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Yves Roquelaure - One of the best experts on this subject based on the ideXlab platform.

  • Risk Factors for Shoulder Pain in a Cohort of French Workers: A Structural Equation Model
    American Journal of Epidemiology, 2018
    Co-Authors: Julie Bodin, Ronan Garlantézec, Nathalie Costet, Alexis Descatha, Jean-françois Viel, Yves Roquelaure
    Abstract:

    Shoulder pain is common in the working population and causes loss of productivity, high economic costs, and long absences. Simultaneous evaluation of the complex relationships between work organization (e.g., work pace, application of quality standards), psychosocial and physical risk factors, stress, and shoulder pain is rare. The aim of this study was to explore the direct and indirect relationships between workplace risk factors, perceived stress, and occurrence of shoulder pain in workers of the Cohorte des Salaries Ligeriens study. A total of 3,710 workers in a French region were randomly selected for inclusion between 2002 and 2005. They completed a self-administered questionnaire about musculoskeletal symptoms, individual factors, and exposure to work constraints. In 2007, they responded to a follow-up questionnaire. The study sample comprised 1,400 workers free of shoulder pain at baseline. Structural equation models were used. For both sexes, exposure to factors related to work organization had an effect on physical and psychosocial risk factors. Psychological Demand was the only psychosocial constraint that increased perceived stress. Shoulder pain was influenced directly by physical risk factors for both sexes and by perceived stress for men. In view of their distal action, work organization is an important target for strategies to prevent shoulder pain in the working population.

  • Evolution of psychosocial factors at work in a French region
    Occupational Medicine, 2016
    Co-Authors: Cyril Bègue, Julie Bodin, Natacha Fouquet, Aline Ramond-roquin, Jean-françois Huez, Céline Bouton, Yves Roquelaure
    Abstract:

    Background : Psychosocial factors at work (PFW) can be defined as all non-physicochemical occupational risks. Several epidemiological models have been proposed to measure PFW, but one of the most widely used is Karasek’s model. Aims : To determine whether psychosocial factors, evaluated by Karasek’s questionnaire, had increased in a cohort of workers. Methods : A random sample of workers in the Pays de la Loire region of France, who could be considered representative of the region’s population of salaried workers, filled in a self-administered questionnaire, including Karasek’s self-administered questionnaire, in 2002–05 and 2007–09. Karasek’s questionnaire can be used to study three psychosocial dimensions (Psychological Demand, decision latitude and social support in the workplace) in workers in order to define two high-risk situations for their health: ‘Job Strain’ and ‘Iso Strain’. Changes in job strain and iso strain among workers were studied according to the workers’ sociodemographic characteristics and their working conditions. Results : In this sample of 2049 workers, the proportion with iso strain increased between the two periods from 12 to 16%, P < 0.001, mainly among manual workers. Deterioration of Karasek indicators was mainly explained by an increase of the ‘low social support’ dimension (38 versus 49%, P < 0.001). Working conditions such as temporary employment of colleagues and high perceived physical exertion were associated with higher PFW. Conclusions : This study, based on a quantitative and collective model, showed deterioration of working team environments and increased risk for individual mental health in this cohort of French workers in recent years.

  • Risk factors for Raynaud’s phenomenon in the workforce : the French Pays de la Loire study
    2011
    Co-Authors: Yves Roquelaure, Julie Bodin, Alexis Descatha, Annette Leclerc, Marcel Goldberg, Audrey Petit, Ellen Imbernon
    Abstract:

