Factors Associated with Symptom Burden in Adults with Chronic Kidney Disease Undergoing Hemodialysis: A Prospective Study
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-section...
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| Veröffentlicht in: | International journal of environmental research and public health 2022-05, Vol.19 (9), p.5540 |
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| creator | Gunarathne, Thalwaththe Gedara Nadeeka Shayamalie Tang, Li Yoong Lim, Soo Kun Nanayakkara, Nishantha Damayanthi, Hewaratne Dassanayakege Wimala Thushari Abdullah, Khatijah L |
| description | 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. |
| doi_str_mv | 10.3390/ijerph19095540 |
| format | Article |
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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.</description><identifier>ISSN: 1660-4601</identifier><identifier>ISSN: 1661-7827</identifier><identifier>EISSN: 1660-4601</identifier><identifier>DOI: 10.3390/ijerph19095540</identifier><identifier>PMID: 35564935</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Adults ; Aged ; Body mass index ; Body Weight ; Cardiovascular disease ; Chronic illnesses ; Cross-Sectional Studies ; Diabetes ; Dialysis ; Female ; Hemodialysis ; Humans ; Illnesses ; Kidney diseases ; Kidney Failure, Chronic - epidemiology ; Kidney Failure, Chronic - therapy ; Likert scale ; Longitudinal studies ; Male ; Middle age ; Middle Aged ; Older people ; Perception ; Perceptions ; Physiology ; Population ; Prospective Studies ; Quality of Life ; Questionnaires ; Regression analysis ; Renal Dialysis ; Renal Insufficiency, Chronic - epidemiology ; Signs and symptoms ; Social interactions ; Sociodemographics ; Stress</subject><ispartof>International journal of environmental research and public health, 2022-05, Vol.19 (9), p.5540</ispartof><rights>2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2022 by the authors. 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c418t-a0ea3fb97152cccc7d0ee319ca9ad221d5c9538c39577dd890562397658ff7ad3</citedby><cites>FETCH-LOGICAL-c418t-a0ea3fb97152cccc7d0ee319ca9ad221d5c9538c39577dd890562397658ff7ad3</cites><orcidid>0000-0001-9460-4208 ; 0000-0001-7589-5150 ; 0000-0002-7185-6004 ; 0000-0002-4948-2202 ; 0000-0002-5362-0751</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9105408/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9105408/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35564935$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gunarathne, Thalwaththe Gedara Nadeeka Shayamalie</creatorcontrib><creatorcontrib>Tang, Li Yoong</creatorcontrib><creatorcontrib>Lim, Soo Kun</creatorcontrib><creatorcontrib>Nanayakkara, Nishantha</creatorcontrib><creatorcontrib>Damayanthi, Hewaratne Dassanayakege Wimala Thushari</creatorcontrib><creatorcontrib>Abdullah, Khatijah L</creatorcontrib><title>Factors Associated with Symptom Burden in Adults with Chronic Kidney Disease Undergoing Hemodialysis: A Prospective Study</title><title>International journal of environmental research and public health</title><addtitle>Int J Environ Res Public Health</addtitle><description>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.