Społeczny wpływ pandemii COVID-19 na pacjentów CKD leczonych dializami w Portugalii

Marta Freitas Olim; Sónia Guadalupe; Mónica Carvalho; Paula Fragoso; Susana Ribeiro; Susana Torres; Dora Isabel Dias; Fernando Macário

doi:10.18778/0208-600X.80.08

Authors

Marta Freitas Olim Social Work Department of Diaverum Portugal https://orcid.org/0000-0001-5151-9425
Sónia Guadalupe Miguel Torga Institute of Higher Education, Coimbra, Portugal https://orcid.org/0000-0003-4898-3942
Mónica Carvalho Diaverum Portugal https://orcid.org/0000-0003-1875-8592
Paula Fragoso Diaverum Portugal https://orcid.org/0000-0002-8004-4905
Susana Ribeiro Diaverum Portugal https://orcid.org/0000-0003-1406-6070
Susana Torres Social Worker at Diaverum Portugal. Graduated in Social Wor https://orcid.org/0000-0001-8842-4454
Dora Isabel Dias Social Worker at Diaverum Portugal. Graduated in Social Work https://orcid.org/0000-0003-4835-0045
Fernando Macário Physician. Graduated in Medicine. Specialist in Nephrology. Medical Management of Diaverum Iberia, Chief Medical Officer of Diaverum

DOI:

https://doi.org/10.18778/0208-600X.80.08

Keywords:

COVID-19 pandemic, CKD, haemodialysis, social needs, social work

Abstract

This study aimed to assess the social impact of COVID-19 on chronic kidney disease patients, a vulnerable population, by analysing the social problems that emerged and aggravated during the pandemic’s first phase. 117 CKD patients on treatment, referred to Social Work, participated in this study. New referrals were 37.6%, and 62.4% were aggravated situations, presenting mostly economic deprivation or lack of income, unemployment, and social isolation. The social intervention complexity was higher among those with aggravated social problems. The results allow social workers to plan interventions focused on the most relevant emerging issues in a pandemic challenging context.

Author Biographies

Marta Freitas Olim, Social Work Department of Diaverum Portugal

Marta Freitas Olim: Social Worker. Director of the Social Work Department of Diaverum Portugal. Graduated and Master in Social Work
Sónia Guadalupe, Miguel Torga Institute of Higher Education, Coimbra, Portugal

Social Worker. Assistant Professor of Social Work in Miguel Torga Institute of Higher Education, Coimbra, Portugal. PhD in Social Work, PhD in Mental Health. Researcher in CEISUC – Centre for Health Studies and Research of the University of Coimbra.
Mónica Carvalho, Diaverum Portugal

Social Worker at Diaverum Portugal. Graduated in Social Work. Master in Social Work: Welfare and Social Management.
Paula Fragoso, Diaverum Portugal

Social Worker at Diaverum Portugal. Graduated in Social Work.
Susana Ribeiro, Diaverum Portugal

Social Worker at Diaverum Portugal. Graduated in Social Work and Sociology.
Susana Torres, Social Worker at Diaverum Portugal. Graduated in Social Wor

Social Worker at Diaverum Portugal. Graduated in Social Work.
Dora Isabel Dias, Social Worker at Diaverum Portugal. Graduated in Social Work

Social Worker at Diaverum Portugal. Graduated in Social Work.
Fernando Macário, Physician. Graduated in Medicine. Specialist in Nephrology. Medical Management of Diaverum Iberia, Chief Medical Officer of Diaverum

Physician. Graduated in Medicine. Specialist in Nephrology. Medical Management of Diaverum Iberia, Chief Medical Officer of Diaverum.

References

Abrams E.M., Szefler S.J. (2020), COVID-19 and the impact of social determinants of health, “Lancet”, vol. 8(7), pp. 659–661 https://doi.org/10.1016/S2213-2600(20)30234-4 DOI: https://doi.org/10.1016/S2213-2600(20)30234-4

Ahmed F., Ahmed N., Pissarides C., Stiglitz J. (2020), Why inequality could spread COVID-19, “Lancet Public Health”, vol. 5(5), E240 https://doi.org/10.1016/S2468-2667(20)30085-2 DOI: https://doi.org/10.1016/S2468-2667(20)30085-2

Bhattacharya S. (2020), The Social Impact of the COVID-19 Pandemic, “ORF Issue Brief”, no. 406, Observer Research Foundation https://www.orfonline.org/research/the-social-impact-of-the-covid19-pandemic/ (accessed: 6.12.2020).