    Objectives To assess the prevalence and risk factors for Raynaud's phenomenon (RP) in a general French working population characterised by various levels of exposure to work-related constraints. Methods The study population comprised 3710 workers (2161 men, 1549 women, mean age = 38.7 years) out of 184 600 followed by 83 occupational physicians. RP, diagnosed by (Nordic) questionnaire and standardised interview, was defined as the “occurrence of at least occasional attacks of finger blanching triggered by exposure to environmental cold” during the past 12 months. Personal factors and work exposure were assessed by self-administered questionnaires Associations between RP and personal and occupational factors were analysed using logistic regression modeling. Results A total of 87 cases of RP (56 women, 31 men) were diagnosed. The population-based annual prevalence rates of RP were 3.6% for females and 1.4% for males. Women were at higher risk (OR 2.6 95% CI (1.6 to 4.1)) and obese workers at lower risk (OR 0.3 (0.1 to 1.1)). The risk of RP increased consistently but moderately with age after 35 years (OR ranging from 1.8 (1.0 to 3.4) and 2.4 (1.3 to 4.2)). Among the work-related factors studied, RP was associated with the exposure to cold environment or objects (OR 2.1 (1.0 to 4.5)), high repetitiveness of the task (OR 1.7 (1.0 to 2.7)), high Psychological Demand at work (OR 1.7 (1.0 to 2.7)) and low support from supervisors (OR 2.3 (1.4 to 3.7)). Conclusions RP was associated with both personal and work-related factors in the working population. Psychosocial factors at work played a significant role, independently of the biomechanical and environmental exposure.

  • Risk factors for upper-extremity musculoskeletal disorders in the working population.
    Arthritis and rheumatism, 2009
    Co-Authors: Yves Roquelaure, Alexis Descatha, Natacha Fouquet, Clarisse Rouillon, Annette Leclerc, Annie Touranchet, Marcel Goldberg, Ellen Imbernon
    Abstract:

    Objective To assess the relative importance of personal and occupational risk factors for upper-extremity musculoskeletal disorders in the working population. Methods A total of 3,710 workers (58% men) participating in a surveillance program of musculoskeletal disorders in a French region in 2002–2005 were included. Upper-extremity musculoskeletal disorders were diagnosed by 83 trained occupational physicians performing a standardized physical examination. Personal factors and work exposure were assessed by a self-administered questionnaire. Statistical associations between musculoskeletal disorders, personal, and occupational factors were analyzed using logistic regression modeling. Results A total of 472 workers experienced at least 1 upper-extremity musculoskeletal disorder. The risk of upper-extremity musculoskeletal disorders increased with age for both sexes (P < 0.001, odds ratio [OR] ≤4.9 in men and ≤5.0 in women), and in cases of prior history of upper-extremity musculoskeletal disorders (OR 3.1 and 5.0, respectively, P < 0.001). In men, upper-extremity musculoskeletal disorders were associated with obesity (OR 2.2, P = 0.014), high level of physical Demand (OR 2.0, P < 0.001), high repetitiveness of the task (OR 1.5, P = 0.027), postures with the arms at or above shoulder level (OR 1.7, P = 0.009) or with full elbow flexion (OR 1.6, P = 0.006), and high Psychological Demand (OR 1.5, P = 0.005). In women, upper-extremity musculoskeletal disorders were associated with diabetes mellitus (OR 4.9, P = 0.001), postures with extreme wrist bending (OR 2.0, P < 0.001), use of vibrating hand tools (OR 2.2, P = 0.025), and low level of decision authority (OR 1.4, P = 0.042). Conclusion Personal and work-related physical and psychosocial factors were strongly associated with clinically diagnosed upper-extremity musculoskeletal disorders.

Ellen Imbernon - One of the best experts on this subject based on the ideXlab platform.

  • Risk factors for Raynaud’s phenomenon in the workforce : the French Pays de la Loire study
    2011
    Co-Authors: Yves Roquelaure, Julie Bodin, Alexis Descatha, Annette Leclerc, Marcel Goldberg, Audrey Petit, Ellen Imbernon
    Abstract:

