Évidence d’un manque de concordance entre les patients hémodialysés et les infirmières sur la présence et la sévérité des symptômes

Abstract

Hemodialysis patients represent a fragile population experiencing many symptoms (e.g., pain, fatigue) that impact their quality of life. The presence and severity of these symptoms are significantly underestimated by health professionals. The purpose of this study is to describe and compare the symptoms perceived by hemodialysis patients versus those detected by nurses and to discuss the possible causes of the disparity observed. A total of 123 patients and 70 nurses working in six hemodialysis centers were included in this study. The results show that participating nurses detected less than 50% of symptoms perceived by patients. The concordance between the hemodialysis patients and the nurses' responses on the presence and severity of all symptoms is very low (Kappa<0.4). Therefore, improving the knowledge and skills of hemodialysis nurses in detecting the symptoms of hemodialysis patients they treat appears to be one of the central areas for effective intervention and improved quality of care.

Relationship among symptoms, quality of life, and complementary and alternative medicines use among patients undergoing hemodialysis in French-speaking Switzerland

“…Our results are in line with previous data on this population [ 12 , 56 , 57 ]: men represent the majority of respondent (65.9%). The average age is quite high reaching 69 years (SD = 13.1), consequently the majority of respondents (68.2%) are already retired.…”

Relationship among symptoms, quality of life, and complementary and alternative medicines use among patients undergoing hemodialysis in French-speaking Switzerland

“…Our results are in line with previous data on this population (12,56,57): men represent the majority of respondent (65,9%). The average age is quite high reaching 69 years (SD=13,1), consequently the majority of respondents (68,2%) are already retired.…”

“…Thirty symptoms typically associated with ESRD and HD (42) were explored (see table 2) and the patients showed an average prevalence of 8,9 symptoms (SD = 4,6), in line with previous studies on the same population (12,57). The most frequently observed are tiredness and lack of energy (63,6%), dry skin (58,0%), trouble staying asleep (45,5%), trouble falling asleep (44,3%), and shortness of breath (44,3%).…”

“…Our research has explored the relation among HD patients' symptoms, CAM use, and quality of life in the context of three HD units in French-speaking Switzerland. Our sample has similar characteristics to other samples of HD patients in the same area (12,57). They have a male-dominated population with a relatively advanced age, and long experience of HD.…”

Patients' perspectives of fluid management: A multicentre comparative study of home and incentre haemodialysis

“…Limited patient understanding of signs and symptoms indicative of overhydration or kidney disease progression have also been previously reported (Durose et al ., 2004; Wright, Wallston, et al ., 2011). This along with suboptimal reporting of symptoms (Cohen et al ., 2018; Keane et al ., 2021) may negatively impact upon fluid management to which the presence of symptoms play a central role (Flythe et al ., 2020).…”