Do Symptoms Related to Hemodialysis Affect Marital Adjustment?

Abstract

All the symptoms experienced by patients undergoing hemodialysis (HD) impair their social lives including family relationships and marital adjustment. The purpose of this descriptive study is to determine the effect of HD symptoms on marital adjustment. The study included 282 voluntary patients who were aged 18 or over and were receiving HD treatment for at least 6 months. The data were collected by using a Patient Information Form, Dialysis Symptom Index (DSI), and Revised Dyadic Adjustment Scale (RDAS) through face-to-face interviews. The results obtained in this study indicated that the most common symptoms experienced by patients were feeling tired or lack of energy. DSI scores of the patients were found to be negatively correlated with their RDAS scores at significant level (q = -0.300, p \ 0.05). The symptoms experienced by patients undergoing HD were also observed to have a negative effect on their marital adjustment.

The Effects of the Symptoms Experienced by Patients Undergoing Hemodialysis Treatment on their Comfort Levels

“…It was found that dialysis patients need help at various levels while performing their daily life needs such as moving, shopping, participating in social activities, cooking, excretion, nutrition [30]. Göris found that HD treatment and its symptoms affect patients' family relationships and social lives negatively, including marital adjustment [19]. Sexual dysfunction is a common problem in CRF patients [31,32].…”

“…It was found that sexual disorders have negative effects on self-esteem in interpersonal relations [31,33]. In the studies conducted, it was found that the symptoms experienced negatively affect the quality of life of the patients, their work, marriage and family relations [7,14,19]. As can be seen from our research findings and literature studies, individuals who receive HD treatment experience many hemodialysis symptoms that negatively affect their daily life activities, make life difficult, make themselves dependent on someone else, and affect their comfort.…”

“…It is recommended to investigate the subject with larger with 51.8% and dry skin ranked third with 44.4%. Göris, et al found that the most frequent symptoms experienced by patients undergoing dialysis were the feeling of fatigue and decrease in energy [19]. Different studies in the literature indicated that the feeling of fatigue and the decrease in energy were the symptoms frequently experienced [5,20,21].…”

Hemodiyaliz Hastalarında Görülen Semptom Kümelerinin Cinsel İşlev ile İlişkisi

“…Bu form, literatür incelenerek (18,20,21,24,25) araştırmacılar tarafından hazırlanmıştır. Sosyodemografik özellikler bilgi formu; hemodiyaliz hastalarının tanıtıcı özelliklerini içeren on soru ve hastalık özgeçmişleri ile ilgili altı sorudan oluşmaktadır.…”

“…Buna ek olarak, hemodiyaliz hastaları tarafından en sık deneyimlenen semptomlar arasında yorgunluk, ağrı, kas krampları, bulantı, kusma, konstipasyon, diyare, kaşıntı, deride kuruluk, uyku bozuklukları, emosyonel ve cinsel sorunlar yer almaktadır (15)(16)(17). Bu semptomların sıklığı ve şiddeti her hastada bireysel farklılıklar göstermektedir (15,(18)(19)(20)(21)(22).…”