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Psychological impact and implementation of preventative measures in hemodialysis centers during the COVID-19 pandemic: a provincial questionnaire survey in China

Objectives This study investigated the psychological status of patients and staff, and the implementation of preventative measures in hemodialysis centers in Guangdong province, China, during the 2019 novel coronavirus disease (COVID-19) pandemic. Methods An electronic questionnaire survey was carri...

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Published in:International urology and nephrology 2022-03, Vol.54 (3), p.601-608
Main Authors: Chen, Yuanhan, Wu, Yanhua, Hu, Penghua, Fu, Xia, Liu, Shuangxin, Song, Li, Dong, Wei, Yu, Xueqing, Liang, Xinling
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description Objectives This study investigated the psychological status of patients and staff, and the implementation of preventative measures in hemodialysis centers in Guangdong province, China, during the 2019 novel coronavirus disease (COVID-19) pandemic. Methods An electronic questionnaire survey was carried out anonymously between March 28 and April 3, 2020. All of the 516 hemodialysis centers registered in Guangdong province were invited to participate in the survey. The questionnaires were designed to investigate the psychological status of hemodialysis patients and general staff members (doctors, nurses, technicians, and other staff), and to address the implementation of preventative measures for administrators (directors or head nurses) of the hemodialysis centers. Results A total of 1782 patients, 3400 staff, and 420 administrators voluntarily participated in this survey. Patients living in rural areas reported a higher incidence of severe anxiety compared to those living in other areas (in rural areas, towns, and cities, the incidence rate was 17.0%, 9.0%, and 8.9%, respectively, P  
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Methods An electronic questionnaire survey was carried out anonymously between March 28 and April 3, 2020. All of the 516 hemodialysis centers registered in Guangdong province were invited to participate in the survey. The questionnaires were designed to investigate the psychological status of hemodialysis patients and general staff members (doctors, nurses, technicians, and other staff), and to address the implementation of preventative measures for administrators (directors or head nurses) of the hemodialysis centers. Results A total of 1782 patients, 3400 staff, and 420 administrators voluntarily participated in this survey. Patients living in rural areas reported a higher incidence of severe anxiety compared to those living in other areas (in rural areas, towns, and cities, the incidence rate was 17.0%, 9.0%, and 8.9%, respectively, P  &lt; 0.001). Medical staff were less likely to worry about being infected than non-medical staff (13.1% vs 30.3%, respectively, P  &lt; 0.001). With respect to the implementation of preventative measures, hemodialysis centers in general hospitals outperformed stand-alone blood purification centers, while tertiary hospitals outperformed hospitals of other levels. However, restrictions regarding the admission of non-resident patients were lower in tertiary hospitals than in other hospitals. In this situation, only one patient imported from Hubei province was diagnosed with COVID-19. Conclusions COVID-19 did not significantly affect the psychological status of most patients and medical staff members. Due to the implementation of comprehensive preventative measures, there were no cluster outbreaks of COVID-19 in hemodialysis centers. This provincial-level survey may provide referential guidance for other countries and regions that are experiencing a similar pandemic.</description><identifier>ISSN: 0301-1623</identifier><identifier>EISSN: 1573-2584</identifier><identifier>DOI: 10.1007/s11255-021-02875-x</identifier><identifier>PMID: 34195909</identifier><language>eng</language><publisher>Dordrecht: Springer Netherlands</publisher><subject>Attitude of Health Personnel ; China - epidemiology ; Coronaviruses ; COVID-19 ; COVID-19 - epidemiology ; COVID-19 - prevention &amp; control ; Female ; Hemodialysis ; Hospitals ; Humans ; Incidence ; Infection Control - organization &amp; administration ; Kidney Failure, Chronic - epidemiology ; Kidney Failure, Chronic - psychology ; Kidney Failure, Chronic - therapy ; Male ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Nephrology ; Nephrology - Original Paper ; Organizational Innovation ; Pandemics ; Patients ; Preventive Medicine - methods ; Preventive Medicine - organization &amp; administration ; Psychology ; Questionnaires ; Renal Dialysis - methods ; Renal Dialysis - trends ; SARS-CoV-2 ; Surveys and Questionnaires ; Urology</subject><ispartof>International urology and nephrology, 2022-03, Vol.54 (3), p.601-608</ispartof><rights>The Author(s) 2021</rights><rights>2021. The Author(s).</rights><rights>The Author(s) 2021. