{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T02:45:41Z","timestamp":1776048341716,"version":"3.50.1"},"reference-count":34,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nephrology"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>CKD and COVID\u201019 have numerous effects on public health outcomes of individuals affected and health systems. However, their combined effect in low\u2010resourced settings has not been adequately explored. We explored the lived experiences of haemodialysis patients who survived COVID\u201019 in Ghana.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study, conducted in Accra, Ghana, was a cross\u2010sectional, prospective qualitative design guided and reported according to the consolidated criteria for reporting qualitative studies (COREQ). We purposively selected 12 haemodialysis patients who survived COVID\u201019 infection.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We identified three key themes. The lived experiences centred on limitation or restriction to important activities, emotional\/psychological distress and uncertainty about important aspects of their lives. Most of the respondents experienced heightened restrictions and limitations to their physical movement, social interactions and access to their finances. Additionally, participants reported increased emotional and psychological distress exacerbated by living with the two life\u2010threatening conditions. Finally, participants experienced increased uncertainty towards their treatment, fear of death, anger, loneliness and insecurity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Identified negative experiences should be used to develop coping strategies and support systems to reduce emotional and psychological distress as well as improve social interaction and quality of life of such patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/nep.70179","type":"journal-article","created":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T12:07:22Z","timestamp":1772971642000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Living With the Two Devils: Experiences of Haemodialysis Patients Who Survived\n                    <scp>COVID<\/scp>\n                    \u201019 Infection in Ghana"],"prefix":"10.1111","volume":"31","author":[{"given":"Clara","family":"Anyitor","sequence":"first","affiliation":[{"name":"Department of Radiography, School of Biomedical and Allied Health Sciences, College of Health Sciences University of Ghana  Accra Ghana"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5186-6988","authenticated-orcid":false,"given":"Ewurama Dedea Ampadu","family":"Owusu","sequence":"additional","affiliation":[{"name":"Department of Medical Laboratory Sciences, School of Biomedical and Allied Health Sciences, College of Health Sciences University of Ghana  Accra Ghana"},{"name":"Department of Speech and Language Therapy, School of Biomedical and Allied Health Sciences, College of Health Sciences University of Ghana  Accra Ghana"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julius Waamsasiko","family":"Adong","sequence":"additional","affiliation":[{"name":"Department of Population and Reproductive Health University of Development Studies  Accra Ghana"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rodger G.","family":"Okpara","sequence":"additional","affiliation":[{"name":"Department of Respiratory Therapy, School of Biomedical and Allied Health Sciences, College of Health Sciences University of Ghana  Accra Ghana"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Esther Y.","family":"Brobbey","sequence":"additional","affiliation":[{"name":"Department of Respiratory Therapy, School of Biomedical and Allied Health Sciences, College of Health Sciences University of Ghana  Accra Ghana"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Josephine","family":"Osei\u2010Tutu","sequence":"additional","affiliation":[{"name":"Department of Respiratory Therapy, School of Biomedical and Allied Health Sciences, College of Health Sciences University of Ghana  Accra Ghana"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kumi A.","family":"Kyeremeh","sequence":"additional","affiliation":[{"name":"Department of Respiratory Therapy, School of Biomedical and Allied Health Sciences, College of Health Sciences University of Ghana  Accra Ghana"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David Nana","family":"Adjei","sequence":"additional","affiliation":[{"name":"Department of Medical Laboratory Sciences, School of Biomedical and Allied Health Sciences, College of Health Sciences University of Ghana  Accra Ghana"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,3,1]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2017.00992"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2018-027931"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12325-023-02608-9"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-981-13-8871-2_1"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/TP.0000000000003943"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(19)32977-0"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)30045-3"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12882-018-0930-5"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfx347"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s41669-019-0124-5"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijbiomac.2024.131324"},{"key":"e_1_2_14_13_1","unstructured":"WHO C. 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