Impact of climate change on psychological status among patients with chronic kidney disease at hemodialysis unit

Rateb, Shaimaa Ahmed Abdel Samie; Sayied, Nadia Ebraheem; Abdul Hamid, Samir Kamal; Hussien, Mona Fawzy; Faisal, Yasser Abd Elmawgood

doi:10.21608/asnj.2025.345534.1971

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	Impact of climate change on psychological status among patients with chronic kidney disease at hemodialysis unit
Article 17, Volume 13, Issue 48, January 2025, Page 182-195 PDF (1 MB)
Document Type: Original Article
DOI: 10.21608/asnj.2025.345534.1971
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Authors
Shaimaa Ahmed Abdel Samie Rateb ¹; Nadia Ebraheem Sayied²; Samir Kamal Abdul Hamid³; Mona Fawzy Hussien⁴; Yasser Abd Elmawgood Faisal⁵
¹psychiatric and mental health nursing department,faculty of nursing. assiut university, assiut, Egypt
²Professor of Psychiatric& Mental Health Nursing, Faculty of Nursing, Assiut University, Egypt.
³Professor of Nephrology and Transplantation Unit, Internal Medicine Department, Faculty of Medicine, Assiut University, Egypt.
⁴Lecturer of Psychiatric and Mental Health Nursing, Faculty of Nursing, Assiut University, Egypt.
⁵Lecturer of Nephrology and Transplantation Unit, Internal Medicine Department, Faculty of Medicine, Assiut University, Egypt.
Abstract
Abstract Background : Over the past few decades, climate change has gained international attention. In addition to having a variety of effects on the ecosystem and ecology, these climate changes also have a variety of effects on life on Earth. Even in healthy people, heat stress can cause acute kidney injury if it is severe it cause volume depletion. Acute renal damage is known to contribute to chronic kidney disease overall. Aim: Investigate the impact of climate change on the psychological status of patients with chronic kidney disease. Method: A descriptive correlational research design was used. The study was carried out at hemodialysis units at Assiut University Hospital. A purposive sample of (200) hemodialysis patients was included. Tools: Demographic and clinical data sheet, climate change anxiety scale, beck depression inventory II, Kessler Psychological Distress Scale. Results: The study finding clarified that, the majority of the studied sample (71.5%) had a low level of climate change anxiety. More than half (51.5%) of the studied sample experienced moderate to very high psychological distress. More than half (53.5%) of the studied sample had moderate to high level of depression. Conclusion: there was a highly significant difference between demographic data, age group and educational level with p – value ( 0.007, <0.001), and there was a positive correlation between Climate change anxiety , psychological distress and depression. Recommendation: Implement psycho- educational program for chronic kidney disease patients to manage psychological stress and depression.
Keywords
Climate change; depression; hemodialysis; psychological distress


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