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Resumen
Introduction: Fatigue is one of the most common symptoms felt by chronic renal failure patients undergoing hemodialysis (HD). The prevalence ranges from 42-97% with levels varying from low to severe. Fatigue is not only detrimental to physical and social functioning but is also associated with poor quality of life for HD patients and is associated with death in patients undergoing chronic hemodialysis. For this reason, it is necessary to know the factors associated with the incidence of fatigue so that appropriate interventions can be carried out, both pharmacologically and non-pharmacologically.
Objective: To evaluate the influence of anxiety and dialysis factors on the incidence of fatigue in patients undergoing hemodialysis at Ciamis Hospital.
Material and Method: A cross sectional approach with a total sample of 88 people was used.
Results: The results showed that 78 respondents (88.6%) who experienced fatigue complaints and anxiety had a relationship with the incidence of fatigue (OR: 9.0; p=0.019).
Conclusions: Psychological factors, such as anxiety, are associated with the fatigue experienced by patients on hemodialysis.
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Derechos de autor 2022 Yanti Cahyati Yanti
Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial 4.0.
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Referencias
- Kallenbach JZ. Review of hemodialysis for nurses and dialysis personnel-e-book. Elsevier health sciences; 2020.
- Jeon HO, Kim J, Kim O. Factors affecting depressive symptoms in employed hemodialysis patients with chronic renal failure. Psychol Heal Med;25(8):940-9. DOI: https://doi.org/10.1080/13548506.2019.1702218
- Zyga S, Alikari V, Sachlas A, Fradelos EC, Stathoulis J, Panoutsopoulos G, et al. Assessment of fatigue in end stage renal disease patients undergoing hemodialysis: prevalence and associated factors. Med Arch. 2015;69(6):376-80. DOI: https://doi.org/10.5455/medarh.2015.69.376-380
- Davis MP, Walsh D. Mechanisms of fatigue. J Support Oncol. 2010;8(4):164–74.
- Horigan AE. Fatigue in hemodialysis patients: a review of current knowledge. J Pain Symptom Manage. 2012;44(5):715–24. DOI: https://doi.org/10.1016/j.jpainsymman.2011.10.015
- Picariello F, Moss-Morris R, Macdougall IC, Chilcot J. The role of psychological factors in fatigue among end-stage kidney disease patients: a critical review. Clin Kidney J. 2016;10(1):79–88. DOI: https://doi.org/10.1093/ckj/sfw113
- Jhamb M, Abdel-Kader K, Yabes J, Wang Y, Weisbord SD, et al. Comparison of Fatigue, Pain, and Depression in Patients With Advanced Kidney Disease and Cancer—Symptom Burden and Clusters. J Pain Symptom Manage. 2019;57(3):566–75. DOI: https://doi.org/10.1016/j.jpainsymman.2018.12.006
- Chiaranai C. The lived experience of patients receiving hemodialysis treatment for end-stage renal disease: a qualitative study. J Nurs Res. 2016;24(2):101–8. DOI: https://doi.org/10.1097/jnr.0000000000000100
- Strippoli GF, Craig JC, Tong A, Saglimbene VM, Unruh ML, et al. Interventions for fatigue in people with chronic kidney disease requiring dialysis. Cochrane Database Syst Rev. 2018;(8).
- Letchmi S, Das S, Halim H, Zakariah FA, Hassan H, Mat S, et al. Fatigue experienced by patients receiving maintenance dialysis in hemodialysis units. Nurs Health Sci. 2011;13(1):60–4. DOI: https://doi.org/10.1111/j.1442-2018.2011.00579.x
- Jhamb M, Weisbord SD, Steel JL, Unruh M. Fatigue in patients receiving maintenance dialysis: a review of definitions, measures, and contributing factors. Am J Kidney Dis. 2008;52(2):353-65.