Bruchfeld A. (2021), The COVID-19 pandemic: consequences for nephrology, “Nature Reviews Nephrology”, vol. 17, pp. 81–82 https://doi.org/10.1038/s41581-020-00381-4 DOI: https://doi.org/10.1038/s41581-020-00381-4

Collado S., Arenas M.D., Barbosa F., Cao H., Montero M.M., Villar-García J., Barrios C., Rodríguez E., Sans L., Sierra A., Pérez-Sáez M.J., Redondo-Pachón D., Coca A., Maiques J.M., Güerri-Fernández R., Horcajada J.P., Crespo M., Pascual J. (2020), COVID-19 in Grade 4–5 Chronic Kidney Disease Patients, “Kidney and Blood Pressure Research”, vol. 45, pp. 768–774 https://doi.org/10.1159/000511082 DOI: https://doi.org/10.1159/000511082

Cruz N., Souza E., Sampaio C., Santos A., Chaves S., Hora R., Souza R., Santos J.E. (2020), Apoio psicossocial em tempos de COVID-19: experiências de novas estratégias de gestão e ajuda mútua no sul da Bahia, Brasil, “APS em Revista”, vol. 2(2), pp. 97–105 https:// doi.org/10.14295/aps.v2i2.94 DOI: https://doi.org/10.14295/aps.v2i2.94

Dubey S., Biswas P., Ghosh R., Chatterjee S., Dubey M.J., Chatterjee S., Lahiri D., Lavie C.J. (2020), Psychosocial impact of COVID-19, “Diabetes & Metabolic Syndrome: Clinical Research & Reviews”, vol. 14(5), pp. 779–788 https://doi.org/10.1016/j.dsx.2020.05.035. DOI: https://doi.org/10.1016/j.dsx.2020.05.035

Guadalupe S. (2012), A intervenção do serviço social na saúde com famílias e em redes de suporte social, [in:] M.I. Carvalho (ed.), Serviço Social na Saúde, Pactor, Lidel, Lisboa, pp. 183–217.

International Federation of Social Workers (IFSW) (2020), Practising during pandemic conditions: ethical guidance for social workers, The International Federation of Social Workers, Rheinfelden https://www.ifsw.org/wp-content/uploads/2020/11/2020-11-10-Ethical-Guidance-COVID-19-FINAL.pdf (accessed: 6.12.2020).

Lee J., Steel J., Roumelioti M.-E., Erickson S., Myaskovsky L., Yabes J.G., Rollman B.L., Weisbord S., Unruh M., Jhamb M. (2020), Psychosocial Impact of COVID-19 Pandemic on Patients with End-Stage Kidney Disease on Hemodialysis, “Kidney 360”, vol. 1(12), pp. 1–20 https://doi.org/10.34067/KID.0004662020 DOI: https://doi.org/10.34067/KID.0004662020

Li L.Z., Wang S. (2020), Prevalence and predictors of general psychiatric disorders and loneliness during COVID-19 in the United Kingdom, “Psychiatry Research”, no. 291, pp. 0165–1781 https://doi.org/10.1016/j.psychres.2020.113267 DOI: https://doi.org/10.1016/j.psychres.2020.113267

Magalhães P., Gouveia R., Costa L.R., Silva P. (eds.) (2020), O Impacto Social da Pandemia, “Iscte”, pp. 2–4 https://repositorio.ul.pt/bitstream/10451/42911/1/RelatorioInqueritoICSISCTE.pdf (accessed: 21.01.2021).

Mamede R.P., Pereira M., Simões A. (2020), Portugal: Uma análise rápida do impacto da COVID-19 na economia e no mercado de trabalho, International Labour Organization https://www.ilo.org/wcmsp5/groups/public/---europe/---ro-geneva/---ilo-lisbon/documents/publication/wcms_754606.pdf (accessed: 21.01.2021).

Martin A., Markhvida M., Hallegatte S., Walsh B. (2020), Socio-Economic Impacts of COVID-19 on Household Consumption and Poverty, “Economics of Disasters and Climate Change”, no. 4, pp. 453–479 https://doi.org/10.1007/s41885-020-00070-3 DOI: https://doi.org/10.1007/s41885-020-00070-3

Martins A.M.G. (2020), O Impacto da COVID 19 nos Direitos Humanos: A resposta da Convenção Europeia dos Direitos Humanos, “e-Pública: Revista Eletrónica de Direito Público”, vol. 7(1), pp. 153–169 http://www.scielo.mec.pt/scielo.php?script=sci_arttext&pid=S2183-184X2020000100007&lng=pt&tlng=pt (accessed: 21.01.2021).

