Impact of the Lockdown on Patients Receiving Maintenance Hemodialysis at a Tertiary Care Facility in Southern India - A Mixed-methods Approach.
| Autor: | Valson AT; Department of Nephrology, Christian Medical College, Vellore, Tamil Nadu, India., George RR; College of Nursing, Christian Medical College, Vellore, Tamil Nadu, India., Lalwani M; Department of Nephrology, Christian Medical College, Vellore, Tamil Nadu, India., Balusamy D; Department of Nephrology, Christian Medical College, Vellore, Tamil Nadu, India., Albert DS; Department of Nephrology, Christian Medical College, Vellore, Tamil Nadu, India., Abraham A; Department of Nephrology, Christian Medical College, Vellore, Tamil Nadu, India., Richie B; Department of Nephrology, Christian Medical College, Vellore, Tamil Nadu, India., Samuel NP; Department of Nephrology, Christian Medical College, Vellore, Tamil Nadu, India., Eapen JJ; Department of Nephrology, Christian Medical College, Vellore, Tamil Nadu, India., Thomas A; Department of Nephrology, Christian Medical College, Vellore, Tamil Nadu, India., John EE; Department of Nephrology, Christian Medical College, Vellore, Tamil Nadu, India., Yusuf S; Department of Nephrology, Christian Medical College, Vellore, Tamil Nadu, India., Chidambaram AV; Department of Nephrology, Christian Medical College, Vellore, Tamil Nadu, India., Alexander S; Department of Nephrology, Christian Medical College, Vellore, Tamil Nadu, India., David VG; Department of Nephrology, Christian Medical College, Vellore, Tamil Nadu, India., Varughese S; Department of Nephrology, Christian Medical College, Vellore, Tamil Nadu, India., Jesudoss I; College of Nursing, Christian Medical College, Vellore, Tamil Nadu, India., Ravindran V; College of Nursing, Christian Medical College, Vellore, Tamil Nadu, India. |
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| Jazyk: | angličtina |
| Zdroj: | Indian journal of nephrology [Indian J Nephrol] 2022 May-Jun; Vol. 32 (3), pp. 256-261. Date of Electronic Publication: 2022 Jan 05. |
| DOI: | 10.4103/ijn.IJN_561_20 |
| Abstrakt: | Aims: The mass quarantine measures adopted to control the COVID-19 pandemic greatly impacted the lives of patients on haemodialysis in India. We used a mixed methods approach to study its effect on dialysis outcomes and the lived experience of haemodialysis patients during the lockdown. Methods: Quantitative data was collected from 141 subjects using a structured proforma to determine the impact of the lockdown on dialysis outcomes and travel expenses. Qualitative data collected through in-depth interviews with 9 patients by purposive sampling were recorded and transcribed to explore the lived experience of haemodialysis patients during lockdown. The cohort was followed up till October 31 st 2020 for incidence of COVID-19, deaths, and dropouts. Results: The median increase in per day travel expense was 25%. Due to decrease in dialysis frequency, patients previously on thrice weekly haemodialysis experienced significant increase in pre-dialysis systolic blood pressure ( P = 0.005) compared to those on twice weekly haemodialysis. Between March 25 th and July 15 th 2020, 12 patients (8.5%) required emergency dialysis sessions, and 4 patients (2.8%) required admissions for hypertensive emergencies. Four main themes emerged from thematic analysis of transcribed interviews: Travel inconveniences, uncertainty resulting in anxiety, financial burden and frequency change in dialysis leading to worsening of symptoms. Twenty-two patients (15.6%) were diagnosed with COVID-19, the first case diagnosed 33 days after the first 'unlock' phase. Conclusion: The lockdown was successful in delaying infection transmission but had unintended physical and psychosocial effects on haemodialysis patients. Competing Interests: There are no conflicts of interest. (Copyright: © 2022 Indian Journal of Nephrology.) |
| Databáze: | MEDLINE |
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