Open AccessMultidimensional Symptom Burden among Patients with Hemodialysis in Indonesia
Author(s) -
Hinin Wasilah,
Dhea Natashia,
Chen-Hui Huang,
Hsing-Mei Chen,
Miaofen Yen
Publication year - 2021
Publication title -
jurnal keperawatan padjadjaran
Language(s) - English
Resource type - Journals
eISSN - 2442-7276
pISSN - 2338-5324
DOI - 10.24198/jkp.v9i2.1660
Subject(s) - hemodialysis , medicine , quality of life (healthcare) , distress , referral , dialysis , psychological intervention , kidney disease , physical therapy , intensive care medicine , psychiatry , family medicine , clinical psychology , nursing
Patients with hemodialysis commonly experience multiple symptoms. Most of the previous studies analyzedthe symptoms as one dimension such as the severity dimension. Conducting the comprehensive symptomassessment among patients with hemodialysis is necessary to gain a better understanding of the symptom burden.The aim of this study was to identify symptom burden among patients with hemodialysis comprehensively.This study was a descriptive study. A convenience sample of 320 patients undergoing hemodialysis was recruitedfrom the dialysis units at two referral hospitals in Indonesia (Fatmawati Hospital and Cipto MangunkusumoNational Hospital). Indonesian Version of Chronic Kidney Disease – Symptom Burden Index (CKD-SBI) wasused. For the data analysis, descriptive analysis was used. Total 320 subjects were collected. This study foundthat lack of energy was the highest physical symptom burden under 4 dimensions: occurrence 269 (84.0%),severity (mean = 4.28, SD = 3.08), distress (mean = 4.42, SD = 3.09), and frequency (mean = 4.41, SD = 3.27).Furthermore, decreased interest in sex was the highest psychological symptom burden under for dimensions:occurrence 210 (65.6%), severity (mean = 3.39, SD = 3.38), distress (mean = 2.92, SD = 2.99), frequency(mean = 3.70, SD = 3.65). Lack of energy and decreased interest in sex were consistently the highest symptomburden among patients with hemodialysis. Creating appropriate interventions and managing the symptomsexperienced by patients with hemodialysis comprehensively is very important to improve their quality of life.