Different Aspects of Fatigue Experienced by Patients Receiving Maintenance Dialysis in Hemodialysis Units

Abstract

BackgroundFatigue, a common symptom reported by patients receiving dialysis, is a multidimensional and subjective experience which is readily understood by individuals but difficult to measure.ObjectivesThis study was performed to identify the prevalence of differential aspects of fatigue among patients receiving maintenance dialysis.Patients and MethodsThe cross-sectional study was conducted in two hemodialysis wards in Tehran with a sample of 163 participants. In this study, the multidimensional fatigue inventory was used to determine the level of fatigue. Demographic data were also collected with self-report survey. To analyze data with SPSS statistical software, test Chi square, T-test, and ANOVA were used. P- Value less than 0.05 was considered significant.ResultsAll the patients experienced degrees of fatigue and 50 (30.7%) of the participants experienced a high level of fatigue. Fatigue scores arrangement was founded for physical fatigue followed by reduced activity and general fatigue. Lower levels of fatigue were reported for mental fatigue and reduced motivation. There was no diversity in this study in the levels of fatigue in respects of gender and marital status and employment status. Participants with diabetic nephropathy were the most fatigued.ConclusionsPeople with chronic kidney disease regardless of their age, gender, state of health, and duration of hemodialysis experience high levels of fatigue; it is particularly important for health providers to understand this level of fatigue which affects the daily life of patients.

Physical activity and the association with fatigue and sleep in Danish patients with rheumatoid arthritis

“…Thus, our results are in accordance with a cross-sectional study from the Netherlands [15] of 841 patients with RA reporting a high score on all the five fatigue domains included in the MFI-20. In addition, although no direct comparison with other clinical subpopulations or healthy individuals was made in this study, the stated scores correspond with MFI-20 values reported in other clinical populations [35][36][37]. In comparison, the general population [38,39] including the Danish population [40] rated fatigue scores that were skewed toward the absence of fatigue on the MFI-20.…”

Effectiveness of an Instructional Program on Knowledge of Patients Undergoing Hemodialysis Related to Fatigue at Habib Ibn Mudahir Al-Asadi Centre in Holy Karbala.

“…Regarding to occupation status, results indicated that a highest percentage of the study sample are (unemployed, no working, retired, and house wife), and the accounted (78%). This result agree with a study done by Vajihe et al , who found that the highest percentage (42%) of the study sample is don't work (6) . In regarding to monthly income, the majority of the study sample are within the insufficient monthly income, based on that and according to the diseases related cost of care statistics, individual as well, especially in our country as a developing one who that lives under the shadows of the global financial crisis.…”

“…And they are accounted for (23) patients with percent (44%) with age mean (51.4) years. This result agree with Amy et al , that show the majority of study sample with mean age (52) (5) .and agree with Vajihe et al , that show the majority of study sample with mean age (54) (6) . This might because of prevalence of diabetes type 2 and long standing uncontrolled hypertension among these age group ( researcher), this result supported by Alashek et al, who sated that diabetes and hypertensive nephropathy were more common causes of end stage renal disease (ESRD) in patients mean age (49) years (7) .…”

“…Concerning to the educational levels, the greater number of them had low level of education, such as not read and write, they accounted (37%) from the other levels. This result agree with a study done by Vajihe et al , who found that the highest percentage (42%) of the study sample is low level of education (6) . Regarding to occupation status, results indicated that a highest percentage of the study sample are (unemployed, no working, retired, and house wife), and the accounted (78%).…”

Hemodialysis Adequacy Sacrificed for Business: A Qualitative Study

“…The high prevalence of symptoms such as fatigue (11), anorexia (12), sleep disorders (13), nausea and vomiting (14), peptic ulcer disease (15), itching (16), blood coagulation disorders (17), hyperparathyroidism (18), infection (19), dysgeusia (20), and blood pressure fluctuations due to inadequate dialysis can undermine the quality of life. Previous studies pinpointed several factors as barriers to adequate dialysis, namely patient -related factors (e g, hypotension, intradialytic symptoms, treatment time missed due to noncompliance or transportation problems, duration < 4 hours, blood flow rate (BFR) < 350 mL/minute, patient weight > 100 kg, and delivered BFR 50 mL/minute less than the prescribed BFR) and technical factors (e g, dialysis prescription, type of vascular access, clotting, and dialyzer reuse) (21)(22)(23).…”