The Relationship Between Dialysis Adequacy and The Symptoms Experienced by Patients Under Hemodialysis Treatment Hemodiyaliz Tedavisi Gören Hastalarda Diyaliz Yeterliliği ile Deneyimledikleri Semptomlar Arasındaki İlişki

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ÖZDEMİR Ö.

Nefroloji Hemsireligi Dergisi, cilt.19, sa.2, ss.43-52, 2024 (Scopus)

Özet

Aim: This study aimed to examine the relationship between the symptoms experienced by patients receiving hemodialysis treatment and dialysis adequacy. Materials and Methods: This cross-sectional descriptive study was conducted with 109 patients between April 2023 and January 2024. The Patient Data Collection Form and Dialysis Symptom Index were used for data collection. Dialytic agent clearance and urea reduction rate were used to determine the dialysis adequacy. Results: The average age of the patients was 62.06±12.75 years, and the mean Dialysis Symptom Index score was 22.26±13.58. The mean dialytic agent clearance levels of the patients was 1.71±0.34. The mean urea reduction rate was 73.49±8.64%. The most common (81.7%) and severe (2.01±1.23) symptom experienced by hemodialysis patients was feeling tired. There was a negative relationship between the average Dialysis Symptom Index scores and hemoglobin levels (r=-0,231; p=0.01), albumin levels (r=-0.223; p=0.02), and a positive relationship between phosphorus levels (r=0.190; p=0.48) of patients. There was no relationship between the patients' average Dialysis Symptom Index score and Dialytic agent clearance and urea reduction rate values (p>0.05). Conclusion: The symptoms experienced by hemodialysis patients were low in severity and high in frequency. The most common and severe symptom experienced by the patients was feeling tired. As the patients'’hemoglobin and albumin levels decreased, the symptoms experienced by the patients increased. No relationship was found between symptoms experienced by patients and dialysis adequacy. The frequency of symptoms experienced by patients was high, even though dialysis was sufficient. It is recommended that healthcare professionals systematically and routinely monitor patients' symptoms.