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The impact of the COVID-19 pandemic on the emotional well-being and home treatment of Belgian patients with cystic fibrosis, including transplanted patients and paediatric patients.

Identifieur interne : 000081 ( Main/Exploration ); précédent : 000080; suivant : 000082

The impact of the COVID-19 pandemic on the emotional well-being and home treatment of Belgian patients with cystic fibrosis, including transplanted patients and paediatric patients.

Auteurs : Trudy Havermans [Belgique] ; Janne Houben [Belgique] ; Francois Vermeulen [Belgique] ; Mieke Boon [Belgique] ; Marijke Proesmans [Belgique] ; Natalie Lorent [Belgique] ; Erik De Soir [Belgique] ; Robin Vos [Belgique] ; Lieven Dupont [Belgique]

Source :

RBID : pubmed:32768311

Descripteurs français

English descriptors

Abstract

BACKGROUND

Little is known about the impact of COVID-19 on patients with cystic fibrosis (CF), despite being considered a high-risk group. This study explored the early impact of COVID-19 on the emotional well-being of patients and self-reported changes in their home therapy since the start of the pandemic.

METHODS

Adult patients with CF, lung-transplanted (LTX) CF patients and parents of children with CF completed an online questionnaire, securely linked to their medical files. The questionnaire covered the emotional impact of the pandemic, changes in CF and LTX treatment, changes in health-protecting behaviours and CF-related concerns, and their perception of their COVID-19 status.

RESULTS

The response rate was 63% (80 CF, 66 LTX and 73 parents). A wide range of illness severity was included. None of the respondents had contracted COVID-19 and all strictly followed the social distancing rules. There was evident psychological impact, with many reporting increased stress, fear and worry about CF and the future. Changes in treatment were positive, including more physiotherapy for adults and better-quality nebulizing. Changes in routine were reported, such as different treatment timing. Adult patients and parents had cancelled their CF appointments more often since the start of the pandemic.

CONCLUSIONS

The initial psychological impact of COVID-19 was evident. The impact on home treatment was reassuringly small. Psychological care is needed for patients suffering prolonged psychological impact, and CF teams need to contextualize the information that patients and parents receive from the media and support them to balance the perceived risk with true risk.


DOI: 10.1016/j.jcf.2020.07.022
PubMed: 32768311
PubMed Central: PMC7834420


Affiliations:


Links toward previous steps (curation, corpus...)