    Objectives To assess the prevalence and risk factors for Raynaud's phenomenon (RP) in a general French working population characterised by various levels of exposure to work-related constraints. Methods The study population comprised 3710 workers (2161 men, 1549 women, mean age = 38.7 years) out of 184 600 followed by 83 occupational physicians. RP, diagnosed by (Nordic) questionnaire and standardised interview, was defined as the “occurrence of at least occasional attacks of finger blanching triggered by exposure to environmental cold” during the past 12 months. Personal factors and work exposure were assessed by self-administered questionnaires Associations between RP and personal and occupational factors were analysed using logistic regression modeling. Results A total of 87 cases of RP (56 women, 31 men) were diagnosed. The population-based annual prevalence rates of RP were 3.6% for females and 1.4% for males. Women were at higher risk (OR 2.6 95% CI (1.6 to 4.1)) and obese workers at lower risk (OR 0.3 (0.1 to 1.1)). The risk of RP increased consistently but moderately with age after 35 years (OR ranging from 1.8 (1.0 to 3.4) and 2.4 (1.3 to 4.2)). Among the work-related factors studied, RP was associated with the exposure to cold environment or objects (OR 2.1 (1.0 to 4.5)), high repetitiveness of the task (OR 1.7 (1.0 to 2.7)), high Psychological Demand at work (OR 1.7 (1.0 to 2.7)) and low support from supervisors (OR 2.3 (1.4 to 3.7)). Conclusions RP was associated with both personal and work-related factors in the working population. Psychosocial factors at work played a significant role, independently of the biomechanical and environmental exposure.

  • Personal, biomechanical and psychosocial risk factors for neck disorders in the working population
    2011
    Co-Authors: Audrey Petit, Julie Bodin, Aline Ramond-roquin, Ellen Imbernon, E Parot-schinkel, A Leclerc, Y. Roquelaure
    Abstract:

    Objectives To assess the prevalence and risk factors for non-specific neck disorder (ND) in a representative French working population characterised by various levels of exposure to work-related constraints. Methods The study population comprised 3710 workers (2161 men, 1549 women, mean age = 38.7 years) out of 184 600 surveyed by the 83 occupational physicians between 2002 and 2005. ND during the last 12 months and the preceding 7 days were assessed using the Nordic questionnaire. Personal risk factors and work exposure were assessed by a self-administered questionnaire. Associations between ND during the preceding 7 days and personal and occupational factors were analysed using logistic regression modeling. Results Forty percent of these workers reported ND at least 1 day during the previous 12 months and 19% during the preceding 7 days. Age (OR=1.18–1.94), female gender (OR=1.94 95% CI (1.6 to 2.3)), previous history of upper limb musculoskeletal disorders (OR=1.44 (1.2 to 1.8)) and arthritis (OR=3.30 (2.0 to 5.4)) were associated with ND. Higher risk of ND was observed in case of arm abduction (OR=1.46 (1.2 to 1.7)) and neck flexion (OR=1.41 (1.2 to 1.8)) during at least 2 h per day. High Psychological Demand at work (OR=1.27 (1.1 to 1.5)) and low supervisor social support (OR=1.42 (1.2 to 1.7)) were associated with ND. Workers whose work pace depended of outside request (OR=1.31 (1.09 to 1.57)) or colleague's work (OR=1.25 (1.03 to 1.51)) were more likely to suffer from ND. Conclusions The relative importance of individual, biomechanical, organisational and psychosocial risk factors for ND was similar. This study highlighted several work-related risk factors which can potentially be modified.

  • Risk factors for upper-extremity musculoskeletal disorders in the working population.
    Arthritis and rheumatism, 2009
    Co-Authors: Yves Roquelaure, Alexis Descatha, Natacha Fouquet, Clarisse Rouillon, Annette Leclerc, Annie Touranchet, Marcel Goldberg, Ellen Imbernon
    Abstract:

    Objective To assess the relative importance of personal and occupational risk factors for upper-extremity musculoskeletal disorders in the working population. Methods A total of 3,710 workers (58% men) participating in a surveillance program of musculoskeletal disorders in a French region in 2002–2005 were included. Upper-extremity musculoskeletal disorders were diagnosed by 83 trained occupational physicians performing a standardized physical examination. Personal factors and work exposure were assessed by a self-administered questionnaire. Statistical associations between musculoskeletal disorders, personal, and occupational factors were analyzed using logistic regression modeling. Results A total of 472 workers experienced at least 1 upper-extremity musculoskeletal disorder. The risk of upper-extremity musculoskeletal disorders increased with age for both sexes (P < 0.001, odds ratio [OR] ≤4.9 in men and ≤5.0 in women), and in cases of prior history of upper-extremity musculoskeletal disorders (OR 3.1 and 5.0, respectively, P < 0.001). In men, upper-extremity musculoskeletal disorders were associated with obesity (OR 2.2, P = 0.014), high level of physical Demand (OR 2.0, P < 0.001), high repetitiveness of the task (OR 1.5, P = 0.027), postures with the arms at or above shoulder level (OR 1.7, P = 0.009) or with full elbow flexion (OR 1.6, P = 0.006), and high Psychological Demand (OR 1.5, P = 0.005). In women, upper-extremity musculoskeletal disorders were associated with diabetes mellitus (OR 4.9, P = 0.001), postures with extreme wrist bending (OR 2.0, P < 0.001), use of vibrating hand tools (OR 2.2, P = 0.025), and low level of decision authority (OR 1.4, P = 0.042). Conclusion Personal and work-related physical and psychosocial factors were strongly associated with clinically diagnosed upper-extremity musculoskeletal disorders.

