Relationship between knowledge and treatment satisfaction with psychological well-being among haemodialysis patients: a single center study
DOI:
https://doi.org/10.18203/2320-6012.ijrms20220969Keywords:
Haemodialysis, Knowledge, Treatment satisfaction, Mental stressAbstract
Background: Haemodialysis (HD) patients are subjected to bio-psychosocial stress in many ways even after successful hemodialysis session. Therefore, this study was designed to survey on relationship between knowledge and treatment satisfaction with psychological well-being among haemodialysis patients.
Methods: This cross-sectional study included 100 HD patients who were referred to emergency dialysis unit, nephrology and transplant unit, National Hospital, Kandy during the year 2019. Data were collected using a self-administered questionnaire.
Results: Mean age of this study group was 45.17 (13.6) years; two dominant etiologies of chronic renal failure were diabetic nephropathy and hypertension accounting for nearly 61% of the study population. Only 19% of patients presented with emotional suffering and 40% of patients worried about their disease condition. However, majority of the patients satisfied with nursing care and nurses’ co-operation while they are on HD treatment. Moreover, they confirmed nurses’ co-operation helped to reduce their stress level. Further, knowledge on HD compliance (p=0.000), satisfaction on nursing staff attitudes (p=0.001), satisfaction on nursing staff concern about the health issues (p=0.001) and worrying about the kidney disease condition (p=0.000) had statistically significant association with mental stress in this study cohort.
Conclusions: The topic of stressors is very important among patients receiving dialysis, as these affect their psycho-social and physiological wellbeing. Thus, health care team is playing an important role in providing patients with effective psycho-social and physiological support.
References
Miles A, Friedman E. Center and home chronic hemodialysis outcome and complications. In: Diseases of the Kidney and Urinary Tract. Schrier R, editor. 7th edition. Lippincot Williams & Wilkins, Boston. 2001;2979-3006.
Zyga S, Alikari V, Sachlas A, Stathoulis J, Aroni A, Theofilou P, Panoutsopoulos G. Management of Pain and Quality of Life in Patients with Chronic Kidney Disease Undergoing Hemodialysis. Pain Manag Nurs. 2015;16(5):712-20.
Mellon L, Regan D, Curtis R. Factors influencing adherence among Irish haemodialysis patients. Patient Education and Counseling. 2013;92(1):88-93.
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. Medical Archives. 2015;69(6):376.
Kimmel PL. Psychosocial factors in adult end-stage renal disease patients treated with hemodialysis: correlates and outcomes. Am J Kidney Dis. 2000;35(4):132-40.
DeOreo PB. Psychosocial factors in adult end-stage renal disease patients treated with hemodialysis: correlates and outcomes. Am J Kidney Dis. 1997;30(2):204-12.
Ebrahimi H, Sadeghi M, Amanpour F, Dadgari A. Influence of nutritional education on hemodialysis patients’ knowledge and quality of life. Saudi J Kidney Dis Transplant. 2016;27(2):250-5.
National Research Council (US) Committee on the Role of Human Factors in Home Health Care. The Role of Human Factors in Home Health Care: Workshop Summary. Washington (DC): National Academies Press (US). 2010;2.
Bahrami NN, Hanifi N, Mousavi NN. Comparing the effects of two family-and individual-based intervention on blood pressure and lifestyle. J Qazvin University Med Sci. 2008;12(1):62-79.
Cavanaugh KL. Prioritizing patient‐centered care implementation and research for patients with kidney disease. Semin Dialysis. 2015; 28(2):131-40.
Wright JA, Wallston KA, Elasy TA, Ikizler TA, Cavanaugh KL. Development and results of a kidney disease knowledge survey given to patients with CKD. Am J Kidney Dis. 2011;57(3):387-95.
Fraser SD, Roderick PJ, Mcintyre NJ, Harris S, Mcintyre CW, Fluck RJ, Taal MW. Suboptimal blood pressure control in chronic kidney disease stage 3: baseline data from a cohort study in primary care. BMC Fam Pract. 2013;14(1):88.
Thomas N. Diabetes and chronic kidney disease: what does the new NICE guidance say? J Diabetes Nurs. 2009;13(4):126-36.
Lorig K, Ritter PL, Villa FJ, Armas J. Community-based peer-led diabetes self-management. The Diabetes Educator. 2009;35(4):641-51.
Martinez BB, Custodio RP. Relationship between mental health and spiritual wellbeing among hemodialysis patients: a correlation study. Sao Paulo Med J. 2014;132(1):23-7.
Cirillo L, Toccafondi A, Cutruzzulà R, Miraglia Raineri A, Pernazza M, Fiasella S, Dattolo P. Association between Satisfaction with Dialysis Treatment and Quality of Life: A Cross-Sectional Study. Blood Purif. 2021;50(2):188-95.
Um-E-Kalsoom. Gender role in anxiety, depression and quality of life in chronic kidney disease patients. Pak J Med Sci. 2015;36(2):251-4.
Ndambuki J. The level of patients’ satisfaction and perception on quality of nursing services in the Renal unit, Kenyatta National Hospital Nairobi, Kenya. Open J Nurs. 2013;3(02):186-94.
Argentero P, Dell'Olivo B, Ferretti MS. Staff burnout and patient satisfaction with the quality of dialysis care. Am J Kidney Dis. 2008;51(1):80-92.