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2020, Number 2

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Rev Nefrol Dial Traspl 2020; 40 (2)

Investigation of the relation between symptoms seen in haemodialysis patients with dialysis adequacy and personality traits

Ozkan I, Taylan S

Language: English
References: 30
Page: 106-118
PDF size: 224.59 Kb.


ABSTRACT

Objectives: Investigate the relation between the symptoms seen in haemodialysis patients with haemodialysis adequacy and character traits. Background: Investigation of the factors affecting symptoms seen in haemodialysis patients would lead to better understanding of the causes behind the symptoms and enable efficient symptom control management. Design: This descriptive and analytical study was conducted between January and June 2019 at two dialysis centres in Turkey. Methods: The data was collected through the Demographic Information Form, The Dialysis Symptom Index, the Big Five Inventory and by calculating Kt/V and URR (Urea Reduction Rate) values for dialysis adequacy. Results: It was found that 77.6% of the haemodialysis patients experience 6 or more symptoms and the most common symptoms are feeling tired or lack of energy (70.7%), and the most severe symptom is numbness or tingling in feet (3.13 ± 3.12). While 70.9% of the participants’ Kt/V value was calculated as above 1.4 no statistically significant relation was found between Kt/V value and psychological and physiological symptoms (p›0.05). It was determined that haemodialysis patients with high neuroticism trait experience increased symptoms of tiredness, irritability, sadness, worrying; and patients with extraversion trait experience these symptoms less severely (p‹0.05). Conclusion: Although this study found a relation between experienced symptoms and personality traits (neuroticism, extraversion) no relation was observed with dialysis adequacy. Nurses need to plan nursing initiatives by considering not only the patients’ biochemical parameters but also their personality traits in managing haemodialysis symptoms of the patients.


REFERENCES

  1. Bossola M, Pepe G, Picca A, Calvani R, Marzetti E.Treating symptoms to improve the quality of life inpatients on chronic hemodialysis. Int Urol Nephrol. 2019;51(5):885-7. doi: 10.1007/s11255-019-02121-5.

  2. Cabrera VJ, Hansson J, Kliger AS, Finkelstein FO.Symptom management of the patient with CKD: therole of dialysis. Clin J Am Soc Nephrol. 2017;12(4):687-693. doi: 10.2215/CJN.01650216.

  3. Davison SN, Jhangri GS, Johnson JA. Cross-sectionalvalidity of a modified Edmonton symptom assessmentsystem in dialysis patients: a simple assessment ofsymptom burden. Kidney Int. 2006;69(9):1621-5. doi:10.1038/sj.ki.5000184.

  4. Amro A, Waldum B, Dammen T, Miaskowski C, OsI. Symptom clusters in patients on dialysis and theirassociation with quality-of-life outcomes. J Ren Care.2014;40(1):23-33. doi: 10.1111/jorc.12051.

  5. Solano JP, Gomes B, Higginson IJ. A comparison ofsymptom prevalence in far advanced cancer, AIDS, heartdisease, chronic obstructive pulmonary disease andrenal disease. J Pain Symptom Manage. 2006;31(1):58-69. doi: 10.1016/j.jpainsymman.2005.06.007.

  6. Akgöz S, Arslan S. Examination of symptoms inpatients who are on hemodialysis treatment. NefrolojiHemşireliği Dergisi. 2017;1(12):20-8.

  7. Göriş S, Ceyhan Ö, Taşcı S, Doğan N. Do SymptomsRelated to Hemodialysis Affect Marital Adjustment? SexDisabil. 2016;34:63-73. doi:10.1007/s11195-016-9428-x.

  8. Hintistan S, Deniz A. Evaluation of symptoms inpatients undergoing hemodialysis. Bezmialem Sci.2018;6:112-8. doi: 10.14235/bs.2018.1530.

  9. Raj R, Ahuja K, Frandsen M, Jose M. Symptomsand their recognition in adult haemodialysispatients: Interactions with quality of life. Nephrology.2017;22(3):228-33. doi: 10.1111/nep.12754.

  10. EL-Sheikh M, El Ghazaly G. Assessment ofhemodialys adequacy in patients with chronic kidneydisease in the hemodialysis unit at Tanta UniversityHospital in Egypt. Indian J Nephrol. 2016;26(6):398-404. doi: 10.4103/0971-4065.168141

  11. Manns B, Johnson J, Taub K, Mortis G, Ghali W,Donaldson C. Dialysis adequacy and health relatedquality of life in hemodialysis patients. ASAIOJ. 2002;48(5):565-9. doi: 10.1097/00002480-200209000-00021.

  12. Daugirdas JT. Second generation logarithmicestimated of single-pool variable volume Kt/V: ananalysis of error. J Am Soc Nephrol. 1993;4(5):1205-13.