  • Psychosocial factors at work and perceived health among agricultural meat industry workers in France
    International Archives of Occupational and Environmental Health, 2009
    Co-Authors: Christine Cohidon, Marcel Goldberg, Patrick Morisseau, Francis Derriennic, Ellen Imbernon
    Abstract:

    Objective The objective of this study was to describe the perceived health status of the meat industry employees—i.e., working in the slaughtering, cutting, and boning of large animals and poultry—and its relation to their organisational and psychosocial constraints at work. Methods This postal survey included all 3,000 employees of the meat industry (beef, pork and poultry) in four districts in Brittany, France, whose companies were affiliated with the agricultural branch of the national health insurance fund. The questionnaire asked for social and demographic data and information describing their job and the organisation of their work. The psychosocial factors at work were described according to Karasek’s questionnaire (Demand, latitude and social support at work). Perceived health was measured with the Nottingham Health Profile perceived health indicator. Results This study shows the high prevalence of poor health reported by the workers in this industry. This poor perceived health was worse in women and increased regularly with age. Among the psychosocial factors studied, high quantitative and qualitative Demand at work, inadequate resources for good work and to a lesser extent, inadequate prospects for promotion appear especially associated with poor perceived health. Other factors often associated with poor perceived health included young age at the first job and work hours that disrupt sleep rhythms (especially for women). Conclusion Our results show that this population of workers is especially vulnerable from the point of view of perceived physical and Psychological health and is exposed to strong physical, organisational and psychosocial constraints at work. They also demonstrate that poor perceived health is associated with some psychosocial (such as high Psychological Demand and insufficient resources) and organisational factors at work. These results, in conjunction with those from other disciplines involved in studying this industry, may help the companies to develop preventive activities.

Julie Bodin - One of the best experts on this subject based on the ideXlab platform.

  • Risk Factors for Shoulder Pain in a Cohort of French Workers: A Structural Equation Model
    American Journal of Epidemiology, 2018
    Co-Authors: Julie Bodin, Ronan Garlantézec, Nathalie Costet, Alexis Descatha, Jean-françois Viel, Yves Roquelaure
    Abstract:

    Shoulder pain is common in the working population and causes loss of productivity, high economic costs, and long absences. Simultaneous evaluation of the complex relationships between work organization (e.g., work pace, application of quality standards), psychosocial and physical risk factors, stress, and shoulder pain is rare. The aim of this study was to explore the direct and indirect relationships between workplace risk factors, perceived stress, and occurrence of shoulder pain in workers of the Cohorte des Salaries Ligeriens study. A total of 3,710 workers in a French region were randomly selected for inclusion between 2002 and 2005. They completed a self-administered questionnaire about musculoskeletal symptoms, individual factors, and exposure to work constraints. In 2007, they responded to a follow-up questionnaire. The study sample comprised 1,400 workers free of shoulder pain at baseline. Structural equation models were used. For both sexes, exposure to factors related to work organization had an effect on physical and psychosocial risk factors. Psychological Demand was the only psychosocial constraint that increased perceived stress. Shoulder pain was influenced directly by physical risk factors for both sexes and by perceived stress for men. In view of their distal action, work organization is an important target for strategies to prevent shoulder pain in the working population.