- Sajadi A, Farahani B, Zanjani E, Durmanesh B, Zare M. Factors affecting fatigue in chronic renal failure patients treated with hemodialysis. Iran J Crit Care Nurs. 2010;3:33-8.
- Johansen KL, Finkelstein FO, Revicki DA, Evans C, Wan S, Gitlin M, et al. Systematic review of the impact of erythropoiesis-stimulating agents on fatigue in dialysis patients. Nephrol Dial Transplant. 2011;27(6):2418-25. DOI: https://doi.org/10.1093/ndt/gfr697
- Yamasaki A, Yoda K, Koyama H, Yamada S, Tsujimoto Y, Okuno S, et al. Association of erythropoietin resistance with fatigue in hemodialysis patients: a cross-sectional study. Nephron. 2016;134(2):95-102. DOI: https://doi.org/10.1159/000448108
- Chilcot J, Norton S, Kelly ME, Moss-Morris R. The Chalder Fatigue Questionnaire is a valid and reliable measure of perceived fatigue severity in multiple sclerosis. Mult Scler J. 2016;22(5):677-84. DOI: https://doi.org/10.1177/1352458515598019
- Biniaz V, Tayybi A. Nemati E, Shermeh MS, Ebadi A. Different aspects of fatigue experienced by patients receiving maintenance dialysis in hemodialysis units. Nephrourol Mon. 2013;5(4):897-900. DOI: https://doi.org/10.5812/numonthly.11667
- Wewers ME LN. A critical review of visual analogue scales in the measurement of clinical phenomena. Res Nurs Heal. 1990;13(4):227–36. DOI: https://doi.org/10.1002/nur.4770130405
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- McCann K, Boore JRP. Fatigue in persons with renal failure who require maintenance haemodialysis. J Adv Nurs. 2000;32(5):1132–42. DOI: https://doi.org/10.1046/j.1365-2648.2000.01584.x
- Bossola M, Di Stasio E, Antocicco M, Pepe G, Marzetti E, Vulpio C. 1-year course of fatigue in patients on chronic hemodialysis. Int Urol Nephrol. 2017;49(4);727-34. DOI: https://doi.org/10.1007/s11255-016-1496-4
- Sandwijk MS Van, Arashi D Al, Bijlsma JA, Bemelman FJ. Fatigue, anxiety, depression and quality of life in kidney transplant recipients,haemodialysis patients, patients with a haematological malignancy and healthy controls. 2018;833–8. DOI: https://doi.org/10.1093/ndt/gfy103
- Jhamb M, Weisbord SD, Steel JL, Unruh M. Dialysis: A Review of Definitions, Measures, and Contributing Factors. Am J kidney Dis. 2008;52(2):353–65. DOI: https://doi.org/10.1053/j.ajkd.2008.05.005
- Maesaroh, Agung Waluyo WJ. Faktor-Faktor yang Berhubungan dengan Terjadinya Fatigue pada Pasien Hemodialisis. Jurnal Ilmiah Indonesia. 2020;5(4):110–20. DOI: https://doi.org/10.36418/syntax-literate.v5i4.1074
- Sulistini R, Yetti, Krisna, Hariyati T. Faktor faktor yang mempengaruhi Fatique pada Pasien yang Menjalani Hemodialisa. J Keperawatan. 2012;15(2):75–82. DOI: https://doi.org/10.7454/jki.v15i2.30
- Dadgari A, Dadvar L, Eslam-Arrow H. Multidimensional fatigue syndrome and dialysis adequacy among elderly patients under hemodialysis treatment. International Journal of Health Studies. 2015;2(1):5–8.
- Dehvan F, Monjazebi F, Khanghahi ME, Mohammadi H, Ghanei Gheshlagh R, Kurdi A. Adequacy of dialysis in Iranian patients undergoing hemodialysis: A systematic review and meta-analysis. Nephrourol Mon. 2018;10(5);1-10. DOI: https://doi.org/10.5812/numonthly.82235
- Indonesia Renal Registry. IRR. 10th report of Indonesian renal registry. Sekretariat Registrasi Ginjal Indonesia. 2014.
