ABSTRACT
BACKGROUND: Approximately 272 000 peritoneal dialysis (PD) patients worldwide account for 11% of the global dialysis patients. Patterns of early outcomes in peritoneal dialysis (PD) are not well studied in South India, and dialysis providers need to establish a baseline of key outcomes for continuous quality improvement initiatives. AIM OF THE STUDY: The purpose of the present study was to investigate the basic clinical features of PD patients associated prognostic risk factors and to establish a prognostic risk model of short-term all-cause mortality. METHOD(S): A total of 156 chronic kidney patients opted CAPD as a kidney replacement modality were selected for the study. The study was conducted between 2019 to 2021 may. The clinical profile of the study peritonitis episodes and outcomes in terms of all cause mortality was studied. The data was analyzed using SPSS software. Qualitative variables were expressed in frequency and percentage. RESULT(S): Of the 156 patients studied, 67% were males and rest females with 83% of them having diabetes as the cause of CKD. Sixty eight percentage of them were self-motivated for CAPD. 85% had nil intraprocedural complication, and the failed procedure and bowel perforation was 4% and 2% respectively. Covid infection was very less in CAPD population, which was respectively 16% (category B) and 3% (category C). 77% were high average transporter status. Survival at one year was 84 percentage. Complications at first year were peritonitis (10%), fluid leak (6%), pancreatitis (6%), inflow/outflow pain (7%), exit site infection (3%), and 80% had no complications. 86% had no hospitalization in one year. There was no significant difference in survival based on different serum albumin levels (p-value 0.94 and chi-square 0.13.), serum phosphorus levels, with Fisher'S exact p-value 0.30 or diabetes status, (with p-value 0.43 and chi square 0.62.). Higher Kt/V reach rates are associated with a better prognosis in incident PD patients. Multivariate survival analysis showed (rGFR), SBP, Kt/V, and high PET type were independently associated with one-year mortality. CONCLUSION(S): CAPD had overall a better one year mortality.
ABSTRACT
BACKGROUND: The COVID-19 pandemic negatively impacted the quality of life of individuals around the world, including health care professionals. There has been little research that examines the role of resilience concerning the impact of COVID-19 on the quality of life of nursing students. This study aimed to determine how resilience influenced the quality of life among nursing students during the COVID-19 pandemic. METHODS: A cross-sectional research design was adopted for this study. A total of two hundred sixty-eight nursing students from three universities, South India responded in the web-based survey. Data was collected using self-reported questionnaires in June 2021. RESULTS: Our findings revealed that the participants' resilience was normal, which had a moderate impact on the quality of life of nursing students during the COVID-19 pandemic. The COVID-19 impact on QoL significantly differed with year of education (F = 3.087; p < 0.02) and university (F = 6.697, p < 0.001). Bivariate analysis revealed significant inverse relationships between the impact of COVID-19 on quality of life with resilience (r = -0.259; p < 0.001) and perceived knowledge on COVID-19(r = -0.168; p < 0.006). CONCLUSION: In our study, we found that resilience had a moderate impact on the quality of life of nursing students during the COVID-19 pandemic. Therefore, it is important to promote students' resilience and improve their quality of life during stressful situations.