  • Evolution of psychosocial factors at work in a French region
    Occupational Medicine, 2016
    Co-Authors: Cyril Bègue, Julie Bodin, Natacha Fouquet, Aline Ramond-roquin, Jean-françois Huez, Céline Bouton, Yves Roquelaure
    Abstract:

    Background : Psychosocial factors at work (PFW) can be defined as all non-physicochemical occupational risks. Several epidemiological models have been proposed to measure PFW, but one of the most widely used is Karasek’s model. Aims : To determine whether psychosocial factors, evaluated by Karasek’s questionnaire, had increased in a cohort of workers. Methods : A random sample of workers in the Pays de la Loire region of France, who could be considered representative of the region’s population of salaried workers, filled in a self-administered questionnaire, including Karasek’s self-administered questionnaire, in 2002–05 and 2007–09. Karasek’s questionnaire can be used to study three psychosocial dimensions (Psychological Demand, decision latitude and social support in the workplace) in workers in order to define two high-risk situations for their health: ‘Job Strain’ and ‘Iso Strain’. Changes in job strain and iso strain among workers were studied according to the workers’ sociodemographic characteristics and their working conditions. Results : In this sample of 2049 workers, the proportion with iso strain increased between the two periods from 12 to 16%, P < 0.001, mainly among manual workers. Deterioration of Karasek indicators was mainly explained by an increase of the ‘low social support’ dimension (38 versus 49%, P < 0.001). Working conditions such as temporary employment of colleagues and high perceived physical exertion were associated with higher PFW. Conclusions : This study, based on a quantitative and collective model, showed deterioration of working team environments and increased risk for individual mental health in this cohort of French workers in recent years.

  • Risk factors for Raynaud’s phenomenon in the workforce : the French Pays de la Loire study
    2011
    Co-Authors: Yves Roquelaure, Julie Bodin, Alexis Descatha, Annette Leclerc, Marcel Goldberg, Audrey Petit, Ellen Imbernon
    Abstract:

    Objectives To assess the prevalence and risk factors for Raynaud's phenomenon (RP) in a general French working population characterised by various levels of exposure to work-related constraints. Methods The study population comprised 3710 workers (2161 men, 1549 women, mean age = 38.7 years) out of 184 600 followed by 83 occupational physicians. RP, diagnosed by (Nordic) questionnaire and standardised interview, was defined as the “occurrence of at least occasional attacks of finger blanching triggered by exposure to environmental cold” during the past 12 months. Personal factors and work exposure were assessed by self-administered questionnaires Associations between RP and personal and occupational factors were analysed using logistic regression modeling. Results A total of 87 cases of RP (56 women, 31 men) were diagnosed. The population-based annual prevalence rates of RP were 3.6% for females and 1.4% for males. Women were at higher risk (OR 2.6 95% CI (1.6 to 4.1)) and obese workers at lower risk (OR 0.3 (0.1 to 1.1)). The risk of RP increased consistently but moderately with age after 35 years (OR ranging from 1.8 (1.0 to 3.4) and 2.4 (1.3 to 4.2)). Among the work-related factors studied, RP was associated with the exposure to cold environment or objects (OR 2.1 (1.0 to 4.5)), high repetitiveness of the task (OR 1.7 (1.0 to 2.7)), high Psychological Demand at work (OR 1.7 (1.0 to 2.7)) and low support from supervisors (OR 2.3 (1.4 to 3.7)). Conclusions RP was associated with both personal and work-related factors in the working population. Psychosocial factors at work played a significant role, independently of the biomechanical and environmental exposure.

  • Personal, biomechanical and psychosocial risk factors for neck disorders in the working population
    2011
    Co-Authors: Audrey Petit, Julie Bodin, Aline Ramond-roquin, Ellen Imbernon, E Parot-schinkel, A Leclerc, Y. Roquelaure
    Abstract:

