How to relate to dialysis patients' fatigue - perspectives of dialysis nurses and renal health professionals: A qualitative study

Borg, Wieke E. van der; Verdonk, Petra; Jong-Camerik, J. de; Abma, Tineke

doi:10.1016/j.ijnurstu.2021.103884

Cited by 7 publications

(4 citation statements)

References 39 publications

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“…However, fatigue among dialysis patients is often unrecognized and untreated [ 13 ] since symptoms are usually subjective and not clearly identifiable [ 14 ]. In light of this, the aim of this study was to explore the factors associated with fatigue in patients undergoing hemodialysis.…”

Section: Introductionmentioning

confidence: 99%

Factors Associated With Fatigue in Patients Undergoing Hemodialysis

Tsirigotis¹,

Polikandrioti²,

Alikari³

et al. 2022

Cureus

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Background and objectiveFatigue is frequently experienced by patients undergoing hemodialysis and it has a negative effect on their quality of life. The aim of this study was to investigate the factors associated with fatigue in patients undergoing hemodialysis. MethodsIn this quantitative cross-sectional study, 100 patients on hemodialysis participated. Fatigue was evaluated via the Modified Fatigue Impact Scale (MFIS). Participants also completed a questionnaire about demographics and clinical characteristics. The Kruskal-Wallis test, the Mann-Whitney U test, and Spearman's rho criterion were used to assess the association between fatigue score and patient characteristics. Multiple linear regression was performed to assess the effect of the characteristics on patients' fatigue. ResultsStatistically significant high levels of physical or mental fatigue were found in older patients (p=0.001 and p=0.001), divorced/widowed patients (p=0.001 and p=0.014), those who had children (p=0.019), those who had primary education (p=0.015), those who were not informed about their health problems (p=0.003 and p=0.006), those who had comorbid diseases (p=0.001 and p=0.001), those who believed that regular information did not help to reduce stress (p=0.005 and p=0.004), patients who had insomnia (p=0.001 and p=0.001), patients who felt tired after hemodialysis (p=0.001 and p=0.001), those who thought they had a change in body image (p=0.001 and p=0.001), those who often felt stiffness (p=0.001 and p=0.001), those who sometimes felt nausea (p=0.015 and p=0.038), and those who had limitations in the clothes they could wear (p=0.001 and p=0.001). ConclusionsThe findings of this study showed that physical or mental fatigue had a strong association with advanced age, comorbidities, marital status, level of education, inadequate information about the disease, insomnia, and change in body appearance. Hence, renal professionals need to properly educate dialysis patients on the complicated nature of fatigue in order to manage it effectively and improve their physical, cognitive, and social wellbeing.

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Section: Introductionmentioning

confidence: 99%

Factors Associated With Fatigue in Patients Undergoing Hemodialysis

Tsirigotis¹,

Polikandrioti²,

Alikari³

et al. 2022

Cureus

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show abstract

“…Fatigue can cause social, cognitive, and physical health problems and decrease the patient's quality of life (Burdelis & Cruz, 2023;Ju et al, 2020). However, fatigue is often ignored and not treated properly (van der Borg et al, 2021) because fatigue symptoms are subjective and difficult to identify (S.-Y. Wang et al, 2016).…”

Section: Discussionmentioning

confidence: 99%

Health service needs in patients receiving hemodialysis therapy: qualitative study

Budiyarti,

Sukanti

2023

JKK

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Quality health services are health services that are provided based on patient needs, not based on what is owned by the service-providing institution. Patients with chronic diseases such as kidney failure undergoing hemodialysis need more supportive nursing care, such as physical and psychological support and information about their condition. This study aims to explore and identify health service needs in patients receiving hemodialysis therapy. This research is qualitative research on phenomenology. Data was collected using semi-structured and in-depth interviews with 17 participants of end-stage renal failure who underwent hemodialysis therapy, selected by purposive sampling. Thematic analysis is used for data analysis. The study found three main themes: services to meet basic needs when hemodialysis therapy was carried out, support received while undergoing hemodialysis therapy, and Various health services that have yet to be received while undergoing hemodialysis therapy. It can be concluded that identifying service needs positively impacts service quality as healthcare workers will better understand patient expectations. Hemodialysis patients have basic physical, psychological, and support needs. Unmet needs include inadequate drug therapy, health workers, and unmet information needs. Healthcare providers should develop strategies to manage these needs, including physical and psychological modification, improvement of facilities, infrastructure, human resources, and interdisciplinary approaches.