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-ff619ceb3002674c1bb49a9b4122cd868af79a3de763dae4d59a89f85502ecd23</citedby><cites>FETCH-LOGICAL-c474t-ff619ceb3002674c1bb49a9b4122cd868af79a3de763dae4d59a89f85502ecd23</cites><orcidid>0000-0002-6764-9571</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34195909$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chen, Yuanhan</creatorcontrib><creatorcontrib>Wu, Yanhua</creatorcontrib><creatorcontrib>Hu, Penghua</creatorcontrib><creatorcontrib>Fu, Xia</creatorcontrib><creatorcontrib>Liu, Shuangxin</creatorcontrib><creatorcontrib>Song, Li</creatorcontrib><creatorcontrib>Dong, Wei</creatorcontrib><creatorcontrib>Yu, Xueqing</creatorcontrib><creatorcontrib>Liang, Xinling</creatorcontrib><title>Psychological impact and implementation of preventative measures in hemodialysis centers during the COVID-19 pandemic: a provincial questionnaire survey in China</title><title>International urology and nephrology</title><addtitle>Int Urol Nephrol</addtitle><addtitle>Int Urol Nephrol</addtitle><description>Objectives This study investigated the psychological status of patients and staff, and the implementation of preventative measures in hemodialysis centers in Guangdong province, China, during the 2019 novel coronavirus disease (COVID-19) pandemic. Methods An electronic questionnaire survey was carried out anonymously between March 28 and April 3, 2020. All of the 516 hemodialysis centers registered in Guangdong province were invited to participate in the survey. The questionnaires were designed to investigate the psychological status of hemodialysis patients and general staff members (doctors, nurses, technicians, and other staff), and to address the implementation of preventative measures for administrators (directors or head nurses) of the hemodialysis centers. Results A total of 1782 patients, 3400 staff, and 420 administrators voluntarily participated in this survey. Patients living in rural areas reported a higher incidence of severe anxiety compared to those living in other areas (in rural areas, towns, and cities, the incidence rate was 17.0%, 9.0%, and 8.9%, respectively, P  &lt; 0.001). Medical staff were less likely to worry about being infected than non-medical staff (13.1% vs 30.3%, respectively, P  &lt; 0.001). With respect to the implementation of preventative measures, hemodialysis centers in general hospitals outperformed stand-alone blood purification centers, while tertiary hospitals outperformed hospitals of other levels. However, restrictions regarding the admission of non-resident patients were lower in tertiary hospitals than in other hospitals. In this situation, only one patient imported from Hubei province was diagnosed with COVID-19. Conclusions COVID-19 did not significantly affect the psychological status of most patients and medical staff members. Due to the implementation of comprehensive preventative measures, there were no cluster outbreaks of COVID-19 in hemodialysis centers. 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Methods An electronic questionnaire survey was carried out anonymously between March 28 and April 3, 2020. All of the 516 hemodialysis centers registered in Guangdong province were invited to participate in the survey. The questionnaires were designed to investigate the psychological status of hemodialysis patients and general staff members (doctors, nurses, technicians, and other staff), and to address the implementation of preventative measures for administrators (directors or head nurses) of the hemodialysis centers. Results A total of 1782 patients, 3400 staff, and 420 administrators voluntarily participated in this survey. Patients living in rural areas reported a higher incidence of severe anxiety compared to those living in other areas (in rural areas, towns, and cities, the incidence rate was 17.0%, 9.0%, and 8.9%, respectively, P  &lt; 0.001). Medical staff were less likely to worry about being infected than non-medical staff (13.1% vs 30.3%, respectively, P  &lt; 0.001). With respect to the implementation of preventative measures, hemodialysis centers in general hospitals outperformed stand-alone blood purification centers, while tertiary hospitals outperformed hospitals of other levels. However, restrictions regarding the admission of non-resident patients were lower in tertiary hospitals than in other hospitals. In this situation, only one patient imported from Hubei province was diagnosed with COVID-19. Conclusions COVID-19 did not significantly affect the psychological status of most patients and medical staff members. Due to the implementation of comprehensive preventative measures, there were no cluster outbreaks of COVID-19 in hemodialysis centers. This provincial-level survey may provide referential guidance for other countries and regions that are experiencing a similar pandemic.</abstract><cop>Dordrecht</cop><pub>Springer Netherlands</pub><pmid>34195909</pmid><doi>10.1007/s11255-021-02875-x</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-6764-9571</orcidid><oa>free_for_read</oa></addata></record>
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subjects Attitude of Health Personnel
China - epidemiology
Coronaviruses
COVID-19
COVID-19 - epidemiology
COVID-19 - prevention & control
Female
Hemodialysis
Hospitals
Humans
Incidence
Infection Control - organization & administration
Kidney Failure, Chronic - epidemiology
Kidney Failure, Chronic - psychology
Kidney Failure, Chronic - therapy
Male
Medicine
Medicine & Public Health
Middle Aged
Nephrology
Nephrology - Original Paper
Organizational Innovation
Pandemics
Patients
Preventive Medicine - methods
Preventive Medicine - organization & administration
Psychology
Questionnaires
Renal Dialysis - methods
Renal Dialysis - trends
SARS-CoV-2
Surveys and Questionnaires
Urology
title Psychological impact and implementation of preventative measures in hemodialysis centers during the COVID-19 pandemic: a provincial questionnaire survey in China
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