    Objectives To assess the prevalence and risk factors for non-specific neck disorder (ND) in a representative French working population characterised by various levels of exposure to work-related constraints. Methods The study population comprised 3710 workers (2161 men, 1549 women, mean age = 38.7 years) out of 184 600 surveyed by the 83 occupational physicians between 2002 and 2005. ND during the last 12 months and the preceding 7 days were assessed using the Nordic questionnaire. Personal risk factors and work exposure were assessed by a self-administered questionnaire. Associations between ND during the preceding 7 days and personal and occupational factors were analysed using logistic regression modeling. Results Forty percent of these workers reported ND at least 1 day during the previous 12 months and 19% during the preceding 7 days. Age (OR=1.18–1.94), female gender (OR=1.94 95% CI (1.6 to 2.3)), previous history of upper limb musculoskeletal disorders (OR=1.44 (1.2 to 1.8)) and arthritis (OR=3.30 (2.0 to 5.4)) were associated with ND. Higher risk of ND was observed in case of arm abduction (OR=1.46 (1.2 to 1.7)) and neck flexion (OR=1.41 (1.2 to 1.8)) during at least 2 h per day. High Psychological Demand at work (OR=1.27 (1.1 to 1.5)) and low supervisor social support (OR=1.42 (1.2 to 1.7)) were associated with ND. Workers whose work pace depended of outside request (OR=1.31 (1.09 to 1.57)) or colleague's work (OR=1.25 (1.03 to 1.51)) were more likely to suffer from ND. Conclusions The relative importance of individual, biomechanical, organisational and psychosocial risk factors for ND was similar. This study highlighted several work-related risk factors which can potentially be modified.

Xiaoxiao Xia - One of the best experts on this subject based on the ideXlab platform.

  • comparison of Psychological distress and Demand induced by covid 19 during the lockdown period in patients undergoing peritoneal dialysis and hemodialysis a cross section study in a tertiary hospital
    Blood Purification, 2020
    Co-Authors: Xiaoxiao Xia, Xueli Zhou, Zhiyun Zang
    Abstract:

    BACKGROUND: Since the outbreak of COVID-19 in December 2019, it has spread rapidly and widely, bringing great Psychological pressure to the public. In order to prevent the epidemic, traffic lockdown was required in many areas of China, which led to inconvenience of treatment for dialysis patients. This study was conducted to explore the Psychological distress and the Psychological Demand induced by CO-VID-19 in the patients undergoing dialysis and compare the difference between hemodialysis (HD) and peritoneal dialysis (PD) patients during the traffic lockdown period. METHODS: Questionnaires were given to the dialysis patients in the West China Hospital of Sichuan University. The Impact of Event Scale (IES) was used to investigate the patients' trauma-related distress in response to COVID-19. RESULTS: 232 eligible respondents were enrolled in this cross-section study, consisting of 156 PD patients and 76 HD patients. The median IES score for all the enrolled patients was 8.00 (2.00-19.00), which belonged to the subclinical dimension of post-traumatic stress symptoms (PTSS). HD patients had a significant higher IES score than PD patients (11.50 vs. 8.00) (p 0.05). In the multivariate regression analysis, we found that dialysis vintage, the impact of COVID-19 on the severity of illness and daily life, and confidence in overcoming the disease contributed to IES score (p < 0.05). CONCLUSIONS: HD patients had more severe trauma-related stress symptoms than PD patients. When major public healthy events occurred, careful Psychological estimate and sufficient Psychological support should be provided to the dialysis patients, especially to the HD patients.

  • comparison of Psychological distress and Demand induced by covid 19 during the lockdown period in patients undergoing peritoneal dialysis and hemodialysis a cross section study in a tertiary hospital
    medRxiv, 2020
    Co-Authors: Xiaoxiao Xia, Xueli Zhou, Zhiyun Zang
    Abstract:

    Background: Since the outbreak of COVID-19 in December 2019, it has spread rapidly and widely, bringing great Psychological pressure to the public. In order to prevent the epidemic, lockdown was required in many areas of China, which led to inconvenience of treatment for dialysis patients. To explore the Psychological distress and the Psychological Demand induced by COVID-19 in the patients undergoing dialysis and compare the difference between hemodialysis (HD) and peritoneal (PD) patients during the lockdown period. Methods: Questionnaires were given to the dialysis patients in West China Hospital of Sichuan University. The Impact of Event Scale (IES) was used to investigate the patients' trauma-related distress in response to COVID-19. Results: 232 eligible respondents were enrolled in this cross-section study, consisting of 156 PD patients and 76 HD patients. The median IES score for all the enrolled patients was 8.00 (2.00-19.00), which belonged to the subclinical dimension of post-traumatic stress symptoms. HD patients had a significant higher IES score than PD patients (11.50 vs 8.00) (p<0.05). HD patients already got more Psychological support from the medical staff. There was no significant difference on further Demand of Psychological support between the two groups. In the multivariate regression analysis, we found that dialysis vintage, the impact of COVID-19 on the severity of illness and daily life, and confidence in overcoming the disease contributed to IES score (p<0.05). Conclusions: HD patients had more severe trauma-related stress symptoms than PD patients. When major public healthy events occurred, careful Psychological estimate and sufficient Psychological support should be provided to the dialysis patients, especially to the HD patients.