</description><subject>Adults</subject><subject>Aged</subject><subject>Body mass index</subject><subject>Body Weight</subject><subject>Cardiovascular disease</subject><subject>Chronic illnesses</subject><subject>Cross-Sectional Studies</subject><subject>Diabetes</subject><subject>Dialysis</subject><subject>Female</subject><subject>Hemodialysis</subject><subject>Humans</subject><subject>Illnesses</subject><subject>Kidney diseases</subject><subject>Kidney Failure, Chronic - epidemiology</subject><subject>Kidney Failure, Chronic - therapy</subject><subject>Likert scale</subject><subject>Longitudinal studies</subject><subject>Male</subject><subject>Middle age</subject><subject>Middle Aged</subject><subject>Older people</subject><subject>Perception</subject><subject>Perceptions</subject><subject>Physiology</subject><subject>Population</subject><subject>Prospective Studies</subject><subject>Quality of Life</subject><subject>Questionnaires</subject><subject>Regression analysis</subject><subject>Renal Dialysis</subject><subject>Renal Insufficiency, Chronic - epidemiology</subject><subject>Signs and symptoms</subject><subject>Social interactions</subject><subject>Sociodemographics</subject><subject>Stress</subject><issn>1660-4601</issn><issn>1661-7827</issn><issn>1660-4601</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpdkUFv1DAQhS0EoqVw5YgsceGyxY5jJ8MBaVkoRVQCqfRsufZk16vEDrZTlH9Pqi1Vy1xmpPnmaWYeIa85OxUC2Hu_xzTuODCQsmZPyDFXiq1qxfjTB_UReZHznjHR1gqekyMhpapByGMynxlbYsp0nXO03hR09I8vO3o5D2OJA_00JYeB-kDXbupLPnQ3uxSDt_S7dwFn-tlnNBnpVXCYttGHLT3HITpv-jn7_IGu6c8U84i2-Bukl2Vy80vyrDN9xld3-YRcnX35tTlfXfz4-m2zvljZmrdlZRga0V1Dw2Vll2gcQxQcrAHjqoo7aUGK1gqQTeNcC0yqSkCjZNt1jXHihHw86I7T9YDOYijJ9HpMfjBp1tF4_bgT_E5v440GzpaXtovAuzuBFH9PmIsefLbY9yZgnLKulKobUAzEgr79D93HKYXlvFuqAmCKVwt1eqDs8pOcsLtfhjN966p-7Ooy8ObhCff4PxvFX3QroRc</recordid><startdate>20220503</startdate><enddate>20220503</enddate><creator>Gunarathne, Thalwaththe Gedara Nadeeka Shayamalie</creator><creator>Tang, Li Yoong</creator><creator>Lim, Soo Kun</creator><creator>Nanayakkara, Nishantha</creator><creator>Damayanthi, Hewaratne Dassanayakege Wimala Thushari</creator><creator>Abdullah, Khatijah L</creator><general>MDPI AG</general><general>MDPI</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-9460-4208</orcidid><orcidid>https://orcid.org/0000-0001-7589-5150</orcidid><orcidid>https://orcid.org/0000-0002-7185-6004</orcidid><orcidid>https://orcid.org/0000-0002-4948-2202</orcidid><orcidid>https://orcid.org/0000-0002-5362-0751</orcidid></search><sort><creationdate>20220503</creationdate><title>Factors Associated with Symptom Burden in Adults with Chronic Kidney Disease Undergoing Hemodialysis: A Prospective Study</title><author>Gunarathne, Thalwaththe Gedara Nadeeka Shayamalie ; 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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.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>35564935</pmid><doi>10.3390/ijerph19095540</doi><orcidid>https://orcid.org/0000-0001-9460-4208</orcidid><orcidid>https://orcid.org/0000-0001-7589-5150</orcidid><orcidid>https://orcid.org/0000-0002-7185-6004</orcidid><orcidid>https://orcid.org/0000-0002-4948-2202</orcidid><orcidid>https://orcid.org/0000-0002-5362-0751</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Adults Aged Body mass index Body Weight Cardiovascular disease Chronic illnesses Cross-Sectional Studies Diabetes Dialysis Female Hemodialysis Humans Illnesses Kidney diseases Kidney Failure, Chronic - epidemiology Kidney Failure, Chronic - therapy Likert scale Longitudinal studies Male Middle age Middle Aged Older people Perception Perceptions Physiology Population Prospective Studies Quality of Life Questionnaires Regression analysis Renal Dialysis Renal Insufficiency, Chronic - epidemiology Signs and symptoms Social interactions Sociodemographics Stress |
| title | Factors Associated with Symptom Burden in Adults with Chronic Kidney Disease Undergoing Hemodialysis: A Prospective Study |
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