Correlates of Symptom Burden of Hemodialysis Patients

Abstract

This cross-sectional study assessed the overall symptom burden, including the prevalence, frequency, severity, and distress of symptoms among hemodialysis patients, and explored the relationship between demographic characteristics, clinical variables, self-management, sense of coherence, social support, and symptom burden in these patients. Herein, a regression analysis was performed to determine associations with symptom burden. The mean score of symptom burden among the participants (n = 382) was 74.12, with an average number of 12 symptoms. The analysis revealed that self-management, sense of coherence, and social support were negatively associated with the overall symptom burden. The multiple regression model showed that 48.6% of the variance in symptom burden was explained by meaningfulness, emotional management, daily urine output, subjective support, gender, and manageability. These findings contribute to the knowledge of symptom burden among hemodialysis patients and some new predictors (self-management, sense of coherence, and social support) of their symptom burden.

Correlations between uncertainty in illness and anxiety, depression and quality of life in patients receiving maintenance haemodialysis: A cross‐sectional study

“…When patients’ evaluation or expectation was inconsistent with their actual experience, uncertainty arose, which made the patients unable to determine the impact of diseases and dialysis related complications and symptoms those therapy targeted, worried about the treatment effect and prognosis, and lead to anxiety and depression(Yan et al., 2012 ). MHD patients often experience various symptoms and these ambiguous symptoms were severe, erratic, but often were underestimated and without adequate treatment(Song et al., 2020 ). Besides, the variety of symptoms among patients with ESRD made patients hard to build correct perceptions of illness which increased patients’ negative feelings and decline in QoL.…”

Palliative care needs and symptom burden in younger and older patients with end-stage renal disease undergoing maintenance hemodialysis: A cross-sectional study

“…Owing to the dual effects of the disease itself and hemodialysis treatment, patients often experience a variety of symptoms such as fatigue, dry skin, sleep disorders, muscle cramps, itching, and other physical symptoms, as well as psychological symptoms such as anxiety, worry, and depression, which impose a huge burden on patients’ lives [ 6 , 7 ]. Because older patients are prone to multiple chronic conditions and functional impairment, their symptom burden is heavier and their health-related quality of life (HRQOL) is worse than that of younger patients [ 8 ].…”

To Explore the Application of PDCA in Hemodialysis Center and Its Effect on the Maintenance of Internal Fistula

“…Hemodialysis patients may lose confidence in treatment and affect prognosis due to long treatment cycle and irreversible course [ 3 , 4 ]. Clinically, whether some effective intervention measures can be used to improve the maintenance quality of arteriovenous fistula in hemodialysis patients and ultimately improve the quality of dialysis is considered, but there are few relevant literatures [ 5 , 6 ].. Studies have shown that the correct nursing is an important factor affecting the survival period of fistula [ 7 , 8 ].. Traditional nursing methods lack systematicness and pertinence.…”