  13. Sanavi S, Afshar R. Depression in patientsundergoing conventional maintenance hemodialysis:the disease effects on dialysis adequacy. Dial Traspl.2012;33(1):13-6. doi:10.1016/j.dialis.2011.06.006.

  14. Goodwin RD, Friedman HS. Health status andthe five-factor personality traits in a nationallyrepresentative sample. J Health Psychol. 2006;11(5):643-54. doi: 10.1177/1359105306066610.

  15. Hudek-Knezević J, Kardum I. Five-factor personalitydimensions and 3 health-related personality constructsas predictors of health. Croat Med J. 2009;50(4):394-402. doi: 10.3325/cmj.2009.50.394.

  16. Bugarski V, Sakač V, Vodopivec S, SlankamenacP. Relation between personality dimensions anddepressive symptoms in patients on hemodialysis.Med Pregl. 2010;63(5-6):305-12. doi: 10.2298/mpns1006305b.

  17. Michielsen HJ, Van der Steeg AF, Roukema JA, DeVries J. Personality and fatigue in patients with benignor malignant breast disease. Support Care Cancer.2007;15(9):1067-73. doi: 10.1007/s00520-007-0222-2.

  18. Venzon Thomas C, de Castro EK. Personality factors,self-efficacy and depression in chronic renal patientsawaiting kidney transplant in Brazil. Interam J Psychol.2014;48(1):119-28. doi: 10.30849/rip/ijp.v48i1.251.

  19. Turiano NA, Pitzer L, Armour C, Karlamangla A, RyffCD, Mroczek DK. Personality trait level and change aspredictors of health outcomes: findings froma nationalstudy of Americans (MIDUS). Gerontol BPsychol SciSoc Sci. 2012;67(1):4-12. doi: 10.1093/geronb/gbr072.

  20. Poppe C, Crombez G, Hanoulle I, Vogelaers D,Petrovic M. Improving quality of life in patients withchronic kidney disease: influence of acceptance andpersonality. Nephrol Dial Transplant. 2013;28(1):116-

  21. doi: 10.1093/ndt/gfs151.21) Önsöz HB, Usta Yeşilbalkan O. Reliability andvalidity of the Turkish version of the dialysissymptom index in chronic hemodialysis patients. TurkNeph Dial Transpl. 2013;22(1):60-7. doi: 10.5262/tndt.2013.1001.08.

  22. Underwood G, ed. Traffic and transport psychology:theory and application. Elsevier Science, 2005. 656 p.

  23. Weisbord SD, Bossola M, Fried LF, Giungi S,Tazza L, Palevsky PM, et al. Cultural comparison ofsymptoms in patients on maintenance hemodialysis.Hemodial Int. 2008;12(4):434-40. doi: 10.1111/j.1542-4758.2008.00307.x.

  24. Keskin G, Babacan Gümüş A, Taşdemir YiğitoğluG. Sexual dysfunctions and related variables withsexual function in patients who undergo dialysis forchronic renal failure. J Clin Nurs. 2019;28:257-69. doi:10.1111/jocn.14602.

  25. Bahgat ZF, Bahgat RS, El-azazy HM. The effect offatigue on daily living activities for adults undergoinghemodialysis. IOSR J Nurs Health Sci. 2016;5(3):82-9.doi: 10.9790/1959-0503068289.

  26. Semaan V, Noureddine S, Farhood L. Prevalence ofdepression and anxiety in end-stage renal disease: Asurvey of patients undergoing hemodialysis. Appl NursRes. 2018;43:80-85. doi: 10.1016/j.apnr.2018.07.009.

  27. Ibrahim N, Teo SSL, Din NC, Gafor AHA, IsmailR. The role of personality and social support in healthrelatedquality of life in chronic kidney disease patients.PLoS One. 2015;10(7):e0129015. doi: 10.1371/journal.pone.0129015.

  28. Prihodova L, Nagyova I, Rosenberger J, Roland R,van Dijk JP, Groothoff JW. Impact of personalityand psychological distress on health-related qualityof life in kidney transplant recipients. TransplInt. 2010;23(5):484-92. doi: 10.1111/j.1432-2277.2009.01003.x.

  29. Steyaert S, Holvoet E, Nagler E, Malfait S, VanBiesen W. Reporting of “dialysis adequacy” as anoutcome in randomised trials conducted in adults onhaemodialysis. PLoS One. 2019;14(2):e0207045. doi:10.1371/journal.pone.0207045.

  30. Theofilou P, Togas C, Vasilopoulou C, Minos C,Zyga S, Tzitzilos G. The impact of Kt/V urea-based dialysis adequacy on quality of life and adherencein haemodialysis patients: a cross-sectional studyin Greece. Health Psychol Res. 2015;3(1):1060. doi:10.4081/hpr.2015.1060.




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