Hemodialysis (original) (raw)
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HEMODIALYSIS; PSYCHOSOCIAL STRESSORS IN PATIENTS UNDERGOING
ABSTRACT... Objective: To determine the nature and frequency of psychosocial stressors faced by the patients on hemodialysis admitted in Renal Dialysis Unit of Nishtar Hospital, Multan. Study design: A descriptive study. Place & duration of study: The study was conducted in the Renal Dialysis Unit of Nishtar Hospital, Multan, from 1st May, 2014 to 31st May, 2014. Subjects & methods: The sample consisted of 170 (112 Male, 58 Females) consecutive inpatients on Hemodialysis Treatment. They were interviewed and Hemodialysis Stressors Scale (HSS) was administrated to know the frequency of Hemodialysis Stressors. Results: Results showed that all the patients reported Physiological and Psychosocial stressors. Most frequent physical stressors included feeling tired (92%) and stiffening of joints (91%). In psychosocial stressors restriction of fluid (100%), dependence on dialysis machine and/ or equipment (95%), limitation of physical activity (93%), changes in family responsibilities (93%), dependency on nurses and technicians (93%), length of treatment (92%), dependency on physicians (91%), sleep disturbance (90%) and limitation of food (93%) were the most frequently reported. Conclusions: We concluded that both physiological and psychosocial stressors were present in significant majority of patients. Key words: Hemodialysis, Stressors,
International Journal of Nursing Research
Background: Hemodialysis is a lifelong treatment that significantly and sometimes adversely affects patient’s physical, mental, and social well-being. Chronic kidney disease is a worldwide public health problem and now recognized as a common condition that is associated with an increased risk of cardiovascular disease and chronic renal failure. The incidence rates of end-stage renal disease have increased steadily and internationally. The United States has the highest incidence rate of end-stage renal disease rate (Parsian, 2007). Methods: The descriptive study was conducted at Madras Medical Mission Hospital dialysis unit Chennai. Sixty samples who fulfilled the sample selection criteria were selected using non-probability purposive sampling. The investigator used structure interview method to collect the data. Data were collected during the process of dialysis. The collected data were tabulated for analysis and analyzed using both descriptive and inferential statistics. Results: R...
Indian Journal of Palliative Care, 2013
Background and Aims: The hemodialysis (HD) patients are experiencing high biopsychosocial stress on all levels. Therefore, this study was designed to survey on physiologic and psychosocial stressors among HD patients in two educational hospitals of Northern Iran. Materials and Methods: This cross-sectional study included 80 HD patients who were referred to Khomeini and Fatemeh Zahra hospitals in Mazandaran (Northern Iran) during the year 2011. Data were collected using a demographic information record sheet and Baldree Hemodialysis Stress Scale. Finding: The following physiologic stressors were noted: Fatigue (51.25%), limited time and places for enjoyment (46.25%), and physical activation limitation (32.5%). Similarly the following psychosocial stressors were observed: Fistula (58.75%), limitation of drinking water (47.5%), low quality of life (47.5%), travelling difficulties to the dialysis center (45%), treatment cost (41.5%), and low life expectancy. The stress level was high in women who were married, younger, less dialysis vintage, and belonged to a low education level. Conclusion: This study reports that HD patients have with significant physical and psychosocial problems and they need education, family, and social supports.
International Journal for Research in Applied Science & Engineering Technology (IJRASET), 2022
Life on dialysis is a perpetual challenge due to demanding treatment schedule and dietary restrictions. The dialysis depends on machine for survival conflicts with the independence needed to maintain a normal life. A number of stress and coping mechanism factors operate in patients on maintenance hemodialysis. These include physiological, psychological, socioeconomic, financial and marital problems depending on the machine, limited activities and treatment related problems. Life on dialysis end stage renal disease shows similarities with other chronic disorders in that there are threats to autonomy, a considerable burden of illness and changes in functional status Thus, promotion of their health from the beginning of human life is essential. The study aimed to assess the stressors and coping strategies of the patients undergoing dialysis of Surat city to develop and distribute an information booklet. A Cross sectional descriptive survey research approach was used in this study at selected hospitals of Surat city. Sample comprised of 100 patients undergoing haemodialysis and sample was selected by simple random sampling technique. Data was collected by using structured interview questionnaire, and analyzed by using descriptive and inferential statistics. A structured questionnaire was used to assess stressors of patients undergoing hemodialysis and A Likert Attitude questionnaire for assessing coping strategies adopted by patients undergoing hemodialysis. I.
