Assessment of perceived fatigue and its associated factors among patient with End Stage Rental Disease and undergoing hemodialysis at King Khaled Hospital.
Abstract
The literature regarding the experience of fatigue in hemodialysis patients indicates that fatigue seems to impact primarily the physical and mental domains. Physical fatigue was described by patients as a constant lack of energy, which seemed worse on dialysis days. Fatigue is negatively correlated with physical functioning, role limitations, activity levels, and mental and physical quality of life.
Aim: assess level of fatigue and its associated factors among hemodialysis patients with End Stage Renal Diseases.
Research design: Descriptive Correlational research design was used in this study.
Setting: the current study was conduct in hemodialysis unit, Medical surgical wards, outpatient clinic in king Khaled hospital in Jeddah, Saudi Arabia. Sample: sample of 100 adult patients randomly chosen and enrolled according to the inclusive and exclusive criteria.
Tool: Two tools were used for data collection in this study; first one is a personal and medical information form (PMIF) and second one is A Greek Version of Fatigue Assessment Scale (FAS) which collects information related to the perceived fatigue consisting of 10 questions.
Results: majority of patients had post dialysis fatigue, (72%) of them reported moderate fatigue and (20%) of them reported severe level of fatigue with mean score (29.25±5.46). there is a relation between gender, marital status, residency, and level of education Logistic regression analysis shows that clinical and biomedical variable not associated with fatigue, Only age and gender could predict fatigue level.
Conclusion: the study concluded that fatigue level vary from moderate to severe, some demographic characteristic of participate were related to fatigue, there is no association between clinical and biomedical variable and fatigue only age and gender could be a predictors for post-dialysis fatigue level.
Recommendations: the study recommended that, increase nurses awareness to deal with post-dialysis fatigue symptoms by educational program. And routine screen of hemodialysis patient to detect contributing factor of fatigue early and alleviating its effects.
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References
Al Ismaili F, et al. (2017). Epidemiological Transition of End-Stage Kidney Disease in Oman. Kidney international reports. Jan 2017; 2(1): 27-35
Bahgat Z, Bahgat R, El- azazy H. (2016). The Effect of Fatigue on Daily Living Activities for Adults Undergoing Hemodialysis. IOSR Journal of Nursing and Health Science (IOSR-JNHS). VI (May. - Jun. 2016), PP 82-89.
Bayumi H. (2015). Factors Affecting Fatiguein Chronic Renal Failure Patients under Hemodialysis Treatment at Qena University Hospital in Upper Egypt. Journal of Biology, Agriculture and Healthcare. Vol.5, No.14, 2015, PP 42-49.
Garcia TW, Veiga JP, da Motta LD, de Moura FJ, Casulari LA. Depressed mood and poor quality of life in male patients with chronic renal failure undergoing hemodialysis. Rev Bras Psiquiatr 2010; 32:369-374.
Horigan E., Schneider S., Docherty S., Barroso J., The Experience and Self-Management of Fatigue in Hemodialysis Patients Nephrol Nurs J . (2013); 40(2): 113–123.
Horigan, A. (2018). The Diurnal Patterns of Fatigue in Patients on Hemodialysis: A Pilot Study...2018 ANNA National Symposium, Las Vegas, NV. April 15-18, 2018. Nephrology Nursing Journal (NEPHROL NURS J). 45(2): 198-198. (1/4p).
Horigan, A. Fatigue in Hemodialysis Patients: A Review of Current Knowledge. Journal of Pain and Symptom Management. November 2012; Vol. 44 No. 5:715-724
Jhamb et al. Prevalence and Correlates of Fatigue in Chronic Kidney Disease and End-Stage Renal Disease: Are Sleep Disorders a Key to Understanding Fatigue? Am J Nephrol 2013; 38:489–495
Liu HE. Fatigue and associated factors in hemodialysis patients in Taiwan. Research in Nursing & Health.2006; 29:40-50
McCann, K., & Boore, J.R. Fatigue in persons with renal failure who require maintenance haemodialysis. Journal of Advanced Nursing, (2000); 32 (5): 1132–1142.
Michielsen HJ, De Vries J, Van Heck GL.(2003) Psychometric qualities of a brief self-rated fatigue measure: The Fatigue Assessment Scale. J Psychosom Res.; 54: 345-352.
Mollaoglu M. Fatigue in People Undergoing Hemodialysis. Dialysis & Transplantation June 2009; 38(6): 216-220.
Sajadi A., Farmahini B., Esmaeilpoor S., Durmanesh B., & Zare M. Factors Affecting Fatigue in Chronic Renal Failure Patients Treated With Hemodialysis. Iranian Journal of Critical Care Nursing Spring 2010; Volume 3, Issue 1; 33-38
SCOT Data Saudi J Kidney Dis Transpl 2018;29(4):1012-1020
Zyga S et al. Is Quality of Life of Hemodialysis Patients Affected by Fatigue? International Journal of Health Sciences & Research. September 2017; Vol.7; Issue: 9:150-158
Zyga S, Alikari V, Sachlas A, Fradelos E, Stathouis J, Panoutsopoulos G, Georgopoulou M, Theophilou P, Lavdaniti M. (2015): Assessment of Fatigue in End Stage Renal Disease Patients Undergoing Hemodialysis: Prevalence and Associated Factors. PupMed. 69(6): 376-380. Doi: A.
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