Investigation of Effect on Activities of Daily Living and Symptoms in Hemodilaysis Patients
Date
2021Metadata
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Mollaoglu M, Başer E. Investigation of Effect on activities of daily living and symptoms in hemodilaysis patients. Niger J Clin Pract 2021;24:1332-7.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.