and to clarify the influencing factors of anxiety and subjective discomfort of patients and their families during the normalization of COVID-19. METHODS:To prepare for normalization of epidemic, research discuss improvements in the management of staff, environment, process. A total of 148 patients admitted to West China Hospital from December 2021 to March 2022 and their relatives were asked to complete a questionnaire effectively. Using the Self-rating Anxiety Scale, Social Support Rating Scale and Subjective Units of Distress scales to analyze anxiety and its risk factors. RESULTS:Under normalized control measures, no staff was infected. The subjective discomfort score was higher in people with lower body mass index (BMI). Young and high social support score were risk factors for anxiety (P < .05), and social support was positively correlated with anxiety. CONCLUSION:The normalization of epidemic is an inevitable trend in a period. A stable and safe medical environment needs to fully eliminate the policy defects, to fit the people and focus on mental health of the people. For patients/family members, who are younger,a lower BMI and higher social support should be attention more. 10.1177/15533506221108858