The individual maintained on hemodialysis is facing multiple and potentially overwhelming stressors which impact the level of social, psychological, and physical functioning. The patients use various coping strategies to cope with the stressors related to their disease and hemodialysis treatment. The study aimed to assess psychological stress facing the hemodialysis patients, identify the coping strategies used by these patients and investigate relationship between these stressors and the coping strategies used by these patients, the study was done in El-Minia University hospital at Dialysis Unit, in the period from January 2011 to July 2011.The studied sample included 250 patients. A descriptive correlation design was utilized in this study.
2019
Background: Haemodialysis patients had more problems in physical, social and psychological dimensions of life and these dimensions are the stressful factors and they use various strategies to cope with the stressors. This study aims to identify the stressors and the coping strategies among the patients undergoing maintenance haemodialysis and to determine the association between the stressors and coping strategies with the selected demographical variables of patients. Materials and Methods: This descriptive cross-sectional study was conducted in 55 patients who were in current schedule of haemodialysis in B.P. Koirala Institute of Health Sciences. Total enumerative sampling technique was used wherein data was collected over duration of one month using semistructured interview questionnaire. Descriptive and inferential statistics were used. Results: The mean age of the respondents was 54.40 ±13.93 and two third (65.5 %) were male. Mean score for stressors was 43.58 (SD = 16.69) and f...
Stress and Coping among Indian Haemodialysis Patients
2015
Background: Chronic kidney disease does not usually cause symptoms until it reaches an advanced stage. During the progression of the disease, the patients experiences some of the common symptoms like lack of energy, difficulty concentrating, poor appetite, insomnia, muscle cramping, edema , dry skin, increased urinary frequency, bruising, shortness of breath, and bone pain. Aim: To assess the level of stress and coping among Indian patients subjected to hemodialysis at Dialysis unit. Design: A cross sectional descriptive research design was adopted. Methods: Sixty patients were selected using convenient sample from the dialysis unit of tertiary care hospital, South India. Study participants were completed the questionnaire on stress and coping. Both descriptive and inferential statistics were used to analyze the data. Results: Among patients subjected for dialysis, 39 (65.00%) of the study participants were having mild stress and 12(20.00%) of the study participants were having mode...
Jurnal Aisyah : Jurnal Ilmu Kesehatan, 2021
Kidney failure is a chronic and irreversible impaired kidney function. Endstage kidney disease requires therapy, namely hemodialysis using a dialysis machine, in which the process takes a long time. Such a duration of therapy can lead to anxiety and stress to the patient. The study aims to determine the relationship between stress level and hemodialysis duration among patients with chronic kidney failure who underwent hemodialysis at Toto Kabila Regional Public Hospital.This research employed a cross-sectional method involving patients suffering from kidney failure and undergoing hemodialysis as the population. Further, the sample consisted of 29 respondents with a total sampling technique. The results showed that one respondent (3.4%) experienced normal stress, eight respondents (27.6%) had mild stress, 15 respondents (51.7%) got moderate stress, and five respondents (17.2%) experienced severe stress. In addition, two respondents underwent hemodialysis therapy for <6 months, and 27 respondents (93.1%) were under the therapy for >6 months. All in all, stress level relates to hemodialysis therapy of patients with chronic kidney failure who undergo hemodialysis in the aforementioned hospital. The p-value was 0.021 < 0.05, indicating that Ha is accepted. It is suggested that people think positively and composedly during circumstances to live a better life. .
Stressful factors, coping mechanisms and quality of life in hemodialysis patients
Journal of Critical Care Nursing, 2013
Level of quality of life in hemodialysis patients change following stressful factors. Patients use different coping mechanisms in order to deal with stressful factors. The aim of this study was to determine stressful factors, coping mechanisms and quality of life among hemodialysis patients. Methods: This descriptive analytic study was done on 113 hemodialysis patients in Babol's Shahid Beheshti hospital in 2010-2011. The data collection tools included questionnaire of hemodialysis stressful factors information (HSS), Jalowice & Powers coping methods and quality of life Index of Parila et al. in order to analyze data, descriptive analytical statistics (Independent Ttest, variance and Pearson 's analysis and SPSS 17 software had been used. Results: 50.4% of the patients were male. The age range of the patients was 87-18. The results showed that there was significant relationship between age with physiological stressful factors (p=0.050) and there was significant relationship between residency and psychological stressful factors) and between important activities of life and variables of occupation and marital status (p=0.000 both). In dealing with stressful factors patients mostly used emotion-oriented coping methods, and there was positive and linearly relationship between emotion-oriented coping methods with psycho and social stressful factors (p=0.000 and p=0.009). There was positive and linear relationship between problem-oriented coping methods with aspects of overall quality of life and also there was significant inverse relationship between emotion-oriented coping methods with important activities of life, overall quality of life and physical condition. Conclusions: By identifying the stressful factors in hemodialysis patients, it is possible to have more valuable step through more effective nursing services and producing basic programs such as psychology counseling for strengthening problem-oriented coping mechanisms and improving their quality of life.