Referencias
Kallenbach JZ. Review of hemodialysis for nurses and dialysis personnel-e-book. Elsevier health sciences; 2020.
Jeon HO, Kim J, Kim O. Factors affecting depressive symptoms in employed hemodialysis patients with chronic renal failure. Psychol Heal Med;25(8):940-9. DOI: https://doi.org/10.1080/13548506.2019.1702218
Zyga S, Alikari V, Sachlas A, Fradelos EC, Stathoulis J, Panoutsopoulos G, et al. Assessment of fatigue in end stage renal disease patients undergoing hemodialysis: prevalence and associated factors. Med Arch. 2015;69(6):376-80. DOI: https://doi.org/10.5455/medarh.2015.69.376-380
Davis MP, Walsh D. Mechanisms of fatigue. J Support Oncol. 2010;8(4):164–74.
Horigan AE. Fatigue in hemodialysis patients: a review of current knowledge. J Pain Symptom Manage. 2012;44(5):715–24. DOI: https://doi.org/10.1016/j.jpainsymman.2011.10.015
Picariello F, Moss-Morris R, Macdougall IC, Chilcot J. The role of psychological factors in fatigue among end-stage kidney disease patients: a critical review. Clin Kidney J. 2016;10(1):79–88. DOI: https://doi.org/10.1093/ckj/sfw113
Jhamb M, Abdel-Kader K, Yabes J, Wang Y, Weisbord SD, et al. Comparison of Fatigue, Pain, and Depression in Patients With Advanced Kidney Disease and Cancer—Symptom Burden and Clusters. J Pain Symptom Manage. 2019;57(3):566–75. DOI: https://doi.org/10.1016/j.jpainsymman.2018.12.006
Chiaranai C. The lived experience of patients receiving hemodialysis treatment for end-stage renal disease: a qualitative study. J Nurs Res. 2016;24(2):101–8. DOI: https://doi.org/10.1097/jnr.0000000000000100
Strippoli GF, Craig JC, Tong A, Saglimbene VM, Unruh ML, et al. Interventions for fatigue in people with chronic kidney disease requiring dialysis. Cochrane Database Syst Rev. 2018;(8).
Letchmi S, Das S, Halim H, Zakariah FA, Hassan H, Mat S, et al. Fatigue experienced by patients receiving maintenance dialysis in hemodialysis units. Nurs Health Sci. 2011;13(1):60–4. DOI: https://doi.org/10.1111/j.1442-2018.2011.00579.x
Jhamb M, Weisbord SD, Steel JL, Unruh M. Fatigue in patients receiving maintenance dialysis: a review of definitions, measures, and contributing factors. Am J Kidney Dis. 2008;52(2):353-65.
Sajadi A, Farahani B, Zanjani E, Durmanesh B, Zare M. Factors affecting fatigue in chronic renal failure patients treated with hemodialysis. Iran J Crit Care Nurs. 2010;3:33-8.
Johansen KL, Finkelstein FO, Revicki DA, Evans C, Wan S, Gitlin M, et al. Systematic review of the impact of erythropoiesis-stimulating agents on fatigue in dialysis patients. Nephrol Dial Transplant. 2011;27(6):2418-25. DOI: https://doi.org/10.1093/ndt/gfr697
Yamasaki A, Yoda K, Koyama H, Yamada S, Tsujimoto Y, Okuno S, et al. Association of erythropoietin resistance with fatigue in hemodialysis patients: a cross-sectional study. Nephron. 2016;134(2):95-102. DOI: https://doi.org/10.1159/000448108
Chilcot J, Norton S, Kelly ME, Moss-Morris R. The Chalder Fatigue Questionnaire is a valid and reliable measure of perceived fatigue severity in multiple sclerosis. Mult Scler J. 2016;22(5):677-84. DOI: https://doi.org/10.1177/1352458515598019
Biniaz V, Tayybi A. Nemati E, Shermeh MS, Ebadi A. Different aspects of fatigue experienced by patients receiving maintenance dialysis in hemodialysis units. Nephrourol Mon. 2013;5(4):897-900. DOI: https://doi.org/10.5812/numonthly.11667
Wewers ME LN. A critical review of visual analogue scales in the measurement of clinical phenomena. Res Nurs Heal. 1990;13(4):227–36. DOI: https://doi.org/10.1002/nur.4770130405
Auliasari BM, Maliya A, Kesehatan. Pengaruh Aromaterapi Terhadap Tingkat Kelelahan (Fatigue) pada Pasien Gagal Ginjal yang Menjalani Terapi Hemodialisa. Semin Nas Keperawatan Univ Muhammadiyah Surakarta. 2020;45–53.
