Fatigue level of the Patients undergoing Scheduled for Regular Hemodialysis Sessions
Keywords:
Fatigue, Hemodialysis, Self-care, Quality of Life, End-Stage Kidney Disease (ESKD)Abstract
Background: Fatigue is a prevalent and debilitating symptom among patients undergoing regular hemodialysis, significantly impacting their quality of life. It manifests before, during, and after dialysis sessions, contributing to physical, psychological, and emotional challenges. Hemodialysis patients, particularly those with end-stage kidney disease (ESKD), often experience a high burden of symptoms that negatively affect their daily functioning and self-care practices.
Objectives: This study aimed to assess the level of fatigue among patients undergoing scheduled hemodialysis sessions and to explore the relationship between fatigue and certain demographic variables, such as age, sex, and level of education.
Methodology: A quantitative descriptive design was employed, with data collected from 100 hemodialysis patients at Al-Sader Medical City in Al-Najaf Al-Ashraf, Iraq. Participants were selected based on specific criteria, including age (30-60 years), duration of hemodialysis (more than one year), and frequency of sessions (three times per week). The Fatigue Assessment Scale (FAS) was used to measure fatigue levels, and sociodemographic and clinical data were collected to analyze potential correlations.
Results: The findings revealed that the majority of hemodialysis patients experienced significant levels of fatigue, with physical exhaustion being the most prominent symptom. Mental fatigue and reduced motivation were also prevalent. No statistically significant relationships were found between fatigue levels and demographic variables such as age, sex, or education level. However, the study highlighted that fatigue severely impacts patients' ability to perform self-care activities, leading to a decline in overall quality of life.
Conclusion: Fatigue is a critical issue among hemodialysis patients, directly affecting their self-care capabilities and quality of life. Addressing fatigue through targeted interventions, such as nutritional and exercise programs, is essential to improve patient outcomes.
Recommendations: It is recommended that healthcare providers implement educational and therapeutic programs focused on reducing fatigue in hemodialysis patients. These programs should include guidance on proper nutrition, physical activity, and energy conservation techniques to enhance self-care practices and overall well-being
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de Rooij, E. N., Meuleman, Y., de Fijter, J. W., Jager, K. J., Chesnaye, N. C., Evans, M. and et al. (2022). Symptom burden before and after dialysis initiation in older patients. Clinical Journal of the American Society of Nephrology, 17(12), 1719-1729.
Gregg, L. P., Bossola, M., Ostrosky-Frid, M., & Hedayati, S. S. (2021). Fatigue in CKD: epidemiology, pathophysiology, and treatment. Clinical journal of the american society of nephrology, 16(9), 1445-1455.
Brys, A. D., Lenaert, B., Van Heugten, C. M., Gambaro, G., & Bossola, M. (2019). Exploring the diurnal course of fatigue in patients on hemodialysis treatment and its relation with depressive symptoms and classical conditioning. Journal of pain and symptom management, 57(5), 890-898.
Bossola, M., & Tazza, L. (2016, May). Postdialysis fatigue: a frequent and debilitating symptom. In Seminars in dialysis (Vol. 29, No. 3, pp. 222-227).
Theofilou, P., Vassilopoulou, C., & Tzavella, F. (2023). Quality of Life, Social Support, Fatigue and Satisfaction from Nursing Care in Dialysis Patients: The Impact of Sociodemographic and Clinical Profile. Ann Nurs Res Pract, 8(1), 1052.
Habibzade, H., Davarpanah, M., & Khalkhali, H. R. (2012). The Study of the Effect of Orem Self Care Model on Self Efficacy in Hemodialysis Patients in Urmia medical science Hospitals during 2011. Journal of Urmia Nursing & Midwifery Faculty (2228-6411), 10(2).
Weber, J. R., & Kelley, J. H. (2013). Health assessment in nursing. Lippincott Williams & Wilkins.
Ramezani, T., Sharifirad, G., Rajati, F., Rajati, M., & Mohebi, S. (2019). Effect of educational intervention on promoting self-care in hemodialysis patients: Applying the self-efficacy theory. Journal of education and health promotion, 8(1), 65.
O'Sullivan, D., & McCarthy, G. (2007). An exploration of the relationship between fatigue and physical functioning in patients with end stage renal disease receiving haemodialysis. Journal of clinical nursing, 16(11c), 276-284.
Salehi, F., Dehghan, M., Mangolian Shahrbabaki, P., & Ebadzadeh, M. R. (2020). Effectiveness of exercise on fatigue in hemodialysis patients: a randomized controlled trial. BMC Sports Science, Medicine and Rehabilitation, 12, 1-9.
Gobbi, L., Baruzzo, E., Iodice, L., Comunian, G., Martinello, F., Marigo, M., and et al. (2021). Fatigue in hemodialysis patients: A single-center cross-sectional study. Clinical Nephrology, 96(5), 281.
Salehi, F., Dehghan, M., Mangolian Shahrbabaki, P., & Ebadzadeh, M. R. (2020). Effectiveness of exercise on fatigue in hemodialysis patients: a randomized controlled trial. BMC Sports Science, Medicine and Rehabilitation, 12, 1-9.
Kodama, H., Togari, T., Konno, Y., Tsuji, A., Fujinoki, A., Kuwabara, S., and et al. (2020). A new assessment scale for post-dialysis fatigue in hemodialysis patients. Renal Replacement Therapy, 6, 1-8.
Weldegiorgis, M., & Woodward, M. (2020). The impact of hypertension on chronic kidney disease and end-stage renal disease is greater in men than women: a systematic review and meta-analysis. BMC nephrology, 21, 1-9.
Akin, S., Mendi, B., Ozturk, B., Cinper, C., & Durna, Z. (2014). Assessment of relationship between self-care and fatigue and loneliness in haemodialysis patients. Journal of clinical nursing, 23(5-6), 856–864. https://doi.org/10.1111/jocn.12248
Alshammari, B., Alkubati, S. A., Alrasheeday, A., Pasay-An, E., Edison, J. S., Madkhali, N and et al. (2024). Factors influencing fatigue among patients undergoing hemodialysis: a multi-center cross-sectional study. Libyan Journal of Medicine, 19(1). https://doi.org/10.1080/19932820.2023.
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