Comparison of Quality of Life and Adequacy of Dialysis in Chronic Hemodialysis Patients Between Pre-and Post-Covid-19 Pandemic in Songklanagarind Hospital
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Abstract
Objectives: The purpose of this study was to compare the quality of life of patients with Endstage kidney disease (ESRD) undergoing routine hemodialysis during the pre-and post-epidemic period of COVID-19. Methods: This was a retrospective cohort study collecting data through electronic medical records of ESRD who undergo dialysis at the Kidney Replacement Therapy Center, Songklanagarind Hospital, Hat Yai, Thailand. Patients must undergo hemodialysis for at least three years and receive a 9-THAI quality of life score assessment in the pre-COVID-19 pandemic in 2019 to the post-COVID-19 pandemic during the year 2021. The record form divided into general data collection, information on the adequacy of hemodialysis
and information on quality of life of physical and mental health. Score were analyzed using statistical non parametric Wilcoxon signed-rank test due to non-normally distributed data. Results: The median physical health quality of life scores in the pre-COVID-19 era compared with the post-COVID-19 era were not significantly different (p = .197) for the values. The median mental health quality of life scores in the pre-COVID-19 era were not different from the post-COVID-19 era (p = .187). In addition, adequacy of dialysis (Kt/V) was not different between before and after COVID-19. Conclusion: The quality of life for physical and mental health was not different in the pre-and post-COVID-19 pandemic. Patient care and health promotion are important things that should be practiced continuously both before and after the COVID-19 epidemic.
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