Dialysis-Related Factors Affecting Activities of Daily Living among Hemo-dialysis Patients in Erbil City

Abstract

Background and objectives: Hemodialysis procedure is one of the important replacement therapies for patients with renal failure. Maintenance hemodialysis is associated with many complications that play a significant role in the activities of daily living. The present study aimed to find out the factors affecting activities of daily living among patients with maintenance hemodialysis in Erbil City in the Kurdistan Region of Iraq. Methods: The cross-sectional study was conducted on 268 patients undergoing mainte-nance hemodialysis for more than two months, and at least two times per a week at two dialysis centres in Erbil City from December 2019 to April 2020. The activities of daily living and complications from the hemodialysis procedure questionnaire to collect research da-ta. The data analysis was conducted using descriptive statistical approach including fre-quency, percentages, and inferential statistical analysis consisting chi-square test. Results: According to the findings of the study, the majority of participants were above 51 years of age, able to read and write, with middle income, and from an urban area. Almost half of the study sample were males, and most were on hemodialysis between one and three years. The majority of them had hypertension and complications associated with he-modialysis such as headache and hypotension, and more than half had back pain. A highly significant association was found between dependency in activities of daily living and some socio-economic and clinical variables. Furthermore, a significant association was found be-tween dependency in activities of daily living and some hemodialysis complications with P<0.001. Conclusion: According to the result of the study, the researchers concluded that partici-pants suffered from chronic diseases, hemodialysis complications and low level of activities of daily living. The complications of hemodialysis treatment were significantly affecting the activities of daily living. Haemodialysis patients need more education and nursing care to reduce treatment complications and to increase their activities.

Evaluation of galectin-3 and other biochemical parameters in chronic kidney disease patients on hemodialysis in Erbil city

“…15 Studies have demonstrated that the risk of chronic renal failure development rises with age, a study done in Erbil shows that the age of most hemodialysis patients was 51 and above (68.3%). 16 This finding is close to our results which revealed that the highest rate of hemodialysis patients was 51-70 (55.7%) years old.…”

“…A study conducted by Ali et al 16 shows that most of the HD patients were males (51.5%) and live in urban areas (89.2%). This finding agrees with our results in that most of the HD patients were male (52.9%) and live in urban areas (58.6%).…”

“…17 In our study most of the hemodialysis patients were hypertensive (81.4%) and the duration of HD treatment for most of the patients (70.0 %) was between 1-5 years, these findings are close to the prior study. 16 The most common and widely used markers to evaluate renal functioning are blood urea nitrogen (BUN) and serum creatinine, increase urea and creatinine in the serum are good indicators of kidney dysfunction. 18 In the present study, the mean value of estimated glomerular filtration rate (eGFR) in HD patients was 7…”

Physical behavior and interpersonal relationship among patients undergoing hemodialysis

“…To avoid complications from HD and to live a healthy and happy life, patients should increase their daily exercise and self-care. (Ali et al, 2021).…”

Nutritional Behavior and Medication Adherence among Patients Undergoing Hemodialysis

“…They are completely reliant on the availability of vascular access works (VA) and the establishment and successful use of access to the blood vessels, arteries, and veins necessitates a multidisciplinary team of learners to ensure a coordinated vasculature. 2 Majors in health behavior science study and analyze how human activities, cognitions, communications, and the environment affect health, relationships, chronic disease, and quality of life through time. They work to promote healthy lifestyles through education, policy change, needs assessment, program development, and implementation, individual counseling and coaching, media and materials creation, and evaluation of the impact and outcome of their efforts.…”