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<b>BACKGROUND</b>
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<p>Little is known about the impact of COVID-19 on patients with cystic fibrosis (CF), despite being considered a high-risk group. This study explored the early impact of COVID-19 on the emotional well-being of patients and self-reported changes in their home therapy since the start of the pandemic.</p>
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<b>METHODS</b>
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<p>Adult patients with CF, lung-transplanted (LTX) CF patients and parents of children with CF completed an online questionnaire, securely linked to their medical files. The questionnaire covered the emotional impact of the pandemic, changes in CF and LTX treatment, changes in health-protecting behaviours and CF-related concerns, and their perception of their COVID-19 status.</p>
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<b>RESULTS</b>
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<p>The response rate was 63% (80 CF, 66 LTX and 73 parents). A wide range of illness severity was included. None of the respondents had contracted COVID-19 and all strictly followed the social distancing rules. There was evident psychological impact, with many reporting increased stress, fear and worry about CF and the future. Changes in treatment were positive, including more physiotherapy for adults and better-quality nebulizing. Changes in routine were reported, such as different treatment timing. Adult patients and parents had cancelled their CF appointments more often since the start of the pandemic.</p>
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<b>CONCLUSIONS</b>
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<p>The initial psychological impact of COVID-19 was evident. The impact on home treatment was reassuringly small. Psychological care is needed for patients suffering prolonged psychological impact, and CF teams need to contextualize the information that patients and parents receive from the media and support them to balance the perceived risk with true risk.</p>
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<AbstractText Label="BACKGROUND">Little is known about the impact of COVID-19 on patients with cystic fibrosis (CF), despite being considered a high-risk group. This study explored the early impact of COVID-19 on the emotional well-being of patients and self-reported changes in their home therapy since the start of the pandemic.</AbstractText>
<AbstractText Label="METHODS">Adult patients with CF, lung-transplanted (LTX) CF patients and parents of children with CF completed an online questionnaire, securely linked to their medical files. The questionnaire covered the emotional impact of the pandemic, changes in CF and LTX treatment, changes in health-protecting behaviours and CF-related concerns, and their perception of their COVID-19 status.</AbstractText>
<AbstractText Label="RESULTS">The response rate was 63% (80 CF, 66 LTX and 73 parents). A wide range of illness severity was included. None of the respondents had contracted COVID-19 and all strictly followed the social distancing rules. There was evident psychological impact, with many reporting increased stress, fear and worry about CF and the future. Changes in treatment were positive, including more physiotherapy for adults and better-quality nebulizing. Changes in routine were reported, such as different treatment timing. Adult patients and parents had cancelled their CF appointments more often since the start of the pandemic.</AbstractText>
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<AffiliationInfo>
<Affiliation>Clinical Psychologist, Royal Higher Institute for Defence, Department of Scientific and Technological Research, Brussels, Belgium.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Vos</LastName>
<ForeName>Robin</ForeName>
<Initials>R</Initials>
<AffiliationInfo>
<Affiliation>Pulmonologist, University Hospitals Leuven, Leuven, Belgium.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Dupont</LastName>
<ForeName>Lieven</ForeName>
<Initials>L</Initials>
<AffiliationInfo>
<Affiliation>Pulmonologist, University Hospitals Leuven, Leuven, Belgium.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList>
<PublicationType UI="D016428">Journal Article</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic">
<Year>2020</Year>
<Month>07</Month>
<Day>31</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo>
<Country>Netherlands</Country>
<MedlineTA>J Cyst Fibros</MedlineTA>
<NlmUniqueID>101128966</NlmUniqueID>
<ISSNLinking>1569-1993</ISSNLinking>
</MedlineJournalInfo>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList>
<MeshHeading>
<DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D001530" MajorTopicYN="N" Type="Geographic">Belgium</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D000086382" MajorTopicYN="Y">COVID-19</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
<QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName>
<QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D003140" MajorTopicYN="N">Communicable Disease Control</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D003550" MajorTopicYN="Y">Cystic Fibrosis</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
<QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName>
<QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D006699" MajorTopicYN="Y">Home Care Services</DescriptorName>
<QualifierName UI="Q000458" MajorTopicYN="N">organization & administration</QualifierName>
<QualifierName UI="Q000639" MajorTopicYN="N">trends</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D016040" MajorTopicYN="N">Lung Transplantation</DescriptorName>
<QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008603" MajorTopicYN="N">Mental Health</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D010290" MajorTopicYN="N">Parents</DescriptorName>
<QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D000085762" MajorTopicYN="N">Physical Distancing</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D000079225" MajorTopicYN="Y">Psychological Distress</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D018570" MajorTopicYN="N">Risk Assessment</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D000086402" MajorTopicYN="N">SARS-CoV-2</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D012934" MajorTopicYN="N">Social Isolation</DescriptorName>
<QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM">
<Keyword MajorTopicYN="Y">COVID-19</Keyword>
<Keyword MajorTopicYN="Y">Cystic fibrosis</Keyword>
<Keyword MajorTopicYN="Y">Home treatment</Keyword>
<Keyword MajorTopicYN="Y">Lung transplantation</Keyword>
<Keyword MajorTopicYN="Y">Psychological impact</Keyword>
</KeywordList>
<CoiStatement>Declaration of Competing Interest None.</CoiStatement>
</MedlineCitation>
<PubmedData>
<History>
<PubMedPubDate PubStatus="received">
<Year>2020</Year>
<Month>04</Month>
<Day>30</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="revised">
<Year>2020</Year>
<Month>06</Month>
<Day>05</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="accepted">
<Year>2020</Year>
<Month>07</Month>
<Day>31</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="pubmed">
<Year>2020</Year>
<Month>8</Month>
<Day>10</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline">
<Year>2020</Year>
<Month>12</Month>
<Day>31</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="entrez">
<Year>2020</Year>
<Month>8</Month>
<Day>10</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList>
<ArticleId IdType="pubmed">32768311</ArticleId>
<ArticleId IdType="pii">S1569-1993(20)30815-8</ArticleId>
<ArticleId IdType="doi">10.1016/j.jcf.2020.07.022</ArticleId>
<ArticleId IdType="pmc">PMC7834420</ArticleId>
</ArticleIdList>
</PubmedData>
</pubmed>
<affiliations>
<list>
<country>
<li>Belgique</li>
</country>
<region>
<li>Région de Bruxelles-Capitale</li>
</region>
<settlement>
<li>Bruxelles</li>
</settlement>
</list>
<tree>
<country name="Belgique">
<noRegion>
<name sortKey="Havermans, Trudy" sort="Havermans, Trudy" uniqKey="Havermans T" first="Trudy" last="Havermans">Trudy Havermans</name>
</noRegion>
<name sortKey="Boon, Mieke" sort="Boon, Mieke" uniqKey="Boon M" first="Mieke" last="Boon">Mieke Boon</name>
<name sortKey="De Soir, Erik" sort="De Soir, Erik" uniqKey="De Soir E" first="Erik" last="De Soir">Erik De Soir</name>
<name sortKey="Dupont, Lieven" sort="Dupont, Lieven" uniqKey="Dupont L" first="Lieven" last="Dupont">Lieven Dupont</name>
<name sortKey="Houben, Janne" sort="Houben, Janne" uniqKey="Houben J" first="Janne" last="Houben">Janne Houben</name>
<name sortKey="Lorent, Natalie" sort="Lorent, Natalie" uniqKey="Lorent N" first="Natalie" last="Lorent">Natalie Lorent</name>
<name sortKey="Proesmans, Marijke" sort="Proesmans, Marijke" uniqKey="Proesmans M" first="Marijke" last="Proesmans">Marijke Proesmans</name>
<name sortKey="Vermeulen, Francois" sort="Vermeulen, Francois" uniqKey="Vermeulen F" first="Francois" last="Vermeulen">Francois Vermeulen</name>
<name sortKey="Vos, Robin" sort="Vos, Robin" uniqKey="Vos R" first="Robin" last="Vos">Robin Vos</name>
</country>
</tree>
</affiliations>
</record>

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