Investigation of Effect on Activities of Daily Living and Symptoms in Hemodilaysis Patients

Abstract

Hemodialysis patients develop many physical and psychosocial symptoms associated with chronic kidney disease and its treatment. The presence of these symptoms also adversely affects an individual’s activities of daily living. Aim: The aim of this study was to evaluate the symptoms seen in hemodilaysis patients and to examine the effect on daily living activities. Materials and Methods: This was a cross‑sectional descriptive study carried out on 126 patients in two dialysis centers in Turkey. Patient Information Form, Dialysis Symptom Index (DSI) and Katz Activities of Daily Living Scale (KADL) were used as data collection tools. Results: The most frequent symptoms described by the patients undergoing hemodialysis were tiredness, sadness, and muscle‑joint pain. The mean of the DSI was 30.03 (SD: 14.7). There was a statistically significant relationship between dialysis symptom index and disease duration and hemodialysis vintage (P < 0.05). In addition, the mean score of the Patients’ KADL was 14.48 (SD: 2.55). Eighty‑two (65.1%) patients maintain their daily living activities independently. On the other hand, 26.2% of the dialysis patients maintained their daily living activities as semi‑dependent, while 8.7% were totally dependent on others. A statistically significant relationship was found between KADL, marital status, year of dialysis and presence of another chronic disease (P < 0.05). There was statistically significant relationship between DSI and KADL. In hemodilaysis patients, as the DSI score increased, the dependence on daily living activities increased. Conclusion: The symptoms seen in patients have a negative effect on maintaining their daily living activities. Health workers should perform symptom evaluation in patients undergoing dialysis. Thus, each patient‑specific individualized care plan should be designed for effective management of these symptoms in patients. Effective symptom management will be effective in maintaining patients’ daily living activities.