Barreiras no tratamento pós-transplante renal durante a pandemia da COVID-19 e condições associadas : Barriers in post-kidney transplant treatment during the COVID-19 pandemic and associated conditions

Jéssica de Oliveira Teutschbein; Kelli Borges dos Santos; Helady  Sanders Pinheiro; Aline  Rios Freitas de Almeida; Priscilla  Aparecida de Aquino Batista Noé; Elisa Oliveira Marsicano de Souza

doi:10.17765/2176-9206.2024v17n1.e12445

Authors

Jéssica de Oliveira Teutschbein Juiz de Fora Federal University https://orcid.org/0009-0005-4986-172X
Kelli Borges dos Santos Juiz de Fora Federal University https://orcid.org/0000-0001-8423-9147
Helady Sanders Pinheiro Juiz de Fora Federal University https://orcid.org/0000-0001-8603-1331
Aline Rios Freitas de Almeida University Hospital of the Federal University of Juiz de Fora https://orcid.org/0000-0001-6849-8405
Priscilla Aparecida de Aquino Batista Noé Hospital Universitário da Universidade Federal de Juiz de Fora https://orcid.org/0000-0002-0792-595X
Elisa Oliveira Marsicano de Souza Juiz de Fora Federal University https://orcid.org/0000-0001-9960-3968

DOI:

https://doi.org/10.17765/2176-9206.2024v17n1.e12445

Keywords:

Kidney Transplant, COVID-19 pandemic, Psychosocial Impact, Continuity of Patient Care

Abstract

The coronavirus disease (COVID-19) pandemic changed the routine of transplant programs, creating challenges for the continuity of treatment. Thus, this study aimed to describe the barriers kidney transplant (KT) recipients reported following treatment during the COVID-19 pandemic. It is a cross-sectional observational study with 88 patients. The data were collected from October to November 2021 at the University Hospital of the Federal University of Juiz de Fora (HU-UFJF). Descriptive data analysis and a chi-square test were performed. The barriers identified were psychosocial: increased level of worry (76.2%) and fear of graft loss (36.5%). There was a change in the consultation schema for 59.1%; 63.4% reported difficulty adapting to telemedicine; and 49.8% needed family assistance to follow the treatment. Difficulties were more frequent among men (51.2%). The findings may help the multidisciplinary team in understanding where to act and creating strategies to ensure the continuity of treatment.

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Author Biographies

Jéssica de Oliveira Teutschbein, Juiz de Fora Federal University

Nurse from the Federal University of Juiz de Fora, currently a master's student in the postgraduate program in Nursing at the Federal University of Juiz de Fora

Kelli Borges dos Santos, Juiz de Fora Federal University

Nurse, Adjunct Professor at the Faculty of Nursing at the Federal University of Juiz de Fora. Post-doctorate from the Postgraduate Program in Adult Health (PROESA) at the School of Nursing at the University of São Paulo. Nurse specialist in organ and tissue transplantation with an emphasis on Bone Marrow Transplantation.

Helady Sanders Pinheiro, Juiz de Fora Federal University

Graduated in Medicine from the Federal University of Ceará (1990), Master's degree in Medicine (Nephrology) from the Federal University of São Paulo (1996), PhD in Medicine (Nephrology) from the Federal University of São Paulo (2001) and post-doctorate (Nephrology ) by the Federal University of São Paulo and University of Basel, Switzerland (2018). He is currently a member of the Kidney Transplant Department of the Brazilian Association of Organ Transplantation (ABTO) for the 2019-2021 biennium and of the Brazilian Society of Nephrology (SBN) for the 2018-2020/2020-2022 biennium and responsible for the Renal Transplant Service at the University Hospital of Federal University of Juiz de Fora (UFJF).

Aline Rios Freitas de Almeida, University Hospital of the Federal University of Juiz de Fora

Graduated in Nursing from the Federal University of Juiz de Fora (Sep/2006). Specialist in Family Health from the Federal University of Juiz de Fora, in the form of residency. Specialist in Multidisciplinary Nephrology from the Federal University of Maranhão/Open University of SUS. She was the coordinating nurse of the Health Center at the José Edson Cavalieri Penitentiary, in Juiz de Fora / MG. She was coordinator of the Surgery ward sector at the University Hospital of the Federal University of Juiz de Fora, and currently works in the Kidney Transplant outpatient clinic at the same hospital.

Priscilla Aparecida de Aquino Batista Noé, Hospital Universitário da Universidade Federal de Juiz de Fora

Bachelor's degree in Psychology from the Federal University of Juiz de Fora - UFJF (2002), degree in Psychology from UFJF (2002), specialization in Developmental Psychology and Research Methodology from UFJF, respectively 2004 and 2007 and Master's degree in Psychology from the University Federal District of Juiz de Fora (2011). She is currently a Hospital Psychologist at the University Hospital-UFJF, Preceptor of the Multidisciplinary Residency in Hospital Care, Head of the Multidisciplinary Unit at HU-UFJF and Coordinator of the Bereavement Outpatient Clinic at HU-UFJF. She has experience in the area of Clinical Psychology, with an emphasis on Developmental Psychology and Health Psychology, working mainly on the following topics: human development, anxiety and grief.

Elisa Oliveira Marsicano de Souza, Juiz de Fora Federal University

She has a Bachelor's and Degree in Nursing from the Federal University of Juiz de Fora (2001) and a Doctorate in Health from the Postgraduate Program in Health at the Federal University of Juiz de Fora. She has experience in the field of Nursing, with an emphasis on adult intensive care, kidney transplantation and higher and technical education. She was a Nurse in the Kidney Transplant Program at the Fundação Instituto Mineiro de Estudos e Pesquisas em Nephrologia (IMEPEN) and Hospital Ascomcer. She is currently an Adjunct Professor at the Federal University of Juiz de Fora / Faculty of Nursing-Department of Basic Nursing. Member of the Brazilian Association of Organ Transplantation (ABTO). Elected Member of the Transplant Nursing Department of ABTO Gestão 2015/2017.

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Barriers in post-kidney transplant treatment during the COVID-19 pandemic and associated conditions