Faizal M, Nur BM, Rayasari F, Citra S, Belitung DB. Management Self Care Fatigue Klien End Stage Renal Disease Yang Menjalankan Hemodialisa. J Keperawatan Pangkalpinang. 2018;1(1):28–35. DOI: https://doi.org/10.33862/citradelima.v2i1.4
Rosdiana I, Yetty K, Sabri L. Kecemasan dan lamanya waktu menjalani hemodialisis berhubungan dengan kejadian insomnia pada pasien gagal ginjal kronik. J Keperawatan Indonesia. 2014;17(2):39–47. DOI: https://doi.org/10.7454/jki.v17i2.440
McCann K, Boore JRP. Fatigue in persons with renal failure who require maintenance haemodialysis. J Adv Nurs. 2000;32(5):1132–42. DOI: https://doi.org/10.1046/j.1365-2648.2000.01584.x
Bossola M, Di Stasio E, Antocicco M, Pepe G, Marzetti E, Vulpio C. 1-year course of fatigue in patients on chronic hemodialysis. Int Urol Nephrol. 2017;49(4);727-34. DOI: https://doi.org/10.1007/s11255-016-1496-4
Sandwijk MS Van, Arashi D Al, Bijlsma JA, Bemelman FJ. Fatigue, anxiety, depression and quality of life in kidney transplant recipients,haemodialysis patients, patients with a haematological malignancy and healthy controls. 2018;833–8. DOI: https://doi.org/10.1093/ndt/gfy103
Jhamb M, Weisbord SD, Steel JL, Unruh M. Dialysis: A Review of Definitions, Measures, and Contributing Factors. Am J kidney Dis. 2008;52(2):353–65. DOI: https://doi.org/10.1053/j.ajkd.2008.05.005
Maesaroh, Agung Waluyo WJ. Faktor-Faktor yang Berhubungan dengan Terjadinya Fatigue pada Pasien Hemodialisis. Jurnal Ilmiah Indonesia. 2020;5(4):110–20. DOI: https://doi.org/10.36418/syntax-literate.v5i4.1074
Sulistini R, Yetti, Krisna, Hariyati T. Faktor faktor yang mempengaruhi Fatique pada Pasien yang Menjalani Hemodialisa. J Keperawatan. 2012;15(2):75–82. DOI: https://doi.org/10.7454/jki.v15i2.30
Dadgari A, Dadvar L, Eslam-Arrow H. Multidimensional fatigue syndrome and dialysis adequacy among elderly patients under hemodialysis treatment. International Journal of Health Studies. 2015;2(1):5–8.
Dehvan F, Monjazebi F, Khanghahi ME, Mohammadi H, Ghanei Gheshlagh R, Kurdi A. Adequacy of dialysis in Iranian patients undergoing hemodialysis: A systematic review and meta-analysis. Nephrourol Mon. 2018;10(5);1-10. DOI: https://doi.org/10.5812/numonthly.82235
Indonesia Renal Registry. IRR. 10th report of Indonesian renal registry. Sekretariat Registrasi Ginjal Indonesia. 2014.