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“…Fatigue has been reported to be prevalent among 42–97% of HD patients ( Horigan, 2012 ; Sakkas and Karatzaferi, 2012 ; Burdelis and Cruz, 2023 ). Nevertheless, this serious and life-threatening health condition in the HD population is often ignored and left untreated ( Zyga et al, 2015 ; Debnath et al, 2021 ), being a strong predictor of poor health-related QOL and poor survival ( van der Borg et al, 2021 ). Moreover, fatigue can be associated with anemia, mood disorders, and malnutrition ( Debnath et al, 2021 ).…”

Section: Introductionmentioning

confidence: 99%

The influence of social support on sleep and fatigue level among patients receiving hemodialysis in Saudi Arabia: a cross-sectional correlational design

Alshammari,

Alkubati,

Pasay-an

et al. 2023

Front. Psychol.

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BackgroundPatients on hemodialysis (HD) are more likely to experience sleep problems and fatigue that may affect their health outcomes. Management of these patients with social support may improve their sleep quality and fatigue as well as their health.AimThis study aimed to assess the influence of social support on sleep quality and fatigue levels among HD patients.MethodsA cross-correlational study was conducted among 260 conveniently sampled HD patients from four dialysis centers in Hail and Al-Qassim cities of Saudi Arabia from Jun 2022 to January 2023. Besides sociodemographic data, the Pittsburgh Sleep Quality Index (PSQI), the Multidimensional Assessment of Fatigue (MAF) and the Oslo Social Support Scale (OSSS-3) were used to assess sleep quality, fatigue levels and social support, respectively. Chi-square test was used to determine the association between categorical variables, while Pearson’s correlation coefficient was used to test the correlation between sleep quality, fatigue, and social support.ResultsPoor sleep and high fatigue were significantly higher in older patients compared to younger patients (p <0.001), while strong social support was significantly lower in older patients than younger and middle-aged ones (p = 0.001). On the other hand, poor sleep and high fatigue were significantly higher in males than females (p = 0.022 and p <0.001, respectively), while strong social support was significantly higher in females than males (p <0.001). Married patients showed significantly poorer sleep than single ones (p = 0.019), but single patients received significantly stronger social support. Retired patients showed significantly poorer sleep, higher fatigue and weaker social support than other groups (p <0.001). There was a significant negative correlation between fatigue and sleep quality among HD patients, where patients with more fatigue had poorer sleep (r = −0.510, p <0.001). A significant positive correlation was found between social support and sleep quality, where patients with stronger social support had more normal sleep (r = 0.415, p <0.001). However, a significant negative correlation was found between social support and fatigue, where patients with stronger social support had lower levels of fatigue (r = −0.479, p <0.001).ConclusionSaudi patients on HD who have stronger social support have better sleep quality and reduced fatigue levels than those with less social support. There is a need to design and implement intervention studies with structured social support programs, and to evaluate their effectiveness on improving sleep and reducing fatigue among HD patients.

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How to relate to dialysis patients' fatigue - perspectives of dialysis nurses and renal health professionals: A qualitative study

Cited by 7 publications

References 39 publications

Factors Associated With Fatigue in Patients Undergoing Hemodialysis

Factors Associated With Fatigue in Patients Undergoing Hemodialysis

Health service needs in patients receiving hemodialysis therapy: qualitative study

The influence of social support on sleep and fatigue level among patients receiving hemodialysis in Saudi Arabia: a cross-sectional correlational design

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