Novick T.K., Rizzolo K., Cervantes L. (2020), COVID-19 and Kidney Disease Disparities in the United States, “National Kidney Foundation”, vol. 27(5), pp. 427–433 https://doi. org/10.1053/j.ackd.2020.06.005 DOI: https://doi.org/10.1053/j.ackd.2020.06.005

Olim M.F., Guadalupe S., Zeferino S., Marques M., Neves P. (2018a), Needs and social resources of hemodialysis patients with chronic kidney disease, “Serviço Social & Saúde”, vol. 17(1), pp. 31–64 https://doi.org/10.20396/sss.v17i1.8655202 DOI: https://doi.org/10.20396/sss.v17i1.8655202

Olim M.F., Guadalupe S., Mota F., Fragoso P., Ribeiro S. (2018b), Sociographic Profile of Hemodialysis Patients in Portugal, “Journal of Nephrology Social Work”, vol. 42(1), pp. 9–20 https://www.kidney.org/sites/default/files/v42a_a1.pdf

Olim M.F., Guadalupe S., Daniel F., Pimenta J., Carrasco L., Silva A.G. (2019), The Matrix of Complexity Associated with the Process of Social Intervention with Chronic Kidney Disease Patients, [in:] C. Albuquerque (ed.), Emerging Trends and Innovations in Privacy and Health Information Management, IGI Global, Hershey https://doi.org/10.4018/978-1-5225-8470-4 DOI: https://doi.org/10.4018/978-1-5225-8470-4.ch004

Redondo-Sama G., Matulic V., Munté-Pascual A., Vicente I. (2020), Social Work during the COVID-19 Crisis: Responding to Urgent Social Needs, “Sustainability”, vol. 12(20), pp. 85–95 https://doi.org/10.3390/su12208595 DOI: https://doi.org/10.3390/su12208595

Relvas A.P., Portugal A., Major S., Sotero L. (2020), Resultados Preliminares sobre Impacto Psicossocial da COVID-19 em Portugal, Centro de Estudos Sociais https://www.ces.uc.pt/ficheiros2/files/RELATORIO_Resultados%20Preliminares%20sobre%20Impacto%20Psicossocial%20da%20COVID-19%20em%20Portugal.pdf (accessed: 21.01.2021).

Saladino V., Algeri D., Auriemma V. (2020), The Psychological and Social Impact of Covid-19: New Perspectives of Well-Being, “Frontiers in Psychology”, no. 11, pp. 577–684 https://doi.org/10.3389/fpsyg.2020.577684 DOI: https://doi.org/10.3389/fpsyg.2020.577684

Saqib M., Siddiqui S., Qasim M., Jamil M.A., Rafique I., Awan U.A., Ahmad H., Afzal M.S. (2020), Effect of COVID-19 lockdown on patients with chronic diseases, “Diabetes & metabolic syndrome”, vol. 14(6), pp. 1621–1623 https://doi.org/10.1016/j.dsx.2020.08.028 DOI: https://doi.org/10.1016/j.dsx.2020.08.028

Sousa H., Ribeiro O., Costa E., Frontini R., Paúl C., Amado L., Miranda V., Ribeiro F., Figueiredo D. (2021), Being on hemodialysis during the COVID‐19 outbreak: A mixed methods’ study exploring the impacts on dialysis adequacy, analytical data, and patients’ experiences, “Seminars in Dialysis”, vol. 34(1), pp. 66–76 https://doi.org/10.1111/sdi.12914 DOI: https://doi.org/10.1111/sdi.12914

Sumner A., Hoy C., Ortiz-Juarez E. (2020), Estimates of the impact of COVID-19 on global poverty, “United Nations University World Institute for Development Economics Research Publication (UNU-WINDER) Working Paper”, vol. 4(43), pp. 1–14 https://www.wider.unu.edu/sites/default/files/Publications/Working (accessed: 21.01.2021). DOI: https://doi.org/10.35188/UNU-WIDER/2020/800-9

World Health Organization (WHO) (2020), Statement – Physical and mental health key to resilience during COVID-19 pandemic https://www.euro.who.int/en/media-centre/sections/statements/2020/statement-physical-and-mental-health-key-to-resilience-during-covid-19-pandemic (accessed: 6.12.2020).