  • comparison of Psychological distress and Demand induced by covid 19 during the lockdown period in patients undergoing peritoneal dialysis and hemodialysis a cross section study in a tertiary hospital
    Journal of The American Society of Nephrology, 2020
    Co-Authors: Zhiyun Zang, Xiaoxiao Xia
    Abstract:

    Background: Since the outbreak of COVID-19 in December 2019, it has spread rapidly and widely, bringing great Psychological pressure to the public In order to prevent the epidemic, lockdown was required in many areas of China, which led to inconvenience of treatment for dialysis patients However, there are few studies on the mental health of dialysis patients with ESRD after health emergencies and the comparison between HD and PD is less To explore the Psychological distress and the Psychological Demand induced by COVID-19 in the patients undergoing dialysis and compare the difference between hemodialysis (HD) and peritoneal (PD) patients during the lockdown period Methods: Questionnaires were given to the dialysis patients in West China Hospital of Sichuan University The Impact of Event Scale (IES) was used to investigate the patients' trauma-related distress in response to COVID-19 We investigated the patient characteristics, the impact of COVID-19 to the severity of illness and daily life, the IES scores and the Psychological support during the epidemic period of COVID-19 Results: 232 eligible respondents were enrolled in this cross-section study, consisting of 156 PD patients and 76 HD patients The median IES score for all the enrolled patients was 8 00 (2 00-19 00), which belonged to the subclinical dimension of post-traumatic stress symptoms HD patients had a significant higher IES score than PD patients (11 50 vs 8 00) (p<0 05) HD patients already got more Psychological support from the medical staff There was no significant difference on further Demand of Psychological support between the two groups In the multivariate regression analysis, we found that dialysis vintage, the impact of COVID-19 on the severity of illness and daily life, and confidence in overcoming the disease contributed to IES score (p<0 05) Conclusions: HD patients had more severe trauma-related stress symptoms than PD patients When major public healthy events occurred, careful Psychological estimate and sufficient Psychological support should be provided to the dialysis patients, especially to the HD patients

Zhiyun Zang - One of the best experts on this subject based on the ideXlab platform.

  • comparison of Psychological distress and Demand induced by covid 19 during the lockdown period in patients undergoing peritoneal dialysis and hemodialysis a cross section study in a tertiary hospital
    Blood Purification, 2020
    Co-Authors: Xiaoxiao Xia, Xueli Zhou, Zhiyun Zang
    Abstract:

    BACKGROUND: Since the outbreak of COVID-19 in December 2019, it has spread rapidly and widely, bringing great Psychological pressure to the public. In order to prevent the epidemic, traffic lockdown was required in many areas of China, which led to inconvenience of treatment for dialysis patients. This study was conducted to explore the Psychological distress and the Psychological Demand induced by CO-VID-19 in the patients undergoing dialysis and compare the difference between hemodialysis (HD) and peritoneal dialysis (PD) patients during the traffic lockdown period. METHODS: Questionnaires were given to the dialysis patients in the West China Hospital of Sichuan University. The Impact of Event Scale (IES) was used to investigate the patients' trauma-related distress in response to COVID-19. RESULTS: 232 eligible respondents were enrolled in this cross-section study, consisting of 156 PD patients and 76 HD patients. The median IES score for all the enrolled patients was 8.00 (2.00-19.00), which belonged to the subclinical dimension of post-traumatic stress symptoms (PTSS). HD patients had a significant higher IES score than PD patients (11.50 vs. 8.00) (p 0.05). In the multivariate regression analysis, we found that dialysis vintage, the impact of COVID-19 on the severity of illness and daily life, and confidence in overcoming the disease contributed to IES score (p < 0.05). CONCLUSIONS: HD patients had more severe trauma-related stress symptoms than PD patients. When major public healthy events occurred, careful Psychological estimate and sufficient Psychological support should be provided to the dialysis patients, especially to the HD patients.

