Volume 14, Issue 2 (9-2017)
J Res Dev Nurs Midw 2017, 14(2): 65-71 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Royani Z, Roohi G, Sabzi Z, Mancheri H, Mollaei E. Relationship between Fatigue and Physical, Psychological and Situational Factors in Hemodialysis Patients. J Res Dev Nurs Midw 2017; 14 (2) :65-71
URL: http://nmj.goums.ac.ir/article-1-974-en.html
URL: http://nmj.goums.ac.ir/article-1-974-en.html
1- MSc in Nursing, Faculty Member, Paramedical School, Golestan University of Medical Science, Gorgan, Iran.
2- PhD Student of health management , Faculty Member, MSc in Nursing, School of Nursing and Midwifery, Golestan University of Medical Science, Gorgan, Iran
3- Assistant Professor of Nursing , Faculty Member, School of Nursing and Midwifery, Golestan University of Medical Sciences, Gorgan, Iran.
4- PhD Student of Nursing, MSc in Nursing, Instructor, School of Nursing and Midwifery, Golestan University of Medical Science, Gorgan, Iran.
5- MSc in Nursing, Faculty Member, Nursing Research Center, School of Nursing and Midwifery, Golestan University of Medical Science, Gorgan, Iran ,einfa15@yahoo.com
2- PhD Student of health management , Faculty Member, MSc in Nursing, School of Nursing and Midwifery, Golestan University of Medical Science, Gorgan, Iran
3- Assistant Professor of Nursing , Faculty Member, School of Nursing and Midwifery, Golestan University of Medical Sciences, Gorgan, Iran.
4- PhD Student of Nursing, MSc in Nursing, Instructor, School of Nursing and Midwifery, Golestan University of Medical Science, Gorgan, Iran.
5- MSc in Nursing, Faculty Member, Nursing Research Center, School of Nursing and Midwifery, Golestan University of Medical Science, Gorgan, Iran ,
Abstract: (15879 Views)
Background: Fatigue is among the most common complications for hemodialysis patients. The theory of unpleasant symptoms is associated with fatigue in hemodialysis patients. According to this theory, fatigue has three physical, mental and situational factors. Considering this theory, we aimed to determine some factors related to fatigue in hemodialysis patients.
Methods: In this descriptive-analytical study, of 165 hemodialysis patients admitted to Panje Azar Medical and Educational Center in Gorgan, Iran, 58 eligible ones were randomly selected. Data was collected using demographic information questionnaire, Fatigue Severity Scale, Beck Anxiety Inventory and Beck Depression Inventory. Data analysis was conducted in SPSS 17, using Mann-Whitney, Kruskal-Wallis and Spearman's rank correlation coefficient tests.
Results: The mean fatigue in all patients was 4.76 ± 1.66 out of 7. Fifty-two patients (89.7%) suffered from some degree (mild to severe) of anxiety and 43 patients (74.1%) suffered from some degrees (mild to severe) of depression. Fatigue only had a direct relationship with psychological factor [anxiety (P = 0.006, r = 0.353, and depression (P <0.001, r = 0.525)].
Conclusion: Considering the high prevalence of fatigue among hemodialysis patients and associated factors, care providers are advised to identify high-risk individuals through conducting periodic psychiatric examinations and to promote their knowledge on available strategies to reduce adverse effects in these patients.
Methods: In this descriptive-analytical study, of 165 hemodialysis patients admitted to Panje Azar Medical and Educational Center in Gorgan, Iran, 58 eligible ones were randomly selected. Data was collected using demographic information questionnaire, Fatigue Severity Scale, Beck Anxiety Inventory and Beck Depression Inventory. Data analysis was conducted in SPSS 17, using Mann-Whitney, Kruskal-Wallis and Spearman's rank correlation coefficient tests.
Results: The mean fatigue in all patients was 4.76 ± 1.66 out of 7. Fifty-two patients (89.7%) suffered from some degree (mild to severe) of anxiety and 43 patients (74.1%) suffered from some degrees (mild to severe) of depression. Fatigue only had a direct relationship with psychological factor [anxiety (P = 0.006, r = 0.353, and depression (P <0.001, r = 0.525)].
Conclusion: Considering the high prevalence of fatigue among hemodialysis patients and associated factors, care providers are advised to identify high-risk individuals through conducting periodic psychiatric examinations and to promote their knowledge on available strategies to reduce adverse effects in these patients.
perspective: Original Article |
References
1. Brunner LS, Smeltzer SCOTT. Brunner & Suddarth's textbook of medical-surgical nursing. 12th ed. Philadelphia: Lippincott Williams & Wilkins; 2010.
2. Mahdavi-Mazdeh M, Zamyadi M, Nafar M. Assessment of management and treatment responses in haemodialysis patients from Tehran province, Iran. Nephrology Dialysis Transplantation. 2007;23(1):288-93. [DOI:10.1093/ndt/gfm580]
3. Nephrology Iso. Tehran: Iranian society of nephrology; 2014; Available from: Iranian society of nephrology.
4. Baraz SH, Mohammadi A, Bromand B. The effect of self care on on quality of life and health problems in patients treated with maintenance hemodialysis. Hayat, 2006;24-25:51-62. [Persian].
