Gunarathne, Thalwaththe Gedara Nadeeka Shayamalie and Tang, Li Yoong and Lim, Soo Kun and Nanayakkara, Nishantha and Damayanth, Hewaratne Dassanayakege Wimala Thushari and Khatijah Lim, Abdullah * (2022) Factors associated with symptom burden in adults with chronic kidney disease undergoing hemodialysis: a prospective study. International Journal of Environmental Research and Public Health, 19 (9). pp. 1-13. ISSN 1660-4601
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Abstract
People with end stage renal disease and undergoing hemodialysis experience a high symptom burden that impairs quality of life. This study aimed to assess the prevalence, dynamicity and determinants of symptom burden among middle-aged and older adult hemodialysis patients. A descriptive cross-sectional study together with a longitudinal assessment was used. A total of 118 and 102 hemodialysis patients were assessed at baseline and at a 6-month follow-up. Validated questionnaires were used to assess the symptom burden, stress, illness perception and social support. Multiple linear regression analysis was used to determine the factors associated with symptom burden. The median number of symptoms experienced was 21 (Interquartile Range (IQR); 18−23) and 19 (IQR; 13−22) at baseline and 6 months, respectively. Having elevated stress (β = 0.65, p ≤ 0.005) and illness perception (β = 0.21, p = 0.02) were significantly predicted symptom burden at baseline (F (4, 112) = 55.29, p < 0.005, R2 = 0.664). Stress (β = 0.28, p = 0.003), illness perception (β = 0.2, p = 0.03), poor social support (β = −0.22, p = 0.01) and low body weight (β = −0.19, p = 0.03) were the determinants for symptom burden at 6 months (F (5, 93) = 4.85, p ≤ 0.005, R2 = 0.24). Elevated stress, illness perception level, poor social support and low post-dialysis body weight were found to be determinants for symptom burden. Attention should be given to psychosocial factors of hemodialysis patients while conducting assessment and delivering care to patients.
Item Type: | Article |
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Uncontrolled Keywords: | symptom burden; adults; hemodialysis; Sri Lanka; longitudinal study |
Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine R Medicine > RC Internal medicine |
Divisions: | Others > Non Sunway Academics Sunway University > School of Medical and Life Sciences [formerly School of Healthcare and Medical Sciences until 2020] > Department of Nursing |
Depositing User: | Ms Yong Yee Chan |
Related URLs: | |
Date Deposited: | 17 Aug 2024 03:07 |
Last Modified: | 17 Aug 2024 03:07 |
URI: | http://eprints.sunway.edu.my/id/eprint/3145 |
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