Investigación sobre la relación entre síntomas observados en pacientes en hemodiálisis con la adecuación de diálisis y rasgos de personalidad

摘要

Objectives: Investigates the relation between the symptoms seen in haemodialysis patients with haemodialysis adequacy and character traits. Background: Investigation of the factors affecting symptoms seen in haemodialysis patients would lead to better understanding of the causes behind the symptoms and enable efficient symptom control management. Design: This descriptive and analytical study was conducted between January and June 2019 at two dialysis centres in Turkey. Methods: The data was collected though Demographic Information Form, The Dialysis Symptom Index, the Big Five Inventory and by calculating Kt/V and URR (Urea Reduction Rate) values for dialysis adequacy. Results: It was found that 77.6% of the haemodialysis patients experience 6 or more symptoms and the most common symptoms are feeling tired or lack of energy (70.7%), and the most severe symptom is numbness or tingling in feet (3.13 ± 3.12). While 70.9% of the participants’ Kt/V value was calculated as above 1.4; no statistically significant relation was found between Kt/V value and psychological and physiological symptoms (p0.05). It was determined that haemodialysis patients with high neuroticism trait experience increased symptoms of tiredness, irritability, sadness, worrying; and patients with extraversion trait experience these symptoms less severely (p0.05). Conclusion: Although this study found a relation between experienced symptoms and personality traits (neuroticism, extraversion); no relation was observed with dialysis adequacy. Nurses need to plan nursing initiatives by considering not only the patients’ biochemical parameters but also their personality traits in managing haemodialysis symptoms of the patients.