  • comparison of Psychological distress and Demand induced by covid 19 during the lockdown period in patients undergoing peritoneal dialysis and hemodialysis a cross section study in a tertiary hospital
    medRxiv, 2020
    Co-Authors: Xiaoxiao Xia, Xueli Zhou, Zhiyun Zang
    Abstract:

    Background: Since the outbreak of COVID-19 in December 2019, it has spread rapidly and widely, bringing great Psychological pressure to the public. In order to prevent the epidemic, lockdown was required in many areas of China, which led to inconvenience of treatment for dialysis patients. To explore the Psychological distress and the Psychological Demand induced by COVID-19 in the patients undergoing dialysis and compare the difference between hemodialysis (HD) and peritoneal (PD) patients during the lockdown period. Methods: Questionnaires were given to the dialysis patients in West China Hospital of Sichuan University. The Impact of Event Scale (IES) was used to investigate the patients' trauma-related distress in response to COVID-19. Results: 232 eligible respondents were enrolled in this cross-section study, consisting of 156 PD patients and 76 HD patients. The median IES score for all the enrolled patients was 8.00 (2.00-19.00), which belonged to the subclinical dimension of post-traumatic stress symptoms. HD patients had a significant higher IES score than PD patients (11.50 vs 8.00) (p<0.05). HD patients already got more Psychological support from the medical staff. There was no significant difference on further Demand of Psychological support between the two groups. In the multivariate regression analysis, we found that dialysis vintage, the impact of COVID-19 on the severity of illness and daily life, and confidence in overcoming the disease contributed to IES score (p<0.05). Conclusions: HD patients had more severe trauma-related stress symptoms than PD patients. When major public healthy events occurred, careful Psychological estimate and sufficient Psychological support should be provided to the dialysis patients, especially to the HD patients.

  • comparison of Psychological distress and Demand induced by covid 19 during the lockdown period in patients undergoing peritoneal dialysis and hemodialysis a cross section study in a tertiary hospital
    Journal of The American Society of Nephrology, 2020
    Co-Authors: Zhiyun Zang, Xiaoxiao Xia
    Abstract:

    Background: Since the outbreak of COVID-19 in December 2019, it has spread rapidly and widely, bringing great Psychological pressure to the public In order to prevent the epidemic, lockdown was required in many areas of China, which led to inconvenience of treatment for dialysis patients However, there are few studies on the mental health of dialysis patients with ESRD after health emergencies and the comparison between HD and PD is less To explore the Psychological distress and the Psychological Demand induced by COVID-19 in the patients undergoing dialysis and compare the difference between hemodialysis (HD) and peritoneal (PD) patients during the lockdown period Methods: Questionnaires were given to the dialysis patients in West China Hospital of Sichuan University The Impact of Event Scale (IES) was used to investigate the patients' trauma-related distress in response to COVID-19 We investigated the patient characteristics, the impact of COVID-19 to the severity of illness and daily life, the IES scores and the Psychological support during the epidemic period of COVID-19 Results: 232 eligible respondents were enrolled in this cross-section study, consisting of 156 PD patients and 76 HD patients The median IES score for all the enrolled patients was 8 00 (2 00-19 00), which belonged to the subclinical dimension of post-traumatic stress symptoms HD patients had a significant higher IES score than PD patients (11 50 vs 8 00) (p<0 05) HD patients already got more Psychological support from the medical staff There was no significant difference on further Demand of Psychological support between the two groups In the multivariate regression analysis, we found that dialysis vintage, the impact of COVID-19 on the severity of illness and daily life, and confidence in overcoming the disease contributed to IES score (p<0 05) Conclusions: HD patients had more severe trauma-related stress symptoms than PD patients When major public healthy events occurred, careful Psychological estimate and sufficient Psychological support should be provided to the dialysis patients, especially to the HD patients