5. Ream. E., Richardson. A fatigue: a concept of analysis. International Journal of Nursing Studies.1996; 33(5), 519-529. [DOI:10.1016/0020-7489(96)00004-1]
6. Mollaoglu M. Fatigue in people undergoing hemodialysis. Dialysis & Transplantation. 2009 ;38(6):216-20. [DOI:10.1002/dat.20330]
7. Eghbali M, Babayee S. Rapid diagnosis of diseases with emphasis on signs and symptoms Tehran. Boshra publication. 2010. p:117 . [Persian].
8. Black JM, Hawks JH . Medical. Surgical Nursing. Translation By faculty members of Shahid Beheshti University of Medical Sciences and Health Services Tehran. Salemi publication 2008.p:561 . [Persian].
9. Sajadi A, Farmahini Farahani B, Esmaeilpoor Zanjani S, Durmanesh B, Zare M. Factor's affecting fatigue in chronic renal failure patients treated with Hemodialysis. Iranian Journal of Critical Care Nursing Spring. 2010; 3(1); 33-38. [ Persian]
10. Lawrie SM, Manders DN, Gedes JR, Pelosi AJ. A population-based incidence of chronic fatigue. Psychological medicine. 1997; 27(3): 343–353 [DOI:10.1017/S0033291796004357]
11. Hadadian F, Fayyazi p. Ghorbani A., Fallah H, Latif M. The effect of trancscutaneus electrical acupoint stimulation (TEAS) on fatigue reduction in hemodialysis patients. Journal of Kermanshah Medical Sciences, 1390; 15(3): 165-172. [ Persian]
12. Lenz ER, Suppe F, Gift AG, Pugh LC, Miligan RA. Collaborative development of middle-range nursing theories: Toward a theory of unpleasant symptoms. Advances in Nursing Science. 1995;17(3):1-3. [DOI:10.1097/00012272-199503000-00003]
13. McCann K, Boore JR. Fatigue in persons with renal failure who require maintenance haemodialysis. Journal of advanced nursing. 2000 ;32(5):1132-42. [DOI:10.1046/j.1365-2648.2000.01584.x]
14. Godman A .Fatigue in African American women whit end stage renal disease who required hemodialysis. [MS Dissertation] Carolina. Greensboro university ; 2005.
15. Asadi N, Royani Z, Abbaszadeh A. A study of some fatigue-related factors based on unpleasant symptoms theory in Kerman-resident hemodialysis patients. Modern Care.2014; 11 (2):119-126. [Persian]
16. Rasouli N, Ahmadi F, Nabavi SM, Haji-Zadeh E. Effect of energy saving technique on the rate of Multiple Sclerotic fatigue. Archives of Rehabilitation. 2006;7(1):43-8. [Persian]
17. .Zakeri Moghaddam M, Shaban M, Kazemnezhad A, Tavassoli K. Effect of exercise utilizing the rate of respiratory on fatigue in patient with chronic obstructive pulmonary disease. Hayat. 2006; 3(30):17-25. [In Persian].
18. Schneider, R. A. Chronic renal failure: assessing the Fatigue Severity Scale for use among caregivers. Journal of Clinical Nursing. 2004; 13: 219–225. [DOI:10.1046/j.1365-2702.2003.00860.x]
19. Kaviani H, Mousavi AS. Psychometric properties of the Persian version of Beck Anxiety Inventory (BAI). Tehran University Medical Journal.2008; 66(2): 136-140 .[Persian]
20. Hedayati SS, Minhajuddin AT, Afshar M, Toto RD, Trivedi MH, Rush AJ. Association between major depressive episodes in patients with chronic kidney disease and initiation of dialysis, hospitalization, or death. Jama. 2010 ;303(19):1946-53. [DOI:10.1001/jama.2010.619]
21. Smith DL. Anemia in the elderly. American Family Physician. 2000;62(7):1565-72.
22. Kim HR, Son GR. Fatigue and its related factors in Korean patients on hemodialysis. Journal of Korean Academy of Nursing. 2005 ;35(4):701-8. [DOI:10.4040/jkan.2005.35.4.701]
23. Kim HR, Son GR. Fatigue and its related factors in Korean patients on hemodialysis. Journal of Korean Academy of Nursing. 2005 ;35(4):701-8. [DOI:10.4040/jkan.2005.35.4.701]
24. Lee BO, Lin CC, Chaboyer W, Chiang CL, Hung CC. The fatigue experience of haemodialysis patients in Taiwan. Journal Of Clinical Nursing. 2007 ;16(2):407-13. [DOI:10.1111/j.1365-2702.2005.01409.x]
25. Hadian-Jazi Z, Aliasgharpour M. Evaluating the effects of designed exercise program on mean of activity tolerance in hemodialysis patients. Journal of Shahrekord University of Medical Sciences. 2012;14(5): 83-91.[Persian]
26. Ossareh S, Roozbeh J, Krishnan M, Bargman JM, Oreopoulos DG. Fatigue in chronic peritoneal dialysis patients. International Urology And Nephrology. 2003 ;35(4):535-41. [DOI:10.1023/B:UROL.0000